Increasing Treatment Seeking Among Suicidal Veterans Calling the Crisis Line

越来越多有自杀倾向的退伍军人拨打危机热线寻求治疗

• 批准号: 8481642
• 负责人: KENNETH R CONNER
• 金额: --
• 依托单位: WHITE RIVER JUNCTION VA MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-05-01 至 2015-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8481642
• 关键词: Address; Adherence; Advisory Committees; Alcohol or Other Drugs use; Alcoholism; Attitude; Behavior Therapy; Belief; Caring; Cognitive Therapy; Congresses; Department of Defense; Disease; Effectiveness; Effectiveness of Interventions; Family; Feeling suicidal; Goals; Individual; Institute of Medicine (U.S.); Intention; Intervention; Left; Link; Logistics; Mental Depression; Mental Health; Mental Health Services; Modeling; Outcome; Population; Quality of life; Randomized Controlled Trials; Recommendation; Reporting; Research; Resistance; Risk; Services; Suicide; Suicide prevention; Symptoms; Testing; Veterans; behavioral health; improved; member; outreach; programs; reducing suicide; response; suicidal; suicidal risk; suicide rate; theories

DESCRIPTION (provided by applicant): Building on theory and previous empirical findings, we propose a randomized controlled trial to test the effectiveness of a brief, individualized cognitive-behavioral (CB) intervention to promote entry into behavioral health treatments for at-risk Veterans who call the VA's National Crisis Line and are resistant to initiating behavioral health treatment. The goal of this research is to evaluate the effectiveness of the intervention for increasing engagement to behavioral health treatment services. Specific aims are to test the effectiveness of the intervention on (1) attitude toward behavioral health treatment, and (2) the initiation of and adherence to behavioral health treatment. The effectiveness of the brief, individualized cognitive-behavioral (CB) intervention will be tested on 275 Veterans who call the Crisis Line but are resistant to mental health services to determine whether the intervention modified beliefs about treatment including the intention to initiate behavioral health treatment services. We will also test to determine whether the intervention impacted the decision to engage in behavioral health treatment and the number of sessions attended. Logistic and mixed effects models will be used to determine whether the intervention increased the initiation of and number of sessions attended. A secondary objective of this aim will be to test the effectiveness of the intervention on mental health outcomes. Treatment initiation rates among at-risk Veterans are alarmingly low, and research is urgently needed to develop and test interventions to improve treatment initiation. We anticipate that if the intervention is found to be effective that it will be implemented by the VA's National Crisis Line and/or the DoD as a part of their outreach efforts.

描述（由申请人提供）： 基于理论和之前的实证研究结果，我们提出了一项随机对照试验来测试简短的、个性化的认知行为（CB）干预的有效性，以促进 为拨打退伍军人管理局国家危机热线的高危退伍军人提供行为健康治疗 并且拒绝开始行为健康治疗。这项研究的目的是评估干预措施对于提高行为健康治疗服务参与度的有效性。具体目的是测试干预措施对（1）对行为健康治疗的态度，以及（2）行为健康治疗的开始和坚持的有效性。简短的个性化认知行为 (CB) 干预措施的有效性将在 275 名拨打危机热线但对心理健康服务有抵抗力的退伍军人身上进行测试，以确定干预措施是否改变了对治疗的信念，包括启动行为健康治疗服务的意图。我们还将进行测试，以确定干预措施是否影响进行行为健康治疗的决定以及参加的治疗次数。将使用逻辑和混合效应模型来确定干预是否增加了会议的启动和参加的数量。该目标的第二个目标是测试干预措施对心理健康结果的有效性。高危退伍军人的治疗启动率低得惊人，迫切需要研究来开发和测试干预措施以改善治疗启动。我们预计，如果 干预被认为是有效的，它将由退伍军人管理局的国家危机热线和/或国防部作为其外展工作的一部分来实施。