Effect of enhanced informed consent on veteran hesitancy to disclose suicidal ideation and related risk factors.

IF 2.7 3区医学 Q2 PSYCHIATRY Suicide and Life-Threatening Behavior Pub Date : 2024-06-01 Epub Date: 2024-02-12 DOI:10.1111/sltb.13053

Brock C Tucker, Vivian M Gonzalez

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Abstract

Introduction: The concealment of suicidal ideation (SI) constitutes a significant barrier to reducing veteran deaths by suicide and is associated with fear of negative consequences (e.g., involuntary hospitalization). This study examined whether augmenting informed consent with psychoeducation aimed to help patients achieve a more realistic risk appraisal of consequences associated with disclosure of SI, decreased hesitancy to disclose SI, and related risk behaviors among U.S. veterans.

Method: Participants (N = 133) were recruited from combat veteran social media groups and were randomly assigned to a video simulated treatment-as-usual informed consent (control) or to one of two psychoeducation-enhanced informed consent conditions (psychoed, psychoed + trust).

Results: Compared with the control group, participants in both psychoeducation and enhanced informed consent conditions reported lower hesitancy to disclose SI, firearm access, and problems with drugs/thoughts of harming others, as well as greater trust and respect for the simulated clinician.

Conclusions: These findings suggest that brief psychoeducation regarding common factors that affect hesitancy to disclose SI may be beneficial for increasing trust in providers during the informed consent process and decreasing concealment of SI and firearm access among veterans.

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强化知情同意对退伍军人不愿透露自杀意念及相关风险因素的影响。

导言：隐瞒自杀意念（SI）是减少退伍军人自杀死亡的一个重要障碍，并且与对负面后果（如非自愿住院）的恐惧有关。本研究探讨了在知情同意书中加入心理教育是否能帮助患者对披露 SI 的相关后果进行更现实的风险评估，从而减少美国退伍军人对披露 SI 的犹豫不决以及相关的风险行为：参与者（N = 133）从作战退伍军人社交媒体群组中招募，并被随机分配到视频模拟治疗照常知情同意（对照组）或两种心理教育强化知情同意条件（心理教育、心理教育 + 信任）中的一种：与对照组相比，心理教育组和增强知情同意条件组的参与者在披露 SI、获取枪支、毒品问题/伤害他人的想法等方面的犹豫程度较低，对模拟临床医生的信任和尊重程度较高：这些研究结果表明，关于影响犹豫是否披露 SI 的常见因素的简短心理教育可能有利于在知情同意过程中增加对医疗服务提供者的信任，并减少退伍军人隐瞒 SI 和使用枪支的情况。

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.