只有一个戒指:探索一个简短的住院后基于电话的干预,用于过渡年龄成年人的自杀行为
概括
退院后的电话干预对于过渡年龄青年 (TAY) 是可行的和具有成本效益的. 这些干预措施可以帮助识别需要定制支持的高风险个体,这需要进一步研究.
科学领域:
- 心理健康 心理健康
- 公共卫生 公共卫生
- 精神病学是一个精神病学.
背景情况:
- 过渡年龄青年 (TAY) 在住院后面临高自杀风险.
- 很少有研究评估出院后的干预措施,以预防TAY自杀.
- TAY是一个易受伤害的人群,自杀风险较高.
研究的目的:
- 检查TAY释放后电话干预的可行性和成本效益.
- 在TAY中确定重新住院和自杀企图的预测因素.
- 暂时评估干预结果与对照组的对比.
主要方法:
- 389名因自杀想法/尝试而住院的TAY在2周内接到3次电话联系.
- 干预评估了自杀倾向和加强了安全规划.
- 研究了可行性,成本和结果预测因素.
主要成果:
- 60.5%的TAY至少有一个干预联系人;成本低于60美元/人.
- 对安全计划的低信心预测了90天的自杀行为.
- 探索性分析显示,干预组的自杀企图率相似,但干预组的再入院率更高.
结论:
- 简短的电话干预是可行的,低成本的TAY自杀预防.
- 干预可以识别需要量身定制支持的高风险TAY.
- 进一步的随机对照试验是有必要的,以确认好处.
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