Journal of Behavioral Health Services & Research最新文献_第2页

Letter to the Editor: Response to "Childhood Traumas and Dissociation in Firefighters: The Mediating Role of Suicidal Desire" (Saglam et al., 2025). 致编辑的信：对“消防员的童年创伤和分离：自杀欲望的中介作用”的回应（Saglam et al., 2025）。

IF 1.5 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2025-06-27 DOI: 10.1007/s11414-025-09961-3

Ezra N S Lockhart

引用次数: 0

Mental Health Providers' Attitudes, Norms, and Beliefs About Cultural Humility in Service Delivery. 心理健康服务提供者对服务提供中文化谦逊的态度、规范和信念。

IF 1.5 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2025-06-18 DOI: 10.1007/s11414-025-09953-3

Alexandria G Bauer, Amudha Balaraman, Ayanna Gilmore

{"title":"Mental Health Providers' Attitudes, Norms, and Beliefs About Cultural Humility in Service Delivery.","authors":"Alexandria G Bauer, Amudha Balaraman, Ayanna Gilmore","doi":"10.1007/s11414-025-09953-3","DOIUrl":"https://doi.org/10.1007/s11414-025-09953-3","url":null,"abstract":"Cultural humility is an important provider-level strategy for improving engagement and retention in mental health care. Yet, little research has used theoretical frameworks to examine beliefs and intentions to practice with cultural humility among mental health providers. The current study aimed to fill this gap by using the Theory of Planned Behavior (TPB) to qualitatively explore beliefs, norms, and attitudes regarding cultural humility practice among a sample of 16 professional mental health providers. Participants were predominately women (89.5%), with an average age of 38 years old (SD = 7.98). Participants completed a 30- to 60-min online interview. Thematic analysis was used to examine patterns and identify overarching themes within TPB constructs of behavioral, normative, and control beliefs. Themes within behavioral beliefs reflected improved practice, particularly for working with clients from marginalized groups. However, there was uncertainty in navigating cultural humility practice and concerns about potentially altering the client relationship. Referents for normative beliefs were clinical agencies, professional organizations, university training programs, and supervisors and mentors. Within control beliefs, themes for facilitators and barriers centered around lack of support from mental health systems, personal limitations and strengths, and professional development. This study furthers understanding of mental health providers' attitudes and intentions to practice with cultural humility, as well as underscoring the nuances of when and how these practices are used. This research can help to address barriers and promote cultural humility practice among mental health providers across multiple fields.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Direct Outreach Meetings Increase Primary Care Utilization of Psychiatry Access Programs. 直接外展会议增加精神病学访问计划的初级保健利用。

IF 1.5 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2025-06-16 DOI: 10.1007/s11414-025-09954-2

Matthew D Jandrisevits, Michelle Broaddus, Rosa Kim, Wayne DiFranceisco, Colleen Manak

{"title":"Direct Outreach Meetings Increase Primary Care Utilization of Psychiatry Access Programs.","authors":"Matthew D Jandrisevits, Michelle Broaddus, Rosa Kim, Wayne DiFranceisco, Colleen Manak","doi":"10.1007/s11414-025-09954-2","DOIUrl":"https://doi.org/10.1007/s11414-025-09954-2","url":null,"abstract":"Child psychiatry access programs address the shortage of child and adolescent psychiatrists and other mental health professionals nationwide. The Wisconsin Child Psychiatry Consultation Program (WI CPCP) provides telephone or email guidance to pediatric primary care providers treating mild to moderate psychiatric symptoms in patients. Statewide programs like the WI CPCP offer direct outreach meetings to primary care clinics, which, though resource-intensive, are hypothesized to increase program utilization. This study examined whether direct outreach meetings to primary care corresponded with subsequent increased primary care consultations with the WI CPCP. The authors hypothesized that direct outreach meetings would increase primary care consultations with the WI CPCP. WI CPCP consultations among 492 primary care providers were compared in the period 3 and 12 months before and after receiving a direct outreach meeting. These were also compared to 492 matched control providers who did not receive a direct outreach meeting. Results of generalized estimating equation analyses suggested that direct outreach meetings significantly increased primary care utilization of the WI CPCP (p < .01). Consultation numbers more than doubled when including consultations generated during direct outreach meetings themselves. Consultation numbers nearly doubled when examining consultations after direct outreach meetings. Results held for both the 3- and 12-month periods following a direct outreach meeting. Although direct outreach meetings may require additional time and resources for pediatric psychiatry access programs, they add value via increased primary care engagement for at least 1 year.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Telehealth Utilization During COVID-19: An Examination Among Young Adults Using Andersen's Behavioral Model of Health Care Utilization. 新型冠状病毒肺炎期间的远程医疗利用：基于安徒生医疗保健利用行为模型的青壮年调查

IF 1.5 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2025-06-12 DOI: 10.1007/s11414-025-09952-4

Alan Kunz-Lomelin, Jennifer Murphy, Brian D Graves, Theresa Caputo-Buxton

{"title":"Telehealth Utilization During COVID-19: An Examination Among Young Adults Using Andersen's Behavioral Model of Health Care Utilization.","authors":"Alan Kunz-Lomelin, Jennifer Murphy, Brian D Graves, Theresa Caputo-Buxton","doi":"10.1007/s11414-025-09952-4","DOIUrl":"https://doi.org/10.1007/s11414-025-09952-4","url":null,"abstract":"Young adulthood is a critical time for understanding mental health needs and young adults experience adverse symptoms at alarmingly increased rates. Following COVID-19, telehealth services came to the forefront of care for all ages. Despite increased use of telehealth services for behavioral health needs, a gap remains between service need and service use among young adults. Informed by Andersen's Behavioral Model of Health Care Utilization, the current study examined theoretically related factors for telehealth service utilization among young adults. Data were from the 2021 National Survey of Drug Use and Health. Participants were ages 18 to 25 years old (N = 13,979). Predictors included predisposing factors (sociodemographic characteristics), enabling factors (income, geographic location, insurance, and government assistance), and need factors (health, mental health, and substance use). A forward selection logistic regression was used to determine their impact on past-year telehealth use. Findings revealed factors associated with increased likelihood of telehealth use, including being female, being older, enrolled in school, being employed, earning over $75,000 per year, living in a metropolitan area, and having mental health, substance use, or health concerns. In contrast, identifying as non-white, being unemployed, earning between $20 k-$74 k, being on government assistance, or having insurance were associated with a decreased likelihood of telehealth use. Findings reveal important disparities and highlight the ongoing need to address structural and systemic barriers in telehealth access. Implications for practice and policy include expanding digital access, ensuring insurance flexibility that supports telehealth services, and investing in culturally responsive care models and training.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Glucagon-Like Peptide-1 Use and Healthcare Resource Utilization for Depression and Anxiety Among Adults with Type 2 Diabetes: 2019 to 2023. 胰高血糖素样肽-1在成人2型糖尿病患者抑郁和焦虑中的使用和医疗资源利用：2019 - 2023

IF 1.5 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2025-05-29 DOI: 10.1007/s11414-025-09950-6

Duy Do, Tiffany Lee, Angela Inneh, Urvashi Patel

{"title":"Glucagon-Like Peptide-1 Use and Healthcare Resource Utilization for Depression and Anxiety Among Adults with Type 2 Diabetes: 2019 to 2023.","authors":"Duy Do, Tiffany Lee, Angela Inneh, Urvashi Patel","doi":"10.1007/s11414-025-09950-6","DOIUrl":"https://doi.org/10.1007/s11414-025-09950-6","url":null,"abstract":"Mental health disorders, including depression and anxiety, are common comorbidities in individuals with type 2 diabetes mellitus (T2DM), contributing to increased healthcare resource utilization (HCRU) and the financial burden of the disease. Glucagon-like peptide-1 receptor agonists (GLP-1RAs) are commonly used for T2DM management, and emerging evidence suggests they may help alleviate mental health symptoms. This study examined the association between GLP-1RA (versus DPP-4 inhibitor [DPP-4i]) initiation and mental health-related HCRU in T2DM patients. Using data from the Komodo Healthcare Map, a national database of pharmacy and medical claims, this study conducted a retrospective cohort analysis with 774,968 adults who initiated GLP-1RAs or DPP-4i between January 2019 and March 2022. Patients were followed for 12 months, and mental health-related HCRU (emergency department, inpatient, outpatient hospital, and office visits) for depression and anxiety was assessed. A difference-in-differences analysis compared HCRU before and after medication initiation, adjusting for sociodemographic and clinical variables. GLP-1RA use was associated with significant reductions in outpatient hospital visits (IRR: 0.96; 95% CI: 0.95-0.98) for depression, and office visits for depression (IRR: 0.87; 95% CI: 0.82-0.92) and anxiety (IRR: 0.85; 95% CI: 0.81-0.90) compared to DPP-4i. However, no significant changes were observed in emergency or inpatient visits. Reductions were more pronounced with semaglutide, liraglutide, and dulaglutide. These findings suggest that GLP-1RAs may help reduce depression- and anxiety-related HCRU in patients with T2DM, indicating potential benefits beyond glycemic control. Further research is needed to explore long-term outcomes and the cost-effectiveness of GLP-1RAs for managing mental health comorbidities.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144175473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

System Effects of Mental Health Agency Expenditures and Mental Health Parity Legislation at the State Level. 州一级精神卫生机构支出和精神卫生平等立法的系统效应。

IF 1.5 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2025-05-27 DOI: 10.1007/s11414-025-09949-z

Jenna Morales Ledbetter, Ronald W Manderscheid

{"title":"System Effects of Mental Health Agency Expenditures and Mental Health Parity Legislation at the State Level.","authors":"Jenna Morales Ledbetter, Ronald W Manderscheid","doi":"10.1007/s11414-025-09949-z","DOIUrl":"https://doi.org/10.1007/s11414-025-09949-z","url":null,"abstract":"The escalating mental health crisis in the USA has left over fifty percent of adults with a mental illness without mental health services. Federal mental health parity legislation addresses financial barriers to mental healthcare by requiring that insurance coverage for mental health services is equivalent to coverage for other medical services. Using data from the top ten and bottom ten states ranked by per capita State Mental Health Agency expenditures, this paper examines the impact of parity implementation and enforcement on three system-level access to care measures: (1) mental health workforce availability, (2) percent of state population living in a mental health shortage area, and (3) percent of total health expenditure spent on mental health by state agencies. As hypothesized, the top ten states had more comprehensive parity implementation and enforcement and a larger allocation of total health expenditures to mental health (p = 0.0002). The other two measures did not show a significant difference but trended in the direction of greater workforce availability (p = 0.11) and fewer residents living in mental health provider shortage areas (p = 0.054) among the top ten states compared to the bottom ten states. Using the scope of mental health parity alone, all three access-to-care measures were significantly better among states with comprehensive parity compared to states without comprehensive parity. These findings highlight the critical roles of financial investment, policy prioritization, and enhanced mental health infrastructure in addressing access to mental healthcare.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144163109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Slipping Through the Cracks: Identifying Families At-Risk of Not Engaging with Mental Health Care Within a Specialty Anxiety Clinic. 从裂缝中溜走：在专业焦虑诊所中识别有不参与精神卫生保健风险的家庭。

IF 1.5 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2025-05-13 DOI: 10.1007/s11414-025-09947-1

Megan Brady, Jesslyn Jamison, Michal Weiss, Sophia Young, Danielle R Adams, Dominique G Ruggieri, Emily M Becker-Haimes

{"title":"Slipping Through the Cracks: Identifying Families At-Risk of Not Engaging with Mental Health Care Within a Specialty Anxiety Clinic.","authors":"Megan Brady, Jesslyn Jamison, Michal Weiss, Sophia Young, Danielle R Adams, Dominique G Ruggieri, Emily M Becker-Haimes","doi":"10.1007/s11414-025-09947-1","DOIUrl":"https://doi.org/10.1007/s11414-025-09947-1","url":null,"abstract":"Most youth in need of specialty anxiety treatment services do not receive it. Many families are lost between the time of initial outreach and attending a first therapy appointment. A retrospective administrative database review identified characteristics of families at risk of failing to connect with anxiety specialty services. Data included 563 records (2019-2023) from a specialty pediatric anxiety program embedded within a large community mental health setting. Variables of interest included client characteristics (age, gender, previous mental health diagnosis/history); household characteristics (insurance, parent/caregiver custody, distance from clinic); and a symptom screener. Descriptive statistics characterized documented non-response to appointment offers and failure to attend an initial scheduled appointment. The highest drop off occurred after families expressed initial interest in services; 113 (21%) families were non-responsive to outreach. Logistic regression analyses indicated that having insurance covered services (vs. self-pay) and living closer to the clinic (vs. farther) predicted increased odds of intake appointment scheduling (ps < .01). Clients with insurance covered services (vs. self-pay) also had higher odds of successful appointment attendance (ps < .01). Findings indicate that many families seeking specialty anxiety services for youth \"fall off\" after initial outreach (e.g., leaving a voicemail or completing an online inquiry form to learn about services). The results suggest the potential importance of streamlining initial contacts to make it easier for families to engage and suggest the potential for future work to examine whether strategies like direct intake booking can improve initial engagement rates.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144046628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Age and Race Disparities in Viral Suppression and the Moderating Effect of Substance Use Among Men Who Have Sex with Men Living with HIV. 年龄和种族差异在艾滋病毒感染者发生性行为的男性中病毒抑制和药物使用的调节作用

IF 1.5 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2025-05-09 DOI: 10.1007/s11414-025-09948-0

Ran Fang, Jake C Steggerda, Deborah Konkle-Parker, Andrew C Voluse

{"title":"Age and Race Disparities in Viral Suppression and the Moderating Effect of Substance Use Among Men Who Have Sex with Men Living with HIV.","authors":"Ran Fang, Jake C Steggerda, Deborah Konkle-Parker, Andrew C Voluse","doi":"10.1007/s11414-025-09948-0","DOIUrl":"https://doi.org/10.1007/s11414-025-09948-0","url":null,"abstract":"Viral suppression is essential for individuals living with HIV, as it is linked to improved clinical outcomes and long-term health. Research has documented age and racial disparities in HIV viral suppression. Men who have sex with men (MSM) are particularly affected by HIV infections, especially in the Southern United States. Studies indicate that substance use among people with HIV in the U.S. presents significant barriers to engaging in HIV care. This study investigated the relationships between age, race, MSM status, and viral suppression among men living with HIV (MLWH), who participated in the Helping HAND program at an academic medical center in a Southern state. The analysis included 746 male participants, primarily Black/African American. The results showed that increases in age were positively associated with a greater likelihood of viral suppression, even after adjusting for harmful or hazardous drinking, problematic substance use, race, and MSM status. Younger MSM participants were less likely to achieve viral suppression than older MSM participants. In this male only sample, neither race nor MSM status was found to be related to viral suppression. Additionally, harmful or hazardous drinking and problematic substance use did not moderate the associations between age, race, or MSM and viral suppression. These findings highlight disparities in viral suppression across different age groups among men living with HIV. The results emphasize the need for targeted outreach initiatives specifically designed for younger age cohorts living with HIV, including MSM.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056055","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Novel Approach for Patients with Risky Drinking or Tobacco Smoking and Comorbid Cardiovascular Concerns: Applying Interdisciplinary Conjoint Appointments in an Integrated Primary Care Setting. 一种治疗高危饮酒或吸烟并伴有心血管疾病的患者的新方法：在综合初级保健设置中应用跨学科联合预约。

IF 1.5 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2025-05-06 DOI: 10.1007/s11414-025-09943-5

Julie C Gass, Jennifer S Funderburk, Aria F Wiseblatt, David Edelman, Gary Nelson, Brandi Roelk, Stephen A Maisto

{"title":"A Novel Approach for Patients with Risky Drinking or Tobacco Smoking and Comorbid Cardiovascular Concerns: Applying Interdisciplinary Conjoint Appointments in an Integrated Primary Care Setting.","authors":"Julie C Gass, Jennifer S Funderburk, Aria F Wiseblatt, David Edelman, Gary Nelson, Brandi Roelk, Stephen A Maisto","doi":"10.1007/s11414-025-09943-5","DOIUrl":"https://doi.org/10.1007/s11414-025-09943-5","url":null,"abstract":"Complex concerns, such as tobacco use and risky drinking in patients with cardiovascular disease (CVD) who report not being ready to change, may require multi-dimensional approaches to intervention. In this Notes from the Field, an interdisciplinary, integrated conjoint appointment is described wherein primary care providers (PCPs) and behavioral health providers (BHPs) meet together briefly with the patient, bringing varying expertise in an effort to increase readiness to change and cessation of problem behaviors such as smoking. First, the protocol for this appointment, which is part of an intervention, which will be referred to as CARE-PACT (CardiovAscular Risk Education in Patient-Aligned Care Teams), will be described, including the evidence-informed components and choices made to increase feasibility and implementation of conjoint appointments across primary care clinics. Next, using an illustrative case example, the authors describe the flow, content, and logistics of CARE-PACT conjoint appointments, and the follow-up after the conjoint portion. CARE-PACT was examined as part of a small research pilot, and feasibility data, acceptability, satisfaction, and perception of usefulness was collected. Ten patient participants responded favorably to CARE-PACT, rating helpfulness and satisfaction a 4.1-4.7 on a 5-pt scale (5 signifying best). With the exception of some technological issues, qualitative data revealed patients found conjoint appointments were informative, patient-centered, and a good way to introduce a BHP. Altogether, this work supports the use of brief, interprofessional conjoint appointments in primary care in order to improve care processes for patients who have complex needs and who may need more than standard primary care interventions.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143992932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Firearm Suicide Prevention in the Military Health System: A Qualitative Study of Clinician Training, the "Lock to Live" Decision Aid, and Connection to Out-of-Home Firearm Storage. 军队卫生系统中的枪支自杀预防：临床医生培训、“锁定生活”决策辅助和与家庭外枪支储存的联系的定性研究。

IF 1.5 4区医学

Journal of Behavioral Health Services & Research Pub Date : 2025-04-18 DOI: 10.1007/s11414-025-09945-3

Sydney Rachel Kennedy, Ian H Stanley, Kaitlyn Friedman, Kayla Meza, Megan L Johnson, Ricardo I Villarreal, Marian E Betz

{"title":"Firearm Suicide Prevention in the Military Health System: A Qualitative Study of Clinician Training, the \"Lock to Live\" Decision Aid, and Connection to Out-of-Home Firearm Storage.","authors":"Sydney Rachel Kennedy, Ian H Stanley, Kaitlyn Friedman, Kayla Meza, Megan L Johnson, Ricardo I Villarreal, Marian E Betz","doi":"10.1007/s11414-025-09945-3","DOIUrl":"https://doi.org/10.1007/s11414-025-09945-3","url":null,"abstract":"Suicide remains a leading cause of death in the U.S. military, with the majority of suicides enacted by firearm. A recommended intervention for suicide prevention in clinical settings, including in the Military Health System (MHS), is counseling at-risk patients about reducing access to firearms and other lethal means of suicide. The team sought to examine MHS clinicians' views on a firearm suicide prevention toolkit that included (1) clinician training, (2) the \"Lock to Live\" (L2L) decision aid, and (3) connection to out-of-home firearm storage options. The study team conducted one-on-one, semi-structured qualitative interviews with MHS clinicians, administrators, and other stakeholders (January-October 2022). Interviewees viewed the toolkit items and completed a brief questionnaire. The study used a team-based, mixed deductive-inductive approach to qualitative analysis. The study had institutional review board approval. Across interviews (n = 18), there was general support for the lethal means safety counseling toolkit, including clinician training, L2L use, and connection to out-of-home storage options. Participants also provided recommendations for optimal uptake in the MHS, including military-specific messaging. Firearm suicide prevention is a key focus within the Department of Defense, and the findings from this qualitative study can support incorporation of tools for MHS clinicians and patients.","PeriodicalId":49040,"journal":{"name":"Journal of Behavioral Health Services & Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0