Association of the Veterans Crisis Line Caring Letters Project With Health Services Utilization and Health Outcomes Among Veterans With Elevated Psychiatric Risk.

IF 3.2 2区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Samantha G Auty, Melissa M Garrido, Aaron Legler, Sivagaminathan Palani, Caitlin Manchester, MaryGrace Lauver, Jolie E Bourgeois, Mark A Reger
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引用次数: 0

Abstract

Objective: To evaluate whether the Veterans Crisis Line (VCL) Caring Letters (CL) intervention impacted outcomes among Veterans at elevated psychiatric risk.

Study setting and design: This secondary analysis of a randomized clinical trial examined the association of CL, an evidence-based suicide prevention intervention, among Veterans who contacted the VCL from June 2020 to June 2021.

Data sources and analytic sample: Data on Veterans was obtained from the Veterans Health Administration's (VHA) Corporate Data Warehouse (N = 186,514). Time-to-event models stratified by indicators of psychiatric risk were used to assess the association of CL with outcomes.

Principal findings: Receipt of CL, regardless of psychiatric risk status, was associated with increased utilization of outpatient mental health services. Among those with no indicators of psychiatric risk, receipt of CL was associated with increased use of all-cause outpatient and inpatient services. The intervention did not have a significant impact on all-cause mortality among those with or without indicators of psychiatric risk.

Conclusions: CL was associated with increased use of VHA services among those with and without indicators of psychiatric risk. Increased use of VHA services may represent appropriate use of high-value mental health services for Veterans who are experiencing crises.

退伍军人危机热线关怀信件项目与医疗服务的利用和健康结果的退伍军人精神病风险升高协会。
目的:评价退伍军人危机热线(VCL)关怀信(CL)干预对精神疾病风险升高的退伍军人预后的影响。研究背景和设计:这项随机临床试验的二次分析研究了在2020年6月至2021年6月期间接触VCL的退伍军人中CL(一种基于证据的自杀预防干预)的关联。数据来源和分析样本:退伍军人数据来自退伍军人健康管理局(VHA)企业数据仓库(N = 186,514)。采用精神风险指标分层的事件时间模型来评估CL与预后的关系。主要发现:接受CL治疗,无论精神风险状况如何,都与门诊精神卫生服务的使用率增加有关。在那些没有精神风险指标的患者中,接受CL与全因门诊和住院服务的使用增加有关。干预对有或没有精神风险指标的全因死亡率没有显著影响。结论:在有或没有精神风险指标的人群中,CL与VHA服务的使用增加有关。增加VHA服务的使用可能代表对正在经历危机的退伍军人适当使用高价值的心理健康服务。
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
Health Services Research
Health Services Research 医学-卫生保健
CiteScore
4.80
自引率
5.90%
发文量
193
审稿时长
4-8 weeks
期刊介绍: Health Services Research (HSR) is a peer-reviewed scholarly journal that provides researchers and public and private policymakers with the latest research findings, methods, and concepts related to the financing, organization, delivery, evaluation, and outcomes of health services. Rated as one of the top journals in the fields of health policy and services and health care administration, HSR publishes outstanding articles reporting the findings of original investigations that expand knowledge and understanding of the wide-ranging field of health care and that will help to improve the health of individuals and communities.
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