Outcomes in Callers to the VA's 24/7 Veterans Crisis Line

拨打 VA 24/7 退伍军人危机热线的结果

• 批准号: 8443620
• 负责人: Kerry L Knox
• 金额: $ 38.58万
• 依托单位: VETERANS HEALTH RESEARCH INSTITUTE OF CENTRAL NEW YORK, INC.
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-09-19 至 2015-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8443620
• 关键词: Address; Anger; Anxiety; Behavior; Behavior Therapy; Behavioral; Case Management; Cessation of life; Characteristics; Communities; Confusion; Critical Care; Data; Development; Distress; Effectiveness; Ensure; Goals; Health Services Research; Healthcare Systems; Hospitalization; Individual; Intervention; Life; Measures; Medical; Mental Depression; Mental Health; Mental Health Services; Methods; Modeling; Monitor; Moods; Nature; Outcome; Pattern; Pilot Projects; Population; Population Heterogeneity; Process; Protocols documentation; Provider; Research Personnel; Safety; Services; Suicide; Suicide attempt; Suicide prevention; Testing; United States; Variant; Veterans; War; care delivery; comparison group; design; follow-up; health care service organization; high risk; high standard; innovation; interest; social; study characteristics; suicidal; suicidal behavior; suicidal morbidity; suicide hotline; willingness

DESCRIPTION (provided by applicant): If we are ever to know with any certainty that crisis lines are effective in reducing deaths from suicide, or in managing distress levels in individuals before they are suicidal, three essential questions must be addressed: 1. Of the entire population of potential callers to a crisis line, what are the characteristics of individuals who cll a crisis line? 2. What are the key behavioral characteristics of responders that moderate individual characteristics of callers, resulting in acceptance of a referral given from a responder to the caller? 3. Is there an impact on important outcomes: death from suicide, suicide attempts and reattempts, hospitalization for suicidal behaviors, engagement in an ongoing safety planning process, and overall reductions in psycho-social distress? PUBLIC HEALTH RELEVANCE: We view a study of the Department of Veterans Affairs' (VA's) 24/7 Crisis Line (formerly called the VA Suicide Hotline) as significant since suicide prevention crisis lines continue to be an intervention of great interest, while still defying reaching a high standard of proven effectiveness. Due to the very nature of community crisis lines, by virtue of their anonymity, it is difficult to answer three questions that must be addressed if we are ever to know with any certainty that crisis lines are effective in reducing deaths from suicide, or in managing distress levels in individuals before they are suicidal. These questions underscore the significance of this application because of our distinct ability to address issues that cannot be done in any other crisis line setting: 1. Of the entire population of potential callers to a crisisline, what are the characteristics of individuals who call a crisis line? 2. What are the key behavioral characteristics of responders that moderate individual characteristics of callers, resulting in acceptance of a referral given from a responder to the caller? 3. Is there an impact on important outcomes: death from suicide, suicide attempts and reattempts, hospitalization for suicidal behaviors, engagement in an ongoing safety planning process, and overall reductions in psycho-social distress? We recognize that considerable advances have been made in addressing Questions 1 and 2; indeed, Dr. Madelyn Gould who is a Co-Investigator on this study has been a leader, with others, in the field of examining the utility of suicide crisis lines But a critical difference between the national network of suicide crisis lines across the United States (National Suicide Prevention Lifeline, or NSPL) and VA's Crisis Line is that the VA's Crisis Line has the enhanced ability to study characteristics of callers and responders, the capacity to provide nation-wide services through immediate referral and follow-up care, and the critical capacity to identify outcomes in callers to the Crisis Line. Through the use of some new, innovative methods, including causal modeling, we have developed a study that we strongly believe has the potential to have a high impact on delivery of care through suicide crisis lines. I summary: This may not be the perfect study of the effectiveness of a suicide crisis line, but it overcomes many of the limitations inherent to studies of community crisis lines.

描述（由申请人提供）：如果我们要确切地知道危机线在减少自杀死亡方面是有效的，或者在自杀前管理个人的痛苦水平，必须解决三个基本问题：1。在所有拨打危机热线的潜在人群中，拨打危机热线的人有哪些特征？2.应答者的哪些关键行为特征会调节呼叫者的个人特征，从而导致接受应答者的推荐 打电话的人吗3.是否对重要结局有影响：自杀死亡、自杀未遂和再次自杀、因自杀行为住院、参与持续的安全规划过程以及心理社会痛苦的总体减少？ 公共卫生相关性：我们认为对退伍军人事务部（VA）24/7危机热线（以前称为VA自杀热线）的研究意义重大，因为自杀预防危机热线仍然是一种非常感兴趣的干预措施，同时仍然无视达到高标准的有效性。由于社区危机热线的性质，由于其匿名性，很难回答三个必须解决的问题，如果我们要 我确信危机线可以有效地减少自杀死亡人数，或者在自杀前控制个人的痛苦程度。这些问题强调了这一应用程序的重要性，因为我们有独特的能力来解决任何其他危机线设置无法解决的问题：1。在所有潜在的危机热线呼叫者中，呼叫危机热线的个人有哪些特征？2.应答者的哪些关键行为特征能够调节呼叫者的个人特征，从而导致接受应答者向呼叫者提供的推荐？3.是否对重要结局有影响：自杀死亡、自杀未遂和再次自杀、因自杀行为住院、参与持续的安全规划过程以及心理社会痛苦的总体减少？ 我们认识到在解决问题1和2方面取得了相当大的进展;确实，玛德琳·古尔德博士是这项研究的合作研究者，他和其他人一起，在研究自杀危机热线的效用方面是一个领导者。（国家自杀预防生命线，或NSPL）和退伍军人事务部的危机线是退伍军人事务部的危机线有更强的能力，研究来电者和响应者的特点，有能力提供全国范围的服务，通过立即转介和后续护理，以及确定危机热线呼叫者结果的关键能力。通过使用一些新的，创新的方法，包括因果模型，我们已经开发了一项研究，我们坚信有可能通过自杀危机线对护理的提供产生很大的影响。一、总结：这可能不是对自杀危机热线有效性的完美研究，但它克服了社区危机热线研究所固有的许多局限性。