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合作问题:一项随机对照试验,对患者和临床医生的合作进行自杀风险评估和干预

Monika Lohani¹, Craig J Bryan², Jamie S Elsey³

¹Department of Psychology, University of Utah, United States of America.

Journal of affective disorders

|June 5, 2024

概括

在自杀风险评估过程中,患者与临床医生的协作更高,显著减少了自杀想法. 协作方法提高了对自杀风险较高的人的干预措施.

科学领域:

精神病学是一个精神病学.
临床心理学临床心理学
公共卫生公共卫生

背景情况:

患者与临床医生的合作对于管理高风险个体的自杀危机至关重要.
有限的研究已经探索了加强合作对减少自杀念头的影响.
本研究探讨了不同程度的患者和临床医生在评估和干预方面的合作的有效性.

研究的目的:

为了比较高与低的患者与临床医生的合作在自杀风险评估和干预中的有效性.
为了确定协作评估或干预方法是否会导致自杀念头的减少.
评估叙述评估和危机应对计划与结构化访谈和安全规划干预的影响.

主要方法:

一项随机临床试验,涉及82名参与者,他们有过自杀想法或自杀企图.
参与者被分配到四种干预措施之一,患者与临床医生的协作水平不同.
自杀念头被测量使用生态瞬间评估治疗前和治疗后14天.

主要成果:

所有组都显示了自杀念头严重程度的下降.
结合高度协作评估 (叙述评估) 的干预措施显示,自杀念头的前后减少更大.
具体来说,叙述评估与安全计划 (dwithin=0.26) 和危机应对计划 (dwithin=0.19) 相结合,显示出比基于检查清单的评估更大的效果.

结论:

在自杀风险评估过程中增加患者和临床医生的合作,有效地减少了自杀想法.
临床医生领导的协作风险评估增强了对高风险个体的安全规划干预措施的影响.
协作评估方法在减少自杀念头方面比基于检查清单的方法更有效.

关键词:

危机应对计划危机应对计划生态瞬间评价生态瞬间评价叙述性评估是一种叙述性评估.随机对照试验是随机对照试验.安全规划干预措施安全规划干预措施结构化面试结构化面试自杀预防自杀预防

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