在紧急部门,同行提供书面与电子自杀安全计划
Ronald G Thompson1, Samuel Mullinax2, Robert DeMonte3
1Department of Psychiatry, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Crisis
|August 5, 2025
概括
纸质安全计划比电子版本更完整,尽管两者都显示出类似的质量和返回急诊室的访问. 需要进一步的研究来改进数字自杀安全规划工具.
科学领域:
- 公共卫生 公共卫生
- 心理健康研究 心理健康研究
- 数字健康数字健康
背景情况:
- 自杀仍然是美国死亡的主要原因之一.
- 安全规划是减轻自杀风险的关键干预措施.
- 与传统纸质方法相比,电子安全规划工具的有效性尚未得到充分证实.
研究的目的:
- 通过移动应用程序比较电子安全规划与传统纸质安全计划的有效性.
- 评估安全计划的完整性,质量和随后的急救部门 (ED) 使用方面的差异.
主要方法:
- 一项试点随机对照试验 (RCT) 涉及30名参与者.
- 参与者被随机分配到使用My3应用程序进行纸质安全规划或电子安全规划.
- 测量结果包括安全计划的完整性,质量和在三个月内返回ED访问.
主要成果:
- 与电子计划相比,纸质安全计划表现出更完整的完整性,尽管需要更多的时间来完成.
- 在安全计划质量方面,两组之间没有观察到统计学上显著的差异.
- 在三个月的随访期间,ED访问回报率没有显著差异.
结论:
- 虽然电子安全规划工具可以提供时间效率,但目前的格式可能会损害计划的完整性.
- 安全计划完整性与临床结果之间的关联需要进一步调查.
- 需要进行额外的研究来优化和验证电子安全规划干预措施的自杀预防.
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