期刊文章JMIR出版物开发和评估一个基于web的自杀念头资源:卡塔尔世界杯8强波胆分析NowMattersNow.org %A Whiteside,Ursula %A Richards,Julie %A Huh,David %A Hidalgo,Rianna %A Nordhauser,Rebecca %A Wong,Albert J %A Zhang,Xiaoshan %A Luxton,David D %A Ellsworth,Michael %A Lezine,DeQuincy %+ NowMattersNow.org，华盛顿州西雅图麦迪逊街2331 E，邮编98112，邮编1 206 679 6349，ursulawhiteside@gmail.com %K辩证行为疗法%K自杀%K互联网帮助寻求行为%K危机干预%K初级保健%K综合卫生保健系统%D 2019 %7 02.05.2019 %9原创论文%J J医学互联网Res %G英语%X背景:近一半自杀死亡的人在死前一个月去看卫生保健提供者。随着新的护理指南的发布，自杀患者的检测可能会增加。提供者需要获得自杀相关的资源，这些资源可以作为对自杀患者进行即时、简短干预的一部分。基于网络的自杀预防资源有可能解决这一需求。目的:本研究旨在描述NowMattersNow.org网站的发展，为有自杀想法的个人提供资源，并通过用户体验调查评估该网站的效用。方法:NowMattersNow.org是一个基于在线视频的免费公共资源，提供了管理自杀念头和强烈情绪的循证教学、例子和资源，主要集中在辩证行为疗法的技巧上。在心理健康消费者的帮助下开发，旨在解决卫生保健系统中自杀患者获得服务的差距。访问者在网站上平均停留1分半钟。 From March 2015 to December 2017, a user experience survey measured self-reported changes on a 1 (not at all) to 5 (completely overwhelming) scale regarding intensity of suicidal thoughts and negative emotions while on the website. Longitudinal regression analyses using generalized estimating equations evaluated the magnitude and statistical significance of user-reported changes in suicidal ideation and negative emotion. In secondary analyses, user-reported changes specific to subgroups, including men aged 36 to 64 years, mental health care providers, and other health care providers were evaluated. Results: During the period of analysis, there were 138,386 unique website visitors. We analyzed surveys (N=3670) collected during that time. Subsamples included men aged 36 to 64 years (n=512), mental health providers (n=460), and other health care providers (n=308). A total of 28% (1028/3670) of survey completers rated their suicidal thoughts as a 5 or “completely overwhelming” when they entered the website. We observed significant reductions in self-reported intensity of suicidal thoughts (–0.21, P<.001) and negative emotions (–0.32, P<.001), including decreases for users with the most severe suicidal thoughts (–6.4%, P<.001), most severe negative emotions (–10.9%, P<.001), and for middle-aged men (–0.13, P<001). Results remained significant after controlling for length of visit to website (before the survey) and technology type (mobile, desktop, and tablet). Conclusions: Survey respondents reported measurable reductions in intensity of suicidal thoughts and emotions, including those rating their suicidal thoughts as completely or almost completely overwhelming and among middle-aged men. Although results from this user-experience survey administered at one point in time to a convenience sample of users must be interpreted with caution, results provide preliminary support for the potential effectiveness of the NowMattersNow.org website as a tool for short-term management of suicidal thoughts and negative emotions. %M 31045498 %R 10.2196/13183 %U //www.mybigtv.com/2019/5/e13183/ %U https://doi.org/10.2196/13183 %U http://www.ncbi.nlm.nih.gov/pubmed/31045498