Clinical Outcomes of Telehealth-Based Cognitive Behavioral Therapy for Suicide Prevention in the US Department of Veterans Affairs.

IF 2.6 3区医学 Q2 PSYCHIATRY

Suicide and Life-Threatening Behavior Pub Date : 2025-10-01 DOI:10.1111/sltb.70044

Lisa M Betthauser, Jessica A Walker, Lisanne van Engelen, Samantha Lhermitte, Mark Ilgen, Rani Hoff, Meaghan Stacy

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引用次数: 0

Abstract

Introduction: US Veterans are at higher risk for suicide compared to the general population. Access to evidence-based practices for suicide prevention (EBP-SPs) is limited; however, emerging research supports the delivery of EBP-SPs through telehealth. The Veterans Health Administration's (VHA) Suicide Prevention (SP) 2.0 Clinical Telehealth Program aims to increase nationwide access to EBP-SPs for Veterans with recent suicidal self-directed violence (SSDV). This paper describes initial outcomes of SP 2.0's Cognitive Behavioral Therapy for SP (CBT-SP).

Methods: From April 2021 to September 2023, SP 2.0 provided EBP-SPs to Veterans via telehealth. Veterans were eligible if they were enrolled in VHA care and engaged in SSDV (suicide attempts and/or preparatory behavior) in the past 12 months. CBT-SP was provided via VHA's telehealth platform, accessible to all 139 VA Health Care Systems in the US. Outcomes were captured via electronic health records and analyzed using logistic regression and generalized linear models. Significance was set at p < 0.003.

Results: Veterans (N = 2712) received an average of 8.54 CBT-SP sessions. Models demonstrated improvements in suicide-related coping, depression, suicidal thought intensity, hopelessness, urge and intent to kill self, and self-efficacy.

Conclusion: Providing CBT-SP via telehealth is feasible and Veterans demonstrated several improvements. Implications and future research directions are discussed.

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美国退伍军人事务部基于远程医疗的认知行为治疗预防自杀的临床结果。

与普通人群相比，美国退伍军人有更高的自杀风险。获得以证据为基础的自杀预防实践（EBP-SPs）的机会有限；然而，新兴研究支持通过远程医疗提供EBP-SPs。退伍军人健康管理局（VHA）的自杀预防（SP） 2.0临床远程医疗计划旨在增加全国范围内最近有自杀性自我暴力（SSDV）的退伍军人获得EBP-SPs的机会。本文描述了SP 2.0的认知行为治疗SP （CBT-SP）的初步结果。方法：从2021年4月至2023年9月，SP 2.0通过远程医疗为退伍军人提供EBP-SPs。如果退伍军人在过去12个月内参加过VHA护理并参与过SSDV（自杀企图和/或准备行为），则符合资格。CBT-SP通过VHA的远程医疗平台提供，美国所有139个VA医疗保健系统都可以访问。通过电子健康记录捕获结果，并使用逻辑回归和广义线性模型进行分析。结果：退伍军人（N = 2712）平均接受8.54次CBT-SP治疗。模型显示，在自杀相关的应对、抑郁、自杀想法强度、绝望、自杀的冲动和意图以及自我效能方面都有改善。结论：通过远程医疗提供CBT-SP是可行的，退伍军人有一定的改善。讨论了研究的意义和未来的研究方向。

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.