Development of a peer-delivered lethal means counseling intervention for firearm owning veterans: Peer engagement and exploration of responsibility and safety (PEERS).

IF 2.7 3区医学 Q2 PSYCHIATRY

Suicide and Life-Threatening Behavior Pub Date : 2024-11-19 DOI:10.1111/sltb.13138

Claire Houtsma, Melinda Hohman, Michael D Anestis, Craig J Bryan, Gala True

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引用次数: 0

Abstract

Introduction: This study aimed to adapt and expand an evidence-based lethal means counseling intervention for peer-delivery among firearm owning Veterans. We further sought to assess Veteran interventionists' fidelity to motivational interviewing (MI) in the context of the adapted intervention.

Methods: An iterative expert panel comprised of experts in suicide prevention, lethal means counseling, MI, and Veteran peer engagement (N = 9) informed intervention adaptation. Experts rated the appropriateness of the adapted intervention, named Peer Engagement and Exploration of Responsibility and Safety (PEERS), and associated interventionist training plan across six criteria. Veteran interventionists (N = 3) were trained to deliver PEERS and their fidelity to MI in the context of PEERS was evaluated.

Results: Expert panelists' average rating was 7.6 (out of 9). Ratings across all criteria (e.g., quality of the training plan; perceived ability of interventionists to engage in the intervention) were high. Interventionists' composite MI fidelity scores suggested most were client-centered, but not MI-competent in their delivery.

Conclusion: Findings suggest that PEERS is an appropriate lethal means counseling intervention for firearm owning Veterans that can be somewhat feasibly delivered by Veteran interventionists. This intervention could help expand the reach and effectiveness of lethal means counseling.

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为拥有枪支的退伍军人开发由同伴提供的致命手段咨询干预：同伴参与和探索责任与安全（PEERS）。

导言：本研究旨在改编和扩充以证据为基础的致命手段咨询干预，以便在拥有枪支的退伍军人中进行同伴传播。我们还试图评估退伍军人干预者在改编后的干预中对动机访谈（MI）的忠实度：由自杀预防、致命手段咨询、MI 和退伍军人同伴参与方面的专家（N = 9）组成的迭代专家小组为干预措施的调整提供了依据。专家们根据六项标准对改编后的干预措施（名为 "同伴参与和责任与安全探索"（PEERS））和相关干预人员培训计划的适宜性进行了评分。资深干预者（N = 3）接受了实施 PEERS 的培训，并对他们在 PEERS 背景下对多元智能的忠实度进行了评估：专家小组成员的平均评分为 7.6 分（满分 9 分）。所有标准（如培训计划的质量、干预者参与干预的感知能力）的评分都很高。干预者的多元智能忠实度综合评分表明，大多数干预者在实施干预时都以客户为中心，但并不具备多元智能能力：研究结果表明，PEERS 是针对拥有枪支的退伍军人的一种适当的致命手段咨询干预措施，退伍军人干预者可以在一定程度上实施这种干预措施。这种干预措施有助于扩大致命手段咨询的覆盖范围和有效性。

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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来源期刊

Suicide and Life-Threatening Behavior Medicine-Public Health, Environmental and Occupational Health

CiteScore

5.40

自引率

3.10%

发文量

期刊介绍： An excellent resource for researchers as well as students, Social Cognition features reports on empirical research, self-perception, self-concept, social neuroscience, person-memory integration, social schemata, the development of social cognition, and the role of affect in memory and perception. Three broad concerns define the scope of the journal: - The processes underlying the perception, memory, and judgment of social stimuli - The effects of social, cultural, and affective factors on the processing of information - The behavioral and interpersonal consequences of cognitive processes.