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首页> 外文期刊>Journal of clinical psychology >The Impact of Varying Levels of Confidentiality on Disclosure of Suicidal Thoughts in a Sample of United States National Guard Personnel
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The Impact of Varying Levels of Confidentiality on Disclosure of Suicidal Thoughts in a Sample of United States National Guard Personnel

机译：不同级别的机密性对美国国民警卫队人员自杀意念披露的影响

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摘要

Objectives: Increasing rates of suicide in the military indicate current assessment approaches are not yielding accurate determinations of risk. Concern that endorsement of suicidal ideation may result in obstacles to career advancement may be resulting in nondisclosure. Method: To test this, we recruited a sample of US National Guard personnel (n = 789; 81.7% male; 63.2% white) and administered two measures of current thoughts of suicide. One measure was integrated into our risk assessment protocol and soldiers were thus aware that answers could result in referral to on site military mental health professionals. The other measure was not integrated into the risk assessment protocol and soldiers were thus aware that results would not be reported to on site military mental health professionals. Results: As hypothesized, a higher proportion of individuals reported current thoughts of suicide on the measure not integrated into the risk protocol (9.4%) than on the measure that was (6.0%). Also as hypothesized, a higher proportion of those willing to endorse current thoughts of suicide on the measure not integrated into the risk protocol denied current thoughts of suicide on the one that was (61.5%) than vice versa (39.0%). Limitations include cross-sectional self-report data and a lack of counter-balancing of measures. Conclusions: The results indicate that increasing the confidentiality of risk assessments within the National Guard increases the likelihood of reporting of current thoughts of suicide. (C) 2015 Wiley Periodicals, Inc.
机译：目标：军人自杀率的上升表明，目前的评估方法无法准确确定风险。对于自杀意念的认可可能会导致职业发展的障碍，可能会导致未公开。方法：为了对此进行测试，我们招募了一名美国国民警卫队人员样本（n = 789;男性为81.7％;白人为63.2％），并采用了两种措施来衡量当前的自杀观念。一种措施已纳入我们的风险评估协议中，士兵因此意识到答案可能会导致转介到现场的军事心理健康专业人员。另一措施未纳入风险评估协议，因此士兵意识到不会向现场军事心理健康专业人员报告结果。结果：如所假设的那样，在未纳入风险规程的措施中，目前报告自杀想法的比例较高（9.4％），而在措施中未自杀的比例更高（6.0％）。同样如假设的那样，愿意就目前未纳入该风险规程的措施认可当前自杀念头的人中，有61％（61.5％）的人反对当前自杀念头，反之亦然（39.0％）。局限性包括横断面的自我报告数据和缺乏措施的平衡。结论：结果表明，国民警卫队内部风险评估保密性的提高增加了报告当前自杀念头的可能性。 （C）2015威利期刊公司

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