| Popis: |
Given the pervasive problem of military suicidal behavior, there is a need for suicide-specific interventions and programs targeting service members. The objectives of this chapter are to highlight recent notable efforts to survey the extent of military suicidal behavior, to identify related risk and protective indicators, to pilot evidence-informed interventions, and to disseminate programmatic suicide prevention initiatives. To place research and intervention efforts into context, we first discuss the current Department of Defense suicide and suicide attempt surveillance system, which remains the most comprehensive in the world. We then highlight recent epidemiological research, particularly from the Army Study to Assess Risk and Resilience in Service Members, the largest study, to date, to examine risk and protective indicators. Next, we review evidence-informed interventions that have shown promise with service members, including brief cognitive behavioral therapies (CBT) for outpatients, Post Admission Cognitive Therapy for inpatients, a therapeutic framework (the Collaborative Assessment and Management of Suicidality), and brief interventions (the Caring Letters Project, Crisis Response Plan, and Safety Planning Intervention). In addition, we provide an example of a comprehensive programmatic dissemination effort, the Air Force Guide for Suicide Risk Assessment, Management, and Treatment, released in 2014. The chapter concludes with an explication of future considerations, to include expert recommendations for decreasing stigma related to help-seeking behavior, the transition from examining risk factors to risk drivers for enhanced clinical utility, the significance of facilitating communication between VA and DoD health care systems, and the importance of extending military suicide prevention efforts internationally. |
