دورية أكاديمية
Methodology of the U.S. Army's Suicide Prevention Leadership Tool Study: The Behavioral Health Readiness and Suicide Risk Reduction Review (R4).
| العنوان: | Methodology of the U.S. Army's Suicide Prevention Leadership Tool Study: The Behavioral Health Readiness and Suicide Risk Reduction Review (R4). |
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| المؤلفون: | Curley JM; Department of the Army, Office of the Deputy Under Secretary of the Army, Arlington, VA 22202, USA.; Department of Military Psychiatry, Walter Reed Army Institute of Research, Silver Spring, MD 20910, USA., Duffy FF; Department of Military Psychiatry, TechWerks, Arlington, VA 22201, USA., Kim PY; Department of Military Psychiatry, Walter Reed Army Institute of Research, Silver Spring, MD 20910, USA., Clarke-Walper KM; Department of Military Psychiatry, Walter Reed Army Institute of Research, Silver Spring, MD 20910, USA., Nugent KL; Department of Military Psychiatry, TechWerks, Arlington, VA 22201, USA., Penix EA; Department of Military Psychiatry, Walter Reed Army Institute of Research, Silver Spring, MD 20910, USA., Elliman TD; Department of Military Psychiatry, TechWerks, Arlington, VA 22201, USA., Wilk JE; Department of Military Psychiatry, Walter Reed Army Institute of Research, Silver Spring, MD 20910, USA., Riviere LA; Department of Military Psychiatry, Walter Reed Army Institute of Research, Silver Spring, MD 20910, USA. |
| المصدر: | Military medicine [Mil Med] 2021 Feb 26; Vol. 186 (3-4), pp. 336-343. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Oxford University Press Country of Publication: England NLM ID: 2984771R Publication Model: Print Cited Medium: Internet ISSN: 1930-613X (Electronic) Linking ISSN: 00264075 NLM ISO Abbreviation: Mil Med Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2018- : Oxford : Oxford University Press Original Publication: Washington, D.C. : Association of Military Surgeons, United States, 1955- |
| مواضيع طبية MeSH: | Military Personnel* , Suicide Prevention*, Humans ; Leadership ; Psychiatry ; Risk Reduction Behavior ; United States |
| مستخلص: | Introduction: The Secretary of the U.S. Army issued two directives in late 2017 to directly combat the problem of suicide in the U.S. Army. The first was to develop an Army tool to assist commanders and first-line leaders in preventing suicide and improving behavioral health (BH) outcomes, which has been previously published as the BH Readiness and Risk Reduction Review (R4). The second was to conduct an evaluation study of the tool with Army units in the field. This study is the first to empirically examine the Army's tool-based methods for identifying and caring for the health and welfare of soldiers at risk for suicide, and this article outlines the methodology employed to study the effectiveness of the R4 tools and accomplish the Secretary's second directive. Methods: The Walter Reed Army Institute of Research Institutional Review Board approved the R4 study. The study employed a repeated measurements in pre/post quasi-experimental design, including a nonequivalent but comparable business-as-usual control group. The R4 intervention consisted of the R4 tools, accompanying instructions, and an orientation. Samples were drawn from two geographically separated U.S. Army divisions in the continental United States, each composed of four comparable brigades. Study implementation consisted of three phases and three data collections over the course of 12 months. Soldiers completed anonymous survey instruments to assess a range of health factors, behaviors, characteristics, tool-related decision-making processes, and the frequency, type, and quality of interactions between soldiers and leaders. Results: The R4 study commenced on May 6, 2019, and concluded on June 4, 2020. Sample size goals were achieved for both the divisions at all three data collection time points. Conclusions: The methodology of the R4 study is critical for the U.S. Army from both a precedential and an outcome-based standpoint. Despite the use of many previous tools and programs for suicide prevention, this is the first time the Army has been able to empirically test the effectiveness of tool-supported decision-making among Army units in a rigorous fashion. The methodology of such a test is a critical marker for future interventional inquiries on the subject of suicide in the Army, and the results will allow for more informed decision-making by leaders when approaching these ongoing challenges. (Published by Oxford University Press on behalf of the Association of Military Surgeons of the United States 2020. This work is written by (a) US Government employee(s) and is in the public domain in the US.) |
| تواريخ الأحداث: | Date Created: 20201121 Date Completed: 20210422 Latest Revision: 20221207 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1093/milmed/usaa503 |
| PMID: | 33219666 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1930-613X |
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| DOI: | 10.1093/milmed/usaa503 |