Treating individuals with suicidal ideation in primary care: Patient-level characteristics associated with follow-up in the Collaborative Care Model.
Treating individuals with suicidal ideation in primary care: Patient-level characteristics associated with follow-up in the Collaborative Care Model.
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在初级保健中治疗有自杀意念的个体：与协作护理模式中的随访相关的患者水平特征。
DOI：
10.1111/sltb.13012
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发表时间：
2024
影响因子：
3.2
通讯作者：
Jager-Hyman,Shari
中科院分区：
文献类型：
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作者：
Candon,Molly;Wolk,CourtneyBenjamin;KattanKhazanov,Gabriela;Oslin,DavidW;Pieri,MatteoF;Press,MatthewJ;Anderson,Eleanor;Jager-Hyman,Shari
协作护理模式（CoCM）是一种基于证据的方法，将行为健康提供者（BHP）嵌入初级保健。是否有自杀意念（SI）的患者愿意从事CoCM是uncleared.MethodsUsing患者健康问卷-9（PHQ-9）的行政数据，从初级保健的做法在城市学术卫生系统，我们确定了患者和没有SI谁被称为CoCM BHP。我们比较了参与度，定义为出席≥1 CoCM访问，跨groups.ResultsBetween 2018和2022，7391初级保健患者被称为CoCM BHP。这些患者中有892例在PHQ-9上报告了SI（754例在前2周内“几天”，138例在“超过一半或大多数天”）。在各组中，大多数患者参与CoCM。报告连续几天发生SI的患者的参与率（61.4%）低于报告超过一半或大多数天数发生SI的患者（65.9%）。两个SI组的参与率低于6499例未报告SI的患者（67.5%）。SI患者的发生率较低，在几天内报告SI的患者中发生率最低。
IntroductionThe Collaborative Care Model (CoCM) is an evidence‐based approach which embeds behavioral health providers (BHPs) into primary care. Whether patients with suicidal ideation (SI) are willing to engage in CoCM is unclear.MethodsUsing Patient Health Questionnaire‐9 (PHQ‐9) administrative data from primary care practices within an urban academic health system, we identified patients with and without SI who were referred to a CoCM BHP. We compared engagement, defined as attendance at ≥1 CoCM visit, across groups.ResultsBetween 2018 and 2022, 7391 primary care patients were referred to a CoCM BHP. Eight hundred and ninety‐two of these patients reported SI on the PHQ‐9 (754 on “several days” during the previous 2 weeks and 138 on “more than half or most days”). Across groups, most patients engaged in CoCM. Patients reporting SI on several days engaged at a lower rate (61.4%) than those reporting SI on more than half or most days (65.9%). Both SI groups engaged at a lower rate than the 6499 patients who did not report SI (67.5%).ConclusionMost patients referred to a CoCM BHP engaged in ≥1 visit. Rates were lower for patients with SI, with the lowest rate among those reporting SI on several days.
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DOI：
10.1016/s0140-6736(21)02143-7
发表时间：
2021-11-06
期刊：
Lancet (London, England)
影响因子：
--
作者：
COVID-19 Mental Disorders Collaborators
通讯作者：
COVID-19 Mental Disorders Collaborators
在新泽西州获得行为健康护理服务
影响因子：
--
作者：
Russell M. Holstein;D. Paul
通讯作者：
D. Paul
影响因子：
6.6
作者：
Chung, Tong Han;Hanley, Kathleen;Selvaraj, Sudhakar
通讯作者：
Selvaraj, Sudhakar
马萨诸塞州心理健康临床医生对新客户的接受程度：代表性调查的结果。
影响因子：
3.8
作者：
S. McClellan;J. Sirkin;Sue Pfefferle;Meaghan Hunt;Lauren E. W. Olsho
通讯作者：
Lauren E. W. Olsho
影响因子：
5.3
作者：
Green, Kelly L.;Brown, Gregory K.;Beck, Aaron T.
通讯作者：
Beck, Aaron T.