比较自我引导和传统的危机应对计划:一项试点随机对照试验在美国退伍军人中进行
Lauren R Khazem1, Megan L Rogers2, Austin G Starkey3
1The Ohio State University Wexner Medical Center, USA.
Journal of psychiatric research
|May 10, 2025
概括
美国军方退伍军人面临高自杀率. 一项试点研究发现,危机应对计划 (CRP) 和自导版本 (CRP-S) 在一周内显示出类似的,尽管在统计学上不显著的,自杀意念的减少.
科学领域:
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
- 军人心理健康 军人心理健康
背景情况:
- 美国军方退伍军人自杀率高于普通人群.
- 在获得退伍军人有效的自杀预防干预措施方面存在障碍.
- 危机应对计划 (CRP) 是一种具有潜在实用性的简短干预.
研究的目的:
- 为了比较传统CRP与自导版本 (CRP-S) 在降低自杀念头强度方面的有效性.
- 评估老兵使用CRP和CRP-S.的模式.
主要方法:
- 试点随机对照试验,涉及72名经历自杀思想的美国退伍军人.
- 传统的CRP (个人管理) 和CRP-S (自我引导) 的比较.
- 用增长曲线模型在一周的随访期内测量自杀念头强度.
主要成果:
- 自杀念头在一周的随访期内没有显著下降.
- 在CRP和CRP-S之间没有发现有效性的显著差异.
- 退伍军人在自杀念头较高的日子中使用干预措施更多,这表明潜在的坚持与症状严重程度有关.
结论:
- 两种CRP和CRP-S似乎都具有相似的,在一周内减少自杀念头的有限效应.
- 使用这些干预措施可能与症状严重程度有关.
- 需要进一步的研究,以提高退伍军人自杀预防策略的有效性和可访问性.
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