Negative Beliefs About Suicide Disclosure: Implications for US Veterans.
Negative Beliefs About Suicide Disclosure: Implications for US Veterans.
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关于自杀披露的负面信念：对美国退伍军人的影响。
DOI：
10.1097/nmd.0000000000001701
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Ammerman,BrookeA
中科院分区：
文献类型：
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作者：
Bell,Kerri-Anne;O'Loughlin,CaitlinM;Piccirillo,MarilynL;Ammerman,BrookeA
本研究探讨了美国退伍军人和非退伍军人之间，以及退伍军人健康管理局（VHA）护理的退伍军人之间关于披露自杀想法和行为（STB）的负面信念的差异。参与者包括495名有自杀意念史的成年人，他们完成了一份在线自我报告问卷，询问了STB的历史，STB的披露以及对STB披露的信念。STB披露信念的群体差异进行了分析。结果表明，退伍军人（与非退伍军人）更强烈地认为，STB披露将导致枪支没收。VHA登记（与非VHA登记）退伍军人报告更强烈的信念，STB披露导致非自愿住院。在VHA注册的退伍军人，更强的信念，对供应商的利益，对真正的STB的经验和其他人的舒适与STB披露与较低的STB披露的可能性。调查结果强调，教育退伍军人STB披露的好处和限制有关其后果的错误信息是至关重要的，特别是通过改善VHA和减少耻辱运动中与自杀相关的沟通。
This study examined the differences in negative beliefs about disclosing suicidal thoughts and behaviors (STBs) between US Veterans and non-Veterans, and between Veterans who are and are not enrolled in Veterans Health Administration (VHA) care. Participants included 495 adults with a history of suicide ideation who completed an online self-report questionnaire inquiring about history of STBs, STB disclosure, and beliefs about STB disclosures. Group differences in STB disclosure beliefs were analyzed. Results showed that Veterans (vs. non-Veterans) more strongly believed that STB disclosure would result in firearm confiscation. VHA-enrolled (vs. non-VHA enrolled) Veterans reported stronger beliefs that STB disclosures result in involuntary hospitalization. Among VHA-enrolled Veterans, stronger beliefs regarding providers' interest regarding true STB experiences and others' comfort with STB disclosures were associated with lower STB disclosure likelihood. Findings highlight that educating Veterans on the benefits of STB disclosure and limiting misinformation regarding its consequences is paramount, specifically through improved suicide-related communication within the VHA and stigma reduction campaigns.