描述自杀企图后一年中患有PTSD的退伍军人使用心理健康护理的情况
Kate Clauss1, Vanessa C Somohano1, Benjamin J Morasco1
1Center to Improve Veteran Involvement in Care, VA Portland Health Care System.
Psychological services
|January 12, 2026
概括
大多数自杀企图后患有PTSD的退伍军人会定期接受心理健康护理,但很少开始专门的创伤后应激障碍 (PTSD) 基于证据的心理治疗 (EBP). 需要进一步的研究来改善PTSD EBP启动对于这个高风险群体.
科学领域:
- 心理健康服务研究 心理健康服务研究
- 精神病学是一个精神病学.
- 退伍军人事务 医疗保健 医疗保健
背景情况:
- 试图自杀的患有创伤后应激障碍 (PTSD) 的退伍军人代表了需要专门护理的脆弱人群.
- 了解心理健康护理利用模式对于优化自杀企图后治疗途径至关重要.
研究的目的:
- 描述自杀企图后一年中患有PTSD的退伍军人中心理健康护理的使用情况.
- 在这个队列中确定与启动基于证据的PTSD心理治疗 (EBP) 相关的因素.
主要方法:
- 全国调查数据来自431名患有PTSD和最近自杀未遂的退伍军人.
- 分析自我报告措施 (PTSD严重程度,耻辱感,障碍) 和用于心理健康的电子健康记录.
- 描述性统计和回归分析以确定PTSD EBP启动的预测因素.
主要成果:
- 绝大多数 (95.8%) 接受了≥8次门诊心理健康访问,但只有10.4%启动了PTSD EBP,4.2%接受了适当的治疗.
- 创伤后应激障碍的严重程度,耻辱和后勤障碍并没有显著预测创伤后应激障碍EBP的启动.
- 大多数患者接受了抗抑郁药 (90.7%),46.2%的患者接受了精神病医院住院治疗.
结论:
- 尽管整体精神卫生保健参与度很高,但自杀企图后患有PTSD的退伍军人患PTSD EBP发病率很低.
- 当前的患者和服务水平因素不能解释PTSD EBPs的低吸收率.
- 针对PTSD特定干预的时间和交付需要进一步调查退伍军人自杀后的尝试.
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