Lisa M Betthauser, Jessica A Walker, Lisanne van Engelen, Samantha Lhermitte, Mark Ilgen, Rani Hoff, Meaghan Stacy
{"title":"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。","authors":"Lisa M Betthauser, Jessica A Walker, Lisanne van Engelen, Samantha Lhermitte, Mark Ilgen, Rani Hoff, Meaghan Stacy","doi":"10.1111/sltb.70044","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>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).</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>Providing CBT-SP via telehealth is feasible and Veterans demonstrated several improvements. Implications and future research directions are discussed.</p>","PeriodicalId":39684,"journal":{"name":"Suicide and Life-Threatening Behavior","volume":"55 5","pages":"e70044"},"PeriodicalIF":2.6000,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Clinical Outcomes of Telehealth-Based Cognitive Behavioral Therapy for Suicide Prevention in the US Department of Veterans Affairs.\",\"authors\":\"Lisa M Betthauser, Jessica A Walker, Lisanne van Engelen, Samantha Lhermitte, Mark Ilgen, Rani Hoff, Meaghan Stacy\",\"doi\":\"10.1111/sltb.70044\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>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).</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>Providing CBT-SP via telehealth is feasible and Veterans demonstrated several improvements. 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Clinical Outcomes of Telehealth-Based Cognitive Behavioral Therapy for Suicide Prevention in the US Department of Veterans Affairs.
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.
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.
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