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141.
Impact of a Suicide‐Specific Intervention within Inpatient Psychiatric Care: The Collaborative Assessment and Management of Suicidality 下载免费PDF全文
Thomas E. Ellis PsyD Katrina A. Rufino PhD Jon G. Allen PhD James C. Fowler PhD David A. Jobes PhD 《Suicide & life-threatening behavior》2015,45(5):556-566
A growing body of literature indicates that suicidal patients differ from other psychiatric patients with respect to specific psychological vulnerabilities and that suicide‐specific interventions may offer benefits beyond conventional care. This naturalistic controlled‐comparison trial (n = 52) examined outcomes of intensive psychiatric hospital treatment (mean length of stay 58.8 days), comparing suicidal patients who received individual therapy from clinicians utilizing the Collaborative Assessment and Management of Suicidality (CAMS) to patients whose individual therapists did not utilize CAMS. Propensity score matching was used to control for potential confounds, including age, sex, treatment unit, and severity of depression and suicidality. Results showed that both groups improved significantly over the course of hospitalization; however, the group receiving CAMS showed significantly greater improvement on measures specific to suicidal ideation and suicidal cognition. Results are discussed in terms of the potential advantages of treating suicide risk with a suicide‐specific intervention to make inpatient psychiatric treatment more effective in reducing risk for future suicidal crises. 相似文献
142.
Incarcerated women's perceptions of the prison environment were explored with respect to relative level of safety from interpersonal abuse in prison as compared to before incarceration. Perceived levels of safety were analyzed based on reported past experiences of interpersonal violence. Participants were 65 women incarcerated in a medium security prison for women with mental and physical health problems. Women's perceptions of safety were evaluated using close–ended quantitative and open–ended qualitative self–report questions. The results suggest that, for some women, prison may be a relatively safe environment and that perceived level of safety may vary with the extent of previous experience of interpersonal violence in childhood and adulthood. Given that the structure of correctional institutions often incorporates abusive dynamics, the directionality of the findings is theoretically and socially important. The patterns apparent in these data are also consistent with other research and theory on the experiences of incarcerated women. 相似文献