Effect of Crisis Response Planning on Patient Mood and Clinician Decision Making: A Clinical Trial With Suicidal U.S. Soldiers
| Autor: | Jim Mintz, M. David Rudd, Sean R. Williams, Tracy A. Clemans, T. Scott Burch, Bruce Leeson, Craig J. Bryan |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Suicide Prevention 050103 clinical psychology medicine.medical_specialty medicine.medical_treatment Clinical Decision-Making Psychological intervention Suicide Attempted Crisis response Patient Care Planning Suicidal Ideation Treatment and control groups Young Adult 03 medical and health sciences 0302 clinical medicine Intervention (counseling) medicine Humans 0501 psychology and cognitive sciences Psychiatry business.industry 05 social sciences Emergency department Middle Aged Patient Mood 030227 psychiatry Clinical trial Cognitive behavioral therapy Psychiatry and Mental health Crisis Intervention Military Personnel Outcome and Process Assessment Health Care Female business Clinical psychology |
| Zdroj: | Psychiatric Services. 69:108-111 |
| ISSN: | 1557-9700 1075-2730 |
| Popis: | The study examined the immediate effect of crisis interventions on the emotional state of acutely suicidal soldiers and clinician decision making.Soldiers (N=97) presenting to a military emergency department or behavioral health clinic were randomly assigned to receive a contract for safety (N=32), standard crisis response plan (S-CRP; N=32), or enhanced crisis response plan (E-CRP; N=33). Soldiers completed self-report scales before and after the intervention. Clinicians blinded to treatment group assignment rated participants' suicide risk level and made a decision about inpatient psychiatric admission.Larger reductions in negative emotional states occurred in S-CRP and E-CRP. Larger increases in positive emotional states occurred in E-CRP. Clinician suicide risk ratings did not differ across treatment groups. Participants in E-CRP were less likely to be psychiatrically admitted.The CRP immediately reduces negative emotional states among acutely suicidal soldiers. Discussing a patient's reasons for living during a CRP also reduces the likelihood of inpatient psychiatric admission. |
| Databáze: | OpenAIRE |
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