The Impact of Varying Levels of Confidentiality on Disclosure of Suicidal Thoughts in a Sample of United States National Guard Personnel
The Impact of Varying Levels of Confidentiality on Disclosure of Suicidal Thoughts in a Sample of United States National Guard Personnel
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DOI：
10.1002/jclp.22198
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发表时间：
2015-10-01
影响因子：
3
通讯作者：
Green, Bradley A.
中科院分区：
文献类型：
--
作者：
Anestis, Michael D.;Green, Bradley A.
目的：军队中自杀率的增加表明目前的评估方法不能准确地确定风险。对自杀意念的认可可能会导致职业发展障碍的担忧可能会导致保密。方法：为了验证这一点，我们招募了一个美国国民警卫队人员的样本（n = 789; 81.7%男性; 63.2%白色），并管理两个措施，目前的自杀想法。其中一项措施被纳入我们的风险评估协议，士兵们因此意识到，答案可能导致转介到现场军事心理健康专业人员。另一项措施没有纳入风险评估规程，因此士兵们知道，结果不会报告给现场的军事心理健康专业人员。结果如下：正如假设的那样，较高比例的个人报告当前自杀的想法，在措施没有纳入风险协议（9.4%）比措施，这是（6.0%）。此外，正如假设的那样，更高比例的人愿意支持目前的自杀想法的措施没有纳入风险协议否认目前的自杀想法的措施（61.5%），反之亦然（39.0%）。局限性包括自我报告的横截面数据和缺乏平衡的措施。结论：结果表明，增加国民警卫队内部风险评估的保密性，增加了报告当前自杀想法的可能性。(C)2015 Wiley Periodicals，Inc.
Objectives: Increasing rates of suicide in the military indicate current assessment approaches are not yielding accurate determinations of risk. Concern that endorsement of suicidal ideation may result in obstacles to career advancement may be resulting in nondisclosure. Method: To test this, we recruited a sample of US National Guard personnel (n = 789; 81.7% male; 63.2% white) and administered two measures of current thoughts of suicide. One measure was integrated into our risk assessment protocol and soldiers were thus aware that answers could result in referral to on site military mental health professionals. The other measure was not integrated into the risk assessment protocol and soldiers were thus aware that results would not be reported to on site military mental health professionals. Results: As hypothesized, a higher proportion of individuals reported current thoughts of suicide on the measure not integrated into the risk protocol (9.4%) than on the measure that was (6.0%). Also as hypothesized, a higher proportion of those willing to endorse current thoughts of suicide on the measure not integrated into the risk protocol denied current thoughts of suicide on the one that was (61.5%) than vice versa (39.0%). Limitations include cross-sectional self-report data and a lack of counter-balancing of measures. Conclusions: The results indicate that increasing the confidentiality of risk assessments within the National Guard increases the likelihood of reporting of current thoughts of suicide. (C) 2015 Wiley Periodicals, Inc.