Abstract:
The U.S. Department of Veterans Affairs (VA) and Department of Defense clinical practice guideline on the treatment of veterans at risk for suicide recommends considering caring contacts interventions after a psychiatric hospitalization for suicidal ideation or suicide attempt. This quality improvement project examined the implementation of the recommendation at a large VA health care system. The project enrolled 29% of hospitalized veterans (N=135 of 462). Enrollment barriers included lack of staff availability and veteran ineligibility due to homelessness or housing instability. Opportunities to improve the reach of the intervention in future quality improvement processes are discussed, especially because acceptability of the intervention was high among veterans.
摘要:
美国退伍军人事务部(VA)和国防部关于治疗有自杀风险的退伍军人的临床实践指南建议,在精神病住院后考虑对自杀意念或自杀未遂进行护理接触干预。此质量改进项目检查了大型VA医疗保健系统中建议的执行情况。该项目招募了29%的住院退伍军人(462人中的N=135)。入学障碍包括由于无家可归或住房不稳定而缺乏工作人员和退伍军人资格。讨论了在未来质量改进过程中提高干预范围的机会,特别是因为退伍军人对干预的接受度很高。