期刊文章JMIR出版物为自杀的成年人提供交互式的基于web的致命手段安卡塔尔世界杯8强波胆分析全决策辅助(锁定生存):初步随机对照试验%A Betz,Marian E %A Knoepke,Christopher E %A Simpson,Scott %A Siry,Bonnie J %A Clement,Ashley %A Saunders,Tamara %A Johnson,Rachel %A Azrael,Deborah %A Boudreaux,Edwin D %A Omeragic,Faris %A Adams,Leah M %A Almond,Sydney %A juares - colunga,Elizabeth %A Matlock,Daniel D %+急诊医学系，科罗拉多州奥罗拉市B-215, 12401 E 17大道，美国科罗拉多州，1 7208486777，marian.betz@cuanschutz.edu %K互联网%K枪支%K自杀%K药物%D 2020 %7 29.1.2020 %9原论文%J J医学互联网Res %G英语%X背景:建议对有自杀倾向的成年人进行咨询，以减少获取致命手段，如枪支和药物，但并不经常发生。我们开发了基于web的“锁住”(L2L)决策辅助工具，帮助有自杀倾向的成年人和他们的家人选择更安全的家庭存储方式。目的:本研究旨在检验自杀成人在急诊科的可行性和可接受性。方法:在4所急诊科，我们招募参与者(说英语的、社区居住的、有自杀倾向的成年人)参加一项随机对照试验。参与者按13:7的比例随机分配到L2L组或对照组(有一般自杀预防信息的网站)，并接受为期1周的随访电话。结果:干预组(n=33)与对照组(n=16)的基线特征相似。在基线时，许多参与者报告获得枪支(33/ 49,67%)、药物(46/ 49,94%)或两者都有(29/ 49,59%)。参与者观看L2L的时间中位数为6分钟(IQR 4-10分钟)。 L2L also had very high acceptability; almost all participants reported that they would recommend it to someone in the same situation, that the options felt realistic, and that L2L was respectful of values about firearms. In an exploratory analysis of this pilot trial, more participants in the L2L group reported reduced firearm access at follow-up, although the differences were not statistically significant. Conclusions: The L2L decision aid appears feasible and acceptable for use among adults with suicide risk and may be a useful adjunct to lethal means counseling and other suicide prevention interventions. Future large-scale studies are needed to determine the effect on home access to lethal means. Trial Registration: ClinicalTrials.gov NCT03478501; https://clinicaltrials.gov/ct2/show/NCT03478501 %M 32012056 %R 10.2196/16253 %U //www.mybigtv.com/2020/1/e16253/ %U https://doi.org/10.2196/16253 %U http://www.ncbi.nlm.nih.gov/pubmed/32012056

map