在与退伍军人危机线联系的退伍军人中,自杀风险和医疗保健利用率:回顾性队列研究
Kiersten L Strombotne1,2, Sivagaminathan Palani1,2, Yufei Li1,2
1Partnered Evidence-Based Policy Resource Center, Boston Department of Veterans Affairs (VA) Healthcare System, Boston.
Psychiatric services (Washington, D.C.)
|February 26, 2026
概括
联系退伍军人危机线 (VCL) 的高风险或使用短信服务的退伍军人显示出不同的结果. 这些发现突显了VCL的存在.
科学领域:
- 公共卫生 公共卫生
- 心理健康服务研究 心理健康服务研究
- 退伍军人事务 退伍军人事务
背景情况:
- 退伍军人危机线 (VCL) 是经历心理健康危机的退伍军人的关键资源.
- 了解VCL接触者的特征及其与随后的医疗保健利用和结果的关联对于优化退伍军人护理至关重要.
研究的目的:
- 检查退伍军人危机线 (VCL) 联系特征与退伍军人卫生管理局 (VHA) 随后的心理健康护理使用,与自杀有关的事件 (SREs) 和死亡率之间的关系.
- 分析VCL用户人口统计和风险概况在服务扩展后的变化.
主要方法:
- 使用VCL用户数据和退伍军人事务公司数据仓库记录 (2016-2022) 的回顾性队列研究.
- 分析了365,222个独特的退伍军人的VCL接触类型,评估自杀风险和接触日.
- 在12个月内评估的结果包括VHA精神卫生保健的使用,急诊室的访问,SRE和死亡率.
主要成果:
- 高风险的VCL用户和那些在周末联系的人更有可能使用VHA心理健康服务和SRE.
- 使用基于文本的VCL联系的退伍军人与直接呼叫者相比,所有原因死亡的可能性较低.
- 在2016年VCL服务扩张后,用户人口统计和风险概况的观察到的变化表明了更广泛的覆盖范围和不断变化的需求.
结论:
- 该VCL在将危机中的退伍军人连接到医疗保健服务方面发挥着至关重要的作用.
- 针对性干预对于通过VCL联系人发现的高风险退伍军人来说是必要的.
- 持续适应自杀预防策略至关重要,由不断变化的退伍军人需求和VCL用户特征来告知.
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