Suicide Prevention Programs Currently Available to US Veterans: A Scoping Review

Jessica H. Berumen, Bruce Lubotsky Levin, Kevin Kip, Joseph Bohn
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Abstract

It is widely recognized the high suicide rate among United States (US) veterans is a major ongoing public health problem. Suicide prevention programs that specifically target veterans are varied in their implementation and success rates. A scoping review was conducted to examine what types of suicide prevention programs are currently available for US veterans and their effectiveness. From this scoping review, 361 articles were located from two electronic databases, and 26 suicide prevention programs were located through the US Department of Veterans Affairs (VA) webpage/electronic resources. Of the 361 peer reviewed articles, 33 were classified as highly relevant and selected for full review, and 22 were identified as needing further review for relevance to the topic or target population. Nineteen VA webpage/electronic resources were classified as highly relevant and selected for full review. After implementing the inclusion and exclusion criteria, 28 journal articles and 16 VA webpage/electronic resources were included in this scoping review. Although the scoping review demonstrated there is a wide variety of suicide prevention programs available for US veterans, the review also indicated that (a) suicide prevention programs in use by the VA are not being widely disseminated in the peer-reviewed literature and (b) there is significantly more dissemination on the study of causes of suicidality than programs being implemented to prevent suicidal behavior. As a result, available research suggests additional research should be conducted on suicide prevention programs and more dissemination of current suicide prevention activities should take place.
目前为美国退伍军人提供的自杀预防计划:范围审查
人们普遍认为,美国退伍军人的高自杀率是一个持续存在的重大公共卫生问题。专门针对退伍军人的自杀预防计划在实施和成功率方面各不相同。我们进行了一次范围审查,以研究目前有哪些类型的自杀预防计划可供美国退伍军人使用及其有效性。通过这次范围界定审查,我们从两个电子数据库中找到了 361 篇文章,并通过美国退伍军人事务部 (VA) 的网页/电子资源找到了 26 个自杀预防项目。在这 361 篇经同行评审的文章中,有 33 篇被归类为高度相关并被选中进行全面评审,有 22 篇被确定为需要进一步评审与主题或目标人群的相关性。19 篇退伍军人网页/电子资源被归类为高度相关,并被选中进行全面审查。在执行纳入和排除标准后,28 篇期刊论文和 16 个退伍军人事务部网页/电子资源被纳入此次范围界定审查。尽管范围界定审查表明美国退伍军人有各种各样的自杀预防计划,但审查也表明:(a)退伍军人事务部正在使用的自杀预防计划并未在同行评审文献中广泛传播;(b)关于自杀原因研究的传播明显多于正在实施的预防自杀行为的计划。因此,现有的研究表明,应当对自杀预防计划进行更多的研究,并对当前的自杀预防活动进行更多的宣传。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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