利用患者反馈实施关爱接触,减少精神病住院后与自杀相关的后果。

IF 2.7 3区 医学 Q2 PSYCHIATRY Suicide and Life-Threatening Behavior Pub Date : 2024-06-27 DOI:10.1111/sltb.13108
Rosalie Steinberg, Jasmine Amini, Mark Sinyor, Rachel H B Mitchell, Ayal Schaffer
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引用次数: 0

摘要

前言精神病患者出院后的自杀风险会大大增加。关怀接触(CC)是出院后提供的简短沟通,有助于改善精神健康状况:这项分三个阶段进行的混合方法质量改进研究利用患者和社区的迭代反馈对现有的 CC 干预措施进行了修订。住院患者(n = 2)和社区成员(n = 13)参加了焦点小组,以改进现有的心理咨询信息(第一和第二阶段)。我们在精神科住院病人出院后有自杀相关担忧的个人(n = 27)中试用了这些信息,并在出院后第 2 天和第 7 天发送了 CC(第 3 阶段)。第 3 阶段的参与者在基线和第 7 天完成了心理健康症状测量,并对这些信息提供了反馈:结果:第 1 和第 2 阶段的焦点小组参与者表示,他们更喜欢简短、更具视觉吸引力、以个性化和康复为重点的信息内容。第 3 阶段的参与者在出院后第 7 天的抑郁症状有所减轻(霍普金斯症状量表平均得分-6.4%,束缚量表平均得分-9.0%)。大多数参与者都认为,CC 信息让他们感觉与医院的联系更加紧密,并鼓励了出院后的求助行为:本研究支持使用包括患者反馈在内的迭代过程来改进 CC 信息,并提供了进一步的试验证据,证明 CC 可以产生有益的影响。
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Implementation of caring contacts using patient feedback to reduce suicide-related outcomes following psychiatric hospitalization.

Introduction: Suicide risk is substantially elevated following discharge from a psychiatric hospitalization. Caring Contacts (CCs) are brief communications delivered post-discharge that can help to improve mental health outcomes.

Method: This three-phase, mixed-method quality-improvement study revised an existing CC intervention using iterative patient and community feedback. Inpatients (n = 2) and community members (n = 13) participated in focus groups to improve existing CC messages (phases 1 and 2). We piloted these messages among individuals with a suicide-related concern following discharge from an inpatient psychiatric hospitalization (n = 27), sending CCs on days 2 and 7 post-discharge (phase 3). Phase 3 participants completed mental health symptom measures at baseline and day 7, and provided feedback on these messages.

Results: Phase 1 and 2 focus group participants indicated preferences for shorter, more visually appealing messages that featured personalized, recovery-focused content. Phase 3 participants demonstrated reductions in depressive symptoms at day-7 post-discharge (-6.4% mean score on Hopkins-Symptom-Checklist, -9.0% mean score on Entrapment-Scale). Most participants agreed that CC messages helped them feel more connected to the hospital and encouraged help-seeking behavior post-discharge.

Conclusion: This study supports the use of an iterative process, including patient feedback, to improve CC messages and provides further pilot evidence that CC can have beneficial effects.

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来源期刊
Suicide and Life-Threatening Behavior
Suicide and Life-Threatening Behavior Medicine-Public Health, Environmental and Occupational Health
CiteScore
5.40
自引率
3.10%
发文量
96
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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