Abstract

To investigate the outcomes of men using a community-based suicide prevention service before and during COVID-19 and to understand experiences of therapists for the rapid adaptation and delivery of the service throughout the pandemic. A mixed-methods approach using quantitative and qualitative data to assess the delivery of the intervention before and during the COVID-19 pandemic. The CORE-34 and CORE-10 Clinical Outcome Measures (CORE-OM) were used pre and post intervention to measure clinical change in psychological distress for the men engaged with the service. Six therapist interviews were used to supplement this data for the purposes of understanding the delivery of the service remotely during the pandemic. Data was collected between 1 August 2018 and 1 November 2021 (n = 1115). Interview data were conducted between March and May 2021. Across the cohort, for men who received therapy before (n = 450) or during the pandemic (n = 665), there was a statistically significant reduction in mean psychological distress scores between assessment and end of treatment (p < 0.001). Therapists adapted to delivering the hybrid model and discussed the barriers and facilitators to working this way. This study highlighted the effectiveness of the James’ Place suicide prevention model in saving lives and managing to adapt during a global pandemic.

摘要

调查男性在 COVID-19 之前和期间使用社区自杀预防服务的结果，并了解治疗师在整个大流行期间快速适应和提供服务的经验。使用定量和定性数据的混合方法方法，在 COVID-19 大流行之前和期间评估干预措施的实施。CORE-34 和 CORE-10 临床结果测量 (CORE-OM) 用于干预前后测量参与服务的男性心理困扰的临床变化。为了了解大流行期间远程服务的提供，使用了六次治疗师访谈来补充这些数据。数据是在 2018 年 8 月 1 日至 2021 年 11 月 1 日期间收集的（n = 1115）。采访数据是在 2021 年 3 月至 2021 年 5 月期间进行的。p < 0.001)。治疗师适应了混合模型，并讨论了以这种方式工作的障碍和促进因素。这项研究强调了詹姆斯广场自杀预防模型在拯救生命和在全球大流行期间设法适应方面的有效性。