Impact of a Suicide-Specific Intervention within Inpatient Psychiatric Care: The Collaborative Assessment and Management of Suicidality
Impact of a Suicide-Specific Intervention within Inpatient Psychiatric Care: The Collaborative Assessment and Management of Suicidality
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DOI：
10.1111/sltb.12151
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发表时间：
2015-10-01
影响因子：
3.2
通讯作者：
Jobes, David A.
中科院分区：
文献类型：
--
作者：
Ellis, Thomas E.;Rufino, Katrina A.;Jobes, David A.
越来越多的文献表明，自杀患者与其他精神病患者在特定的心理脆弱性方面有所不同，针对自杀的干预措施可能会带来超越传统护理的益处。这项自然主义对照比较试验（n=52）检查了精神病院强化治疗的结果（平均住院时间58.8天），将接受临床医生利用自杀行为协作评估和管理（CAMS）进行个体治疗的自杀患者与个体治疗师的患者进行了比较不使用CAMS。倾向评分匹配用于控制潜在的混淆，包括年龄，性别，治疗单位，抑郁和自杀的严重程度。结果显示，两组在住院期间均有显著改善;然而，接受CAMS的组在自杀意念和自杀认知的具体措施方面表现出更大的改善。结果进行了讨论的潜在优势，治疗自杀风险与自杀特异性干预，使住院精神科治疗更有效地降低未来的自杀危机的风险。
A growing body of literature indicates that suicidal patients differ from other psychiatric patients with respect to specific psychological vulnerabilities and that suicide-specific interventions may offer benefits beyond conventional care. This naturalistic controlled-comparison trial (n=52) examined outcomes of intensive psychiatric hospital treatment (mean length of stay 58.8days), comparing suicidal patients who received individual therapy from clinicians utilizing the Collaborative Assessment and Management of Suicidality (CAMS) to patients whose individual therapists did not utilize CAMS. Propensity score matching was used to control for potential confounds, including age, sex, treatment unit, and severity of depression and suicidality. Results showed that both groups improved significantly over the course of hospitalization; however, the group receiving CAMS showed significantly greater improvement on measures specific to suicidal ideation and suicidal cognition. Results are discussed in terms of the potential advantages of treating suicide risk with a suicide-specific intervention to make inpatient psychiatric treatment more effective in reducing risk for future suicidal crises.