退伍军人危机热线：即时呼叫结果与呼叫后的治疗接触和利用之间的关系。

IF 2.7 3区医学 Q2 PSYCHIATRY

Suicide and Life-Threatening Behavior Pub Date : 2024-08-01 Epub Date: 2024-04-30 DOI:10.1111/sltb.13086

Peter C Britton, Elizabeth Karras, Tracy Stecker, John Klein, Dev Crasta, Lisa A Brenner, Wilfred R Pigeon

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引用次数: 0

摘要

目标：危机热线来电者的痛苦和自杀意念会有所减轻，并在通话后使用更多的医疗服务。本研究旨在确定通话过程中痛苦和自杀意念的变化是否与后来的医疗接触和使用有关：提取了 599 名退伍军人的退伍军人危机热线呼叫，呼叫日期在 2018 年 12 月 1 日至 2019 年 11 月 30 日之间。根据痛苦和自杀意念的变化对通话进行编码，并与退伍军人医疗记录进行关联，以获取医疗保健数据。采用广义线性混合建模法研究了痛苦和自杀意念的变化与呼叫后一个月（30 天）内医疗保健接触（是/否）和利用（治疗天数）之间的关联：结果：痛苦的减轻与行为（即精神和药物使用）医疗服务的使用有关，F(1, 596) = 4.52，p = 0.03；自杀意念的减轻与任何医疗服务的使用有关，F(1, 596) = 6.45，p = 0.01。痛苦和自杀意念的变化与医疗接触无关：结论：接听者需要帮助解决痛苦和自杀意念，并将来电者与治疗联系起来。未解决的痛苦和自杀念头可能预示着日后的治疗问题。需要进行研究以确定因果关系。

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The Veterans Crisis Line: Relations among immediate call outcomes and treatment contact and utilization following the call.

Objective: Crisis line callers experience reductions in distress and suicidal ideation and utilize more health care following calls. The purpose of this study was to determine whether changes in distress and suicidal ideation during a call are associated with later healthcare contact and utilization.

Method: Veterans Crisis Line calls from 599 veterans were extracted with call dates between 12/1/2018 and 11/30/2019. Calls were coded for changes in distress and suicidal ideation and linked with VA medical records to obtain healthcare data. Generalized Linear Mixed Modeling was used to examine the associations of changes in distress and suicidal ideation with healthcare contact (yes/no) and utilization (days of treatment) in the month (30 days) following the call.

Results: Reductions in distress were associated with behavioral (i.e., mental and substance use) healthcare utilization, F(1, 596) = 4.52, p = 0.03, and reductions in suicidal ideation were associated with any healthcare utilization, F(1, 596) = 6.45, p = 0.01. Changes in distress and suicidal ideation were not associated with healthcare contact.

Conclusion: Responders need to help resolve distress and suicidal ideation and link callers with treatment. Unresolved distress and suicidal thoughts may signify later problems with treatment utilization. Research is needed to determine causality.

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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.