ABSTRACT

Introduction Changes in social interactions following psychiatric hospitalization, a period characterized by heightened suicide risk, are important to understand. Objective: We qualitatively explored perceived changes in social interactions one month after inpatient psychiatric discharge following a suicidal crisis. Methods: A total of 113 United States Service members, recruited in the context of a psychotherapy randomized controlled trial, described the extent to which social interactions with family members, peers, and military commanders had changed. Results: Most participants (82.3%) reported at least some change in social interactions, conveying six common themes. Showing more care and checking in more were frequently reported for family (24.8%, 20.4%), commanders (23.0%, 16.8%), and by peers (12.4%, 10.6%). Showing more concern was most frequently reported for family (13.3%) followed by peers (6.2%) and commanders (6.2%). Participants reported showing more caution from peers (14.2%), commanders (13.3%) and family (6.2%). Acting more distant was reported from commanders (7.1%), peers (7.1%), and family (5.3%). Showing negative reaction(s) was reported from commanders (8.0%), family (3.5%) and rarely for peers (0.9%). Conclusion: Inpatient providers are encouraged to prepare patients for potential changes in social interactions following psychiatric discharge and how to best respond to these changes.

 抽象的

简介 精神病住院后社会交往的变化是一个以自杀风险升高为特征的时期，理解这一点很重要。目的：我们定性地探讨了自杀危机后住院精神病院出院一个月后社交互动的感知变化。方法：在一项心理治疗随机对照试验中招募的总共 113 名美国军人描述了与家人、同伴和军事指挥官的社交互动发生的变化程度。结果：大多数参与者（82.3%）报告说社交互动至少发生了一些变化，传达了六个共同主题。经常报告家人（24.8%、20.4%）、指挥官（23.0%、16.8%）和同事（12.4%、10.6%）表现出更多的关心和检查。最常报告表现出更多担忧的是家人（13.3%），其次是同伴（6.2%）和指挥官（6.2%）。参与者表示，同事（14.2%）、指挥官（13.3%）和家人（6.2%）表现出更加谨慎的态度。据报告，指挥官（7.1%）、同事（7.1%）和家人（5.3%）表现得更加疏远。指挥官（8.0%）、家人（3.5%）和同事（0.9%）报告表现出负面反应。结论：鼓励住院服务提供者让患者做好准备，应对精神病出院后社交互动的潜在变化，以及如何最好地应对这些变化。