在社区合作护理后,自杀念头,抑郁和焦虑的变化
Gabriela Kattan Khazanov1,2,3, Courtney Benjamin Wolk4,5, Emily Lorenc4
1Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA. gabriela.khazanov@va.gov.
BMC primary care
|July 5, 2024
概括
协作护理模型 (CoCM) 在多样化的患者群体中有效降低了自杀念头,抑郁和焦虑. 这种方法有望改善心理健康护理的获取和自杀风险的人的结果.
科学领域:
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 协作护理模式 (CoCM) 提高了对轻度至中度精神病理的心理健康护理的准入.
- 它对自杀风险较高的患者的有效性仍在调查中.
研究的目的:
- 在社区环境中评估CoCM对有自杀念头的患者的有效性.
- 分析自杀念头,抑郁和焦虑症状的变化.
- 探索服务利用率与症状减轻之间的关系.
主要方法:
- 来自宾夕法尼亚州综合护理计划 (2018-2022) 数据的分析.
- 包括3,487名患者开始 CoCM,并完成了症状测量.
- 检查患者的特征,症状变化 (自杀念头,抑郁,焦虑) 和服务利用情况.
主要成果:
- 观察到自杀念头从11%下降到7%.
- 在有或没有自杀念头的患者中,抑郁和焦虑的显著减少.
- 较长的CoCM治疗持续时间与更大的抑郁症症状减少相关.
结论:
- 在社区环境中,CoCM在减少自杀念头,抑郁和焦虑方面表现出有效性.
- 这些发现支持了CoCM在改善风险人群获得精神卫生保健和改善其结果方面的潜力.
- 该模型对经历自杀念头和相关情况的个人来说是有前途的.
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