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Suicide Prevention Programs Currently Available to US Veterans: A Scoping Review 目前为美国退伍军人提供的自杀预防计划:范围审查
Pub Date : 2024-04-16 DOI: 10.21061/jvs.v10i1.525
Jessica H. Berumen, Bruce Lubotsky Levin, Kevin Kip, Joseph Bohn
It is widely recognized the high suicide rate among United States (US) veterans is a major ongoing public health problem. Suicide prevention programs that specifically target veterans are varied in their implementation and success rates. A scoping review was conducted to examine what types of suicide prevention programs are currently available for US veterans and their effectiveness. From this scoping review, 361 articles were located from two electronic databases, and 26 suicide prevention programs were located through the US Department of Veterans Affairs (VA) webpage/electronic resources. Of the 361 peer reviewed articles, 33 were classified as highly relevant and selected for full review, and 22 were identified as needing further review for relevance to the topic or target population. Nineteen VA webpage/electronic resources were classified as highly relevant and selected for full review. After implementing the inclusion and exclusion criteria, 28 journal articles and 16 VA webpage/electronic resources were included in this scoping review. Although the scoping review demonstrated there is a wide variety of suicide prevention programs available for US veterans, the review also indicated that (a) suicide prevention programs in use by the VA are not being widely disseminated in the peer-reviewed literature and (b) there is significantly more dissemination on the study of causes of suicidality than programs being implemented to prevent suicidal behavior. As a result, available research suggests additional research should be conducted on suicide prevention programs and more dissemination of current suicide prevention activities should take place.
人们普遍认为,美国退伍军人的高自杀率是一个持续存在的重大公共卫生问题。专门针对退伍军人的自杀预防计划在实施和成功率方面各不相同。我们进行了一次范围审查,以研究目前有哪些类型的自杀预防计划可供美国退伍军人使用及其有效性。通过这次范围界定审查,我们从两个电子数据库中找到了 361 篇文章,并通过美国退伍军人事务部 (VA) 的网页/电子资源找到了 26 个自杀预防项目。在这 361 篇经同行评审的文章中,有 33 篇被归类为高度相关并被选中进行全面评审,有 22 篇被确定为需要进一步评审与主题或目标人群的相关性。19 篇退伍军人网页/电子资源被归类为高度相关,并被选中进行全面审查。在执行纳入和排除标准后,28 篇期刊论文和 16 个退伍军人事务部网页/电子资源被纳入此次范围界定审查。尽管范围界定审查表明美国退伍军人有各种各样的自杀预防计划,但审查也表明:(a)退伍军人事务部正在使用的自杀预防计划并未在同行评审文献中广泛传播;(b)关于自杀原因研究的传播明显多于正在实施的预防自杀行为的计划。因此,现有的研究表明,应当对自杀预防计划进行更多的研究,并对当前的自杀预防活动进行更多的宣传。
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引用次数: 0
Force Multiplier: A Critical Reflection on Developing a Public Archaeology Veterans Program in Underwater Archaeology 力量倍增器:发展水下考古公共考古老兵计划的批判性思考
Pub Date : 2023-10-16 DOI: 10.21061/jvs.v9i3.457
Jennifer F. McKinnon, Anne Ticknor, Della Scott-Ireton
In 2018, East Carolina University’s (ECU) Program in Maritime Studies, in partnership with the Florida Public Archaeology Network (FPAN) and veterans’ nonprofit Task Force Dagger Special Forces Foundation (TFDF), developed and undertook an underwater archaeology veterans program on WWII-related submerged sites in Saipan, Commonwealth of the Northern Mariana Islands (CNMI). This program was called the Joint Recovery Team (JRT) and consisted of retired and medically retired Special Operations Forces (SOF) veterans from across the United States armed forces (i.e., Army, Navy, Marines, Air Force). The project included training 14 veterans in archaeological techniques and an intensive 2-week investigative field project, during which veterans assisted with archaeological target testing, site identification, and recording. A National Park Service (NPS) Maritime Heritage Program grant supported the training and the Department of Defense, Defense Prisoner of War/Missing in Action Accounting Agency (DPAA) financially supported the field project. Project leadership undertook training assessments including a program survey, field observations, unstructured interviews, and reflection journals. This article outlines the development of the public archaeology program, training, fieldwork, and assessments and provides a critical reflection of successes and areas for improvement.
2018年,东卡罗莱纳大学(ECU)海洋研究项目与佛罗里达公共考古网络(FPAN)和退伍军人非营利组织“匕首特种部队基金会”(TFDF)合作,在北马里亚纳群岛联邦塞班岛(CNMI)与二战相关的水下遗址上开发并开展了一项水下考古退伍军人计划。这个项目被称为联合恢复小组(JRT),由来自美国武装部队(即陆军、海军、海军陆战队、空军)的退役和因病退役的特种作战部队(SOF)老兵组成。该项目包括对14名退伍军人进行考古技术培训,以及为期两周的密集实地调查项目,在此期间,退伍军人协助进行考古目标测试、遗址识别和记录。国家公园管理局(NPS)海洋遗产项目拨款支持培训,国防部国防部战俘/失踪人员会计局(DPAA)为实地项目提供财政支持。项目领导承担培训评估,包括项目调查、实地观察、非结构化访谈和反思日志。本文概述了公共考古项目的发展、培训、实地考察和评估,并提供了成功的关键反映和需要改进的领域。
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引用次数: 0
Unlearning As Learning? A Critical Analysis of Student Veteran Support at a Veteran-Friendly Campus 学习的乐趣?退伍军人友好校园学生退伍军人支持的批判性分析
Pub Date : 2023-06-30 DOI: 10.21061/jvs.v9i1.416
Carrie Carter, J. Lim, Claudia G. Interiano-Shiverdecker, Jerry L. Dahlberg
This phenomenological case study critically examined how cultural conflict between student veterans and faculty/staff influenced the efficacy of strategies for supporting student veterans at a veteran-friendly campus. Through 29 interviews with faculty, student affairs professionals, and student veterans, we analyzed (a) how lack of knowledge about student veterans’ military experiences made inclusive and effective student veteran support challenging; (b) how diverging perspectives about higher education as a privilege or earned service, informed by often contrary norms in the military and higher education, led to cultural tension between faculty/staff and student veterans; and (c) how faculty/staff’s position as “gatekeepers” and members of the dominant cultural group in higher education led to an ironic and harmful expectation that student veterans unlearn their military cultural dispositions/identity in order to succeed. This study suggests a need for greater military cultural awareness among faculty/staff, continued critical analysis of the culture and power dynamics that student veterans face navigating higher education, and reconceptualization of what it means to be a veteran-friendly college campus.
这项现象学案例研究批判性地考察了退伍军人学生和教职员工之间的文化冲突如何影响退伍军人友好校园中支持退伍军人学生的策略的有效性。通过对教员、学生事务专业人员和退伍军人学生的29次采访,我们分析了(a)缺乏对退伍军人学生军事经历的了解如何使包容性和有效的退伍军人学生支持具有挑战性;(b) 在军队和高等教育中往往存在相反规范的情况下,对高等教育作为特权或有偿服务的不同看法如何导致教职员工和退伍军人之间的文化紧张;以及(c)教员/工作人员作为“看门人”和高等教育中占主导地位的文化群体成员的地位如何导致一种讽刺和有害的期望,即退伍军人为了成功而抛弃他们的军事文化倾向/身份。这项研究表明,教职员工需要提高军事文化意识,继续对退伍军人在高等教育中面临的文化和权力动态进行批判性分析,并重新定义退伍军人友好型大学校园的含义。
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引用次数: 0
Patient and Provider Perspectives on Treating Substance Use Disorder and Co-Occurring Anxiety and Posttraumatic Stress Disorders in the Veterans Affairs Healthcare System 退伍军人事务医疗保健系统中治疗物质使用障碍和共同发生的焦虑和创伤后应激障碍的患者和提供者的观点
Pub Date : 2023-06-13 DOI: 10.21061/jvs.v9i1.403
Anthony H. Ecker, Jeffrey A. Cully, Michael A. Cucciare, N. Hundt
Co-occurring substance use disorder (SUD) and posttraumatic stress disorder (PTSD) or anxiety disorders are related to compounded impairment relative to anxiety or PTSD and SUD occurring alone. Despite these problems, treatment for this comorbidity can vary widely; and care is often fragmented across separate clinics and providers. The objective of the study was to understand the perspectives of veterans who navigate the treatment system and providers who care for these veterans. This study used qualitative interviews conducted with 9 veterans with SUD and co-occurring PTSD and/or anxiety disorders and 7 Veterans Health Administration mental health providers. Participants completed a semistructured interview that was recorded and transcribed. Interview data were examined through matrix analysis, a rapid qualitative data-compilation technique to organize domains of responses. Results showed that veterans believe that SUD and PTSD and/or anxiety symptoms are linked, and that treatment for both SUD and the disorders simultaneously could be beneficial. Interviews with providers found that factors of the healthcare system such as siloed clinics serve as barriers to optimal treatment and that co-occurring disorder treatment requires unique skill, training, and dedicated time to treat. Results of these interviews inform gaps in the delivery of care for co-occurring SUD, PTSD, and anxiety disorders and potential avenues to improve care delivery, including transdiagnostic interventions and system-focused innovations.
共同发生的物质使用障碍(SUD)和创伤后应激障碍(PTSD)或焦虑症与单独发生的焦虑或PTSD和SUD相关的复合损害有关。尽管存在这些问题,但对这种合并症的治疗方法差异很大;而且护理往往分散在不同的诊所和提供者之间。这项研究的目的是了解退伍军人的观点,他们在治疗系统中导航,以及照顾这些退伍军人的提供者。本研究采用了对9名患有SUD和合并PTSD和/或焦虑症的退伍军人和7名退伍军人健康管理局心理健康服务提供者进行的定性访谈。参与者完成了一个半结构化的访谈,并被记录下来。访谈数据通过矩阵分析进行检验,这是一种快速定性数据汇编技术,用于组织响应域。结果显示,退伍军人认为SUD与PTSD和/或焦虑症状有关,同时治疗SUD和这些疾病可能是有益的。对提供者的访谈发现,医疗保健系统的因素,如孤立的诊所,是实现最佳治疗的障碍,同时发生的疾病治疗需要独特的技能,培训和专门的时间来治疗。这些访谈的结果揭示了共同发生的SUD、PTSD和焦虑症在提供护理方面的差距,以及改善护理提供的潜在途径,包括跨诊断干预和以系统为重点的创新。
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引用次数: 0
Developing and Evaluating Survey Items About Women Veterans’ Care-seeking for Cardiovascular Disease Prevention 女性退伍军人心血管疾病预防护理调查项目的编制与评价
Pub Date : 2023-01-06 DOI: 10.21061/jvs.v9i1.319
J. Orshak, D. Lauver
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引用次数: 0
Roundtable: Surviving and Writing the Pandemic in a Community Writing Group for Veterans 圆桌会议:退伍军人社区写作小组中的流行病幸存者和写作
Pub Date : 2023-01-01 DOI: 10.21061/jvs.v9i1.421
Eileen E. Schell, Ivy Kleinbart, Bill Cross, J. Jeffery, P. Mcshane
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引用次数: 0
A Symbolic Interactionist Perspective on the Divide within the Veteran Self 一个象征性的互动主义视角看老兵自我内部的分裂
Pub Date : 2023-01-01 DOI: 10.21061/jvs.v9i1.392
Jan Grimell
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引用次数: 2
Broken Soldier 伤兵
Pub Date : 2023-01-01 DOI: 10.21061/jvs.v9i2.374
Sherife Hasan
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引用次数: 0
The Benefits of the Disabled Veterans’ Scholarship Fund at the Open University, UK 英国开放大学伤残退伍军人奖学金基金的福利
Pub Date : 2023-01-01 DOI: 10.21061/jvs.v9i2.298
J. Simons, M. Snowden, Kate Fairbairn
The Disabled Veterans’ Scholarship Fund (DVSF) was set up by the United Kingdom (UK) Open University (OU) to meet the needs of those who were injured in UK military service or medically discharged by providing 100 free places to study for a degree. The purpose of the study was to ascertain the experience of study and the benefits of the scholarship fund for veteran scholars, as well as identify what they needed to be successful in their studies. This study took a qualitative participatory research approach, which involved 24 semistructured telephone interviews with 14 veteran scholars over a period of 5 months, followed by a live online event to feedback the findings of the interviews and look to the future of study for the veterans. The two main benefits of the scholarship fund were that the OUs open entry system meant that a lack of formal qualifications was not a barrier to study, and through the DVSF, study was free. Although the university offered a range of supportive services there was a perceived misalignment between the support the veterans were used to during their military service and the support that was provided by the OU, which led to frustrations. Despite this finding there was a perception by the support service at the OU that the veterans were a hard-to-reach group, and recognition that a community of support was needed. Both issues were partly addressed through an online student hub live event. The support services at the OU worked alongside the evaluation project team to devise a bespoke programme that brought many of the veterans together for the first time. The DVSF has been successful in providing study to disabled veterans. The next step is to build a community of peer support for the veterans as they progress in their studies to meet their career goals.
残疾退伍军人奖学金基金由联合王国开放大学设立,为在英国服兵役期间受伤或因病出院的伤残退伍军人提供100个免费学位学习名额,以满足其需要。这项研究的目的是确定学习经验和奖学金基金对资深学者的好处,并确定他们需要什么才能在学业上取得成功。本研究采用定性参与式研究方法,历时5个月,对14位退伍军人学者进行了24次半结构化电话访谈,并通过在线直播活动反馈访谈结果,展望退伍军人研究的未来。奖学金基金的两个主要好处是:ou的开放入学制度意味着缺乏正式资格不会成为学习的障碍;通过DVSF,学习是免费的。虽然大学提供了一系列的支持服务,但退伍军人在服兵役期间所习惯的支持与公开大学提供的支持之间存在明显的不一致,这导致了挫折。尽管有这样的发现,但公开大学的支持服务部门认为退伍军人是一个难以接触的群体,并认识到需要一个支持社区。这两个问题都通过在线学生中心的现场活动得到了部分解决。公开大学的支持服务部门与评估项目团队合作,设计了一个定制的项目,首次将许多退伍军人聚集在一起。DVSF在为残疾退伍军人提供学习方面取得了成功。下一步是为退伍军人建立一个同伴支持社区,帮助他们在学业上取得进步,以实现他们的职业目标。
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引用次数: 0
A Veteran’s Journey to Social Support: Bridging Connection through Community-Based Veterans Socials 退伍军人的社会支持之旅:通过社区退伍军人社会桥梁连接
Pub Date : 2023-01-01 DOI: 10.21061/jvs.v9i3.444
Jessica Mack, Jay A. Gorman, N. Kamdar
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引用次数: 0
期刊
Journal of veterans studies
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