TY - JOUR AU - Whiteside, Ursula AU - Richards, Julie AU - Huh, David AU - Hidalgo, Rianna AU - Nordhauser, Rebecca AU - Wong, Albert J AU - Zhang，萧山AU - Luxton, David D AU - Ellsworth, Michael AU - Lezine, DeQuincy PY - 2019 DA - 2019/05/02 TI -基于web的自杀念头资源开发与评估:NowMattersNow.org JO - J Med Internet Res SP - e13183 VL - 21 IS - 5 KW -辩证行为治疗KW -自杀KW -互联网KW -寻求帮助行为KW -行为治疗KW -危机干预KW -初级保健KW -综合卫生保健系统AB -背景:近一半死于自杀的人在死前一个月就诊过卫生保健提供者。随着新的护理指南的发布，对自杀患者的检测可能会增加。提供者需要获得特定于自杀的资源，这些资源可以作为对有自杀倾向的患者进行即时、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网站作为有自杀想法的个人资源的发展，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，提供基于证据的教学，例子和资源，用于管理自杀想法和强烈情绪，主要集中在辩证行为疗法的技能上。在精神卫生消费者的协助下制定，旨在解决卫生保健系统中自杀患者获得服务方面的差距。访问者在网站上的平均停留时间为1分半钟。从2015年3月到2017年12月，一项用户体验调查测量了用户在使用该网站时自杀念头和负面情绪的强度，从1分(完全没有)到5分(完全无法承受)的自我报告变化。 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. SN - 1438-8871 UR - //www.mybigtv.com/2019/5/e13183/ UR - https://doi.org/10.2196/13183 UR - http://www.ncbi.nlm.nih.gov/pubmed/31045498 DO - 10.2196/13183 ID - info:doi/10.2196/13183 ER -