AMERICAN JOURNAL OF GERIATRIC PSYCHIATRY 杂志投稿-刊鹿论文编译

“PROJECT LIFE FORCE-GERIATRIC”: A NOVEL SUICIDE SAFETY PLANNING GROUP TREATMENT

Abstract:

Introduction Older Veterans are the largest and fastest growing segment of the Veteran population. Additionally, the rates of suicide completion are highest in older Veterans; 68% of all deaths by suicide are in Veterans that are 50 and older. [1] Lethality of attempts is also greatest in the geriatric population. Youth typically have 25 attempts per one completed suicide, whereas older adults have only four attempts per one completed suicide. [2] Despite their elevated risk, there is limited research and fewer interventions targeting suicide risk in older Veterans. Therefore, there is an urgent need for effective interventions in reducing the risk of suicide in the geriatric population. Our research team hopes Project Life Force-Geriatric (PLF-G) can fill this gap in treatment. Methods Creating a Suicide Safety Plan (SSP) is an effective treatment for Veterans with suicidal ideation and behaviors [3,4]. PLF is an open-label, 6-month study conducted at the James J. Peters VA Medical Center, that piloted a skills group consisting of ten sessions implementing the SSP in Veterans deemed high risk for suicide. However, this PLF pilot sample only included individuals aged 25-66 years old (average: 46.43 years). To target the high-risk geriatric population, our research team is developing PLF-G. In adapting PLF-G for older adults, accommodations have been made for potential hearing and vision impairments as well as limitations in attention spans among older adults who may have mild deficits in working memory and short-term memory. These modifications include: frequent breaks during sessions, writing key points and agenda items on the white board in large print, using select assessments targeted specifically to geriatric population (e.g. the Geriatric Depression Scale), sessions will be 60-minutes (vs. 90-minutes in PLF pilot), paper handouts in addition to mobile applications, and written summaries for each session using large fonts. See Table 1. Results PLF-G specific data will be included in final presentation, but is not yet available. Below are results from the initial PLF study. In the initial PLF study, Veteran participants were assessed at baseline and post intervention (month 3). Demographic information was collected on 37 participants. The average age was: 46.43 years old (range: 25-66 years). Males accounted for 78%. This was a diverse sample with 52.6% identifying as Hispanic. The PLF study resulted in a statistically significant decrease in suicidal ideation, suicidal behavior, hopelessness, and depression as measured by the Beck Depression Inventory-II (BDI-II), the Beck Hopelessness Scale (BHS), and the Beck Scale for Suicide Ideation (BSS). See Figure 1. There were no suicide attempts or completions throughout the course of treatment. A paired samples t-test was performed to compare pre- and post-intervention scores and there were significant decreases in: 1. Suicidal ideation on the BSS; t(20)\u202f=\u202f4.41, p\u202f=\u202f0.000 2. Depressive symptoms on the BDI-II; t(20)\u202f=\u202f3.989, p\u202f=\u202f0.001 3. Hopelessness on the BHS; t(20)\u202f=\u202f2.330, p\u202f=\u202f0.030 Conclusions The initial PLF decreased suicidality in a non-geriatric Veteran population. During this preliminary treatment, the 80-page manual was finalized, the program yielded encouraging results, it was well tolerated, feasible, and effective in reducing suicidal ideations and behaviors. One significant limitation to the pilot study was the lack of representation of high-risk geriatric patients; therefore, a new pilot study titled PLF-G will be conducted within the geriatric population beginning in January 2019. The results of which will be included in final presentation. This research was funded by This research was supported by VA Merit Award (RX-001911-01A1) and the VISN 2 South MIRECC.

Author Listing： Lea K. Marin;Sarah Sullivan;Angela Page Spears;Marianne Goodman

Volume： 27

Pages： None

DOI： 10.1016/J.JAGP.2019.01.127

Language： English

Journal： American Journal of Geriatric Psychiatry

AMERICAN JOURNAL OF GERIATRIC PSYCHIATRY

AM J GERIAT PSYCHIAT

影响因子：4.4

是否综述期刊：否

是否OA：否

是否预警：不在预警名单内

发行时间：1993

ISSN：1064-7481

发刊频率：Bimonthly

收录数据库：SCIE/Scopus收录

出版国家/地区：UNITED STATES

出版社：Elsevier Inc.

期刊介绍

The American Journal of Geriatric Psychiatry is the authoritative source of information for the rapidly developing field of geriatric psychiatry. The Journal contains peer-reviewed articles on the diagnosis and classification of psychiatric disorders of later life, epidemiological and biological correlates of mental health of older adults, and psychopharmacology and other somatic treatments. The Journal is published twelve times a year.

《美国老年精神病学杂志》是老年精神病学快速发展领域的权威信息来源。该杂志载有关于晚年精神障碍的诊断和分类、老年人精神健康的流行病学和生物学相关因素、精神药理学和其他躯体治疗的同行评议文章。《日刊》每年出版 12 期。

年发文量	100
国人发稿量	13
国人发文占比	13%
自引率	4.5%
平均录取率	一般
平均审稿周期	偏慢,4-8周
版面费	US$3840
偏重研究方向	医学-精神病学
期刊官网	http://www.ajgponline.org/
投稿链接	https://www.editorialmanager.com/JGP

质量指标占比

研究类文章占比	OA被引用占比	撤稿占比	出版后修正文章占比
91.00%	21.73%	0.00%	0.81%

预警情况查看说明

时间	预警情况
2024年02月发布的2024版	不在预警名单中
2023年01月发布的2023版	不在预警名单中
2021年12月发布的2021版	不在预警名单中
2020年12月发布的2020版	不在预警名单中

JCR分区 WOS分区等级：Q1区

版本	按学科	分区
WOS期刊SCI分区 WOS期刊SCI分区是指SCI官方（Web of Science）为每个学科内的期刊按照IF数值排序，将期刊按照四等分的方法划分的Q1-Q4等级，Q1代表质量最高，即常说的1区期刊。（2021-2022年最新版）
	PSYCHIATRY	Q1
	GERONTOLOGY	Q1
	GERIATRICS & GERONTOLOGY	Q1

关于2019年中科院分区升级版（试行）

分区表升级版（试行）旨在解决期刊学科体系划分与学科发展以及融合趋势的不相容问题。由于学科交叉在当代科研活动的趋势愈发显著，学科体系构建容易引发争议。为了打破学科体系给期刊评价带来的桎梏，“升级版方案”首先构建了论文层级的主题体系，然后分别计算每篇论文在所属主题的影响力，最后汇总各期刊每篇论文分值，得到“期刊超越指数”，作为分区依据。

分区表升级版（试行）的优势：一是论文层级的主题体系既能体现学科交叉特点，又可以精准揭示期刊载文的多学科性；二是采用“期刊超越指数”替代影响因子指标，解决了影响因子数学性质缺陷对评价结果的干扰。整体而言，分区表升级版（试行）突破了期刊评价中学科体系构建、评价指标选择等瓶颈问题，能够更为全面地揭示学术期刊的影响力，为科研评价“去四唯”提供解决思路。相关研究成果经过国际同行的认可，已经发表在科学计量学领域国际重要期刊。

《2019年中国科学院文献情报中心期刊分区表升级版（试行）》首次将社会科学引文数据库（SSCI）期刊纳入到分区评估中。升级版分区表（试行）设置了包括自然科学和社会科学在内的18个大类学科。基础版和升级版（试行）将过渡共存三年时间，推测在此期间各大高校和科研院所仍可能会以基础版为考核参考标准。提示：中科院分区官方微信公众号“fenqubiao”仅提供基础版数据查询，暂无升级版数据，请注意区分。

中科院分区查看说明

版本	大类学科	小类学科	Top期刊	综述期刊
	医学 1区	PSYCHIATRY 精神病学 2区 GERONTOLOGY 老年医学 2区 GERIATRICS & GERONTOLOGY 老年医学 2区	否	是
2021年12月基础版	医学 3区	PSYCHIATRY 精神病学 3区 GERIATRICS & GERONTOLOGY 老年医学 3区	否	否
2021年12月升级版	医学 2区	PSYCHIATRY 精神病学 3区 GERONTOLOGY 老年医学 2区 GERIATRICS & GERONTOLOGY 老年医学 3区	否	否
2020年12月旧的升级版	医学 1区	PSYCHIATRY 精神病学 2区 GERONTOLOGY 老年医学 2区 GERIATRICS & GERONTOLOGY 老年医学 2区	否	否
2022年12月最新升级版	医学 2区	PSYCHIATRY 精神病学 2区 GERONTOLOGY 老年医学 2区 GERIATRICS & GERONTOLOGY 老年医学 2区	否	否