BACKGROUND Death by suicide continues to be a global public health concern with little research demonstrating the effectiveness of treatment options. This exploratory study exams the efficacy of Eye Movement Desensitisation and Reprocessing (EMDR) Therapy delivered to patients experiencing an acute mental health crisis to explore if by treating their background trauma, improvements could be seen in their general psychopathology and if there was a resulting decrease in their desire for suicide. METHODS A practice-based service development project was conducted within a mental health hospital. A non-randomised, exploratory pre-test post-test design was utilised. Participants were identified from adult patients currently receiving care from either an inpatient mental health ward or the Crisis Resolution and Home Treatment Team (CRHTT). Those who had reported experiencing at least one event that they considered to be traumatic were offered EMDR Therapy. Notes from the electronic database were analysed to assess contact with services 12 months prior to treatment and following treatment. RESULTS 72 patients were offered treatment in the study with 57 completing treatment. Patients made significant improvements across all the psychometrics, including a reduction in suicidal ideation. The majority needed less than 10 sessions and needed no onward referral for further psychological therapy. Cost savings were realised by retracting referrals for further therapy and in early discharge from CRHTT and acute wards, and by preventing admissions. Contact with services post treatment also reduced. CONCLUSIONS EMDR Therapy can be an effective treatment for patients experiencing a mental health crisis who have a trauma picture, resulting in significant improvements in their mental well-being and substantial cost savings for the National Health Service (NHS).

中文翻译：

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对患有急性精神健康危机的患者使用EMDR治疗。

背景技术自杀死亡仍然是全球公共卫生关注的问题，很少有研究证明治疗方案的有效性。这项探索性研究旨在检查眼动脱敏和再加工（EMDR）治疗对患有急性精神健康危机的患者的疗效，以探讨通过治疗背景创伤是否可以改善他们的一般精神病理学以及是否导致这种情况的减少。他们对自杀的渴望。方法在精神卫生医院内进行了基于实践的服务开发项目。使用了非随机，探索性的测试前测试后设计。从目前正在住院精神卫生病房或危机解决和家庭治疗小组（CRHTT）接受治疗的成年患者中确定参与者。那些据报告经历过至少一次被认为是创伤的事件的患者将获得EMDR治疗。分析了电子数据库中的注释，以评估治疗前和治疗后12个月与服务的联系。结果本研究为72例患者提供了治疗，其中57例完成了治疗。患者在所有心理计量学上都取得了重大进步，包括自杀意念的减少。大多数人需要少于10次就诊，无需进一步转诊以进行进一步的心理治疗。通过撤回转诊以进行进一步治疗以及在CRHTT和急诊病房提早出院以及避免入院，从而节省了成本。处理后与服务的联系也减少了。