医院推广 自杀后尝试参与 (HOPE)
Stanley Innes1,2, Charlie Palmer3, Elle Nguyen4
1Adult Mental Health and Wellbeing Program, Eastern Health, Box Hill, VIC, Australia.
Crisis
|November 13, 2025
概括
医院外展后自杀企图参与 (HOPE) 计划减少了试图自杀的个人对心理健康急诊室的访问. 然而,它并没有显著地减少自杀企图重新呈现的时间.
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:
- 曾经尝试过自杀的人面临复发的高风险.
- 针对性干预对于这个脆弱的人群至关重要.
- 医院外展后自杀企图参与 (HOPE) 计划提供自杀企图后的心理社会支持,以减少急诊室 (ED) 的重新呈现.
研究的目的:
- 评估HOPE计划的纵向结果.
- 为了比较HOPE参与者与与之匹配的通常治疗 (TAU) 对照组.
- 评估HOPE对急诊室 (ED) 演示和重新演示时间的影响.
主要方法:
- 一项由100名HOPE参与者和100名匹配的TAU参与者参与的病例对照研究.
- 在4年内对ED表现的分析 (干预前2年和干预后2年).
- 评估演示频率,类型和重新演示的时间.
主要成果:
- 在 HOPE 和 TAU 组之间,ED 演示的总数没有显著差异.
- HOPE参与者在干预后显著减少了与精神健康相关的ED表现.
- 与精神健康相关的第一次重新呈现的时间在各组之间没有显著差异.
结论:
- 霍普计划有效地减少了与心理健康有关的ED访问.
- HOPE并没有显著延长自杀企图的重新提交时间.
- 与长期社区支持的整合可能会提高HOPE在预防自杀方面的有效性.
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