虚拟心理健康护理和与自杀有关的事件
Kertu Tenso1,2, Kiersten Strombotne1,2, Melissa M Garrido1,2
1Department of Health Law Policy and Management, Boston University School of Public Health, Boston, Massachusetts.
JAMA network open
|November 5, 2024
概括
虚拟心理健康服务在减少最近分离的退伍军人中与自杀有关的事件 (SREs) 方面表现有前途. 虚拟访问的增加与SRE的显著下降相关,突出的是远程医疗.
科学领域:
- 心理健康 心理健康
- 公共卫生 公共卫生
- 远程医疗远程医疗
背景情况:
- 美国自杀率不断上升,需要有效的预防策略.
- 远程医疗已经扩大了心理健康护理的获取,但其对自杀结果的影响仍然不清楚.
研究的目的:
- 调查虚拟心理健康服务与与自杀有关的事件 (SREs) 之间的关联.
- 评估虚拟心理健康护理使用增加对退伍军人人口中SRE的影响.
主要方法:
- 最近分离的美国退伍军人接受心理健康护理的回顾性队列研究.
- 利用宽带接入作为工具变量来评估虚拟心理健康访问的影响.
- 分析了2020年3月至2021年12月的数据,统计分析从2023年5月至10月进行.
主要成果:
- 这项研究包括16236名退伍军人,其中929例与自杀有关的事件 (1.4%).
- 虚拟心理健康访问平均占总心理健康访问的44.6%.
- 虚拟心理健康访问的1%增加与自杀相关事件的2.5%减少有关.
结论:
- 越来越多地使用虚拟心理健康服务与与自杀有关的事件的显著减少有关.
- 研究结果表明,扩大虚拟心理健康护理可能是预防自杀的有效策略.
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