Nyob zoo cov kws kho mob:
Ua tsaug rau kev ua haujlwm nyob rau pem hauv ntej ntawm kev saib xyuas kev noj qab haus huv, pab cov neeg California nrog lawv lub cev thiab tus cwj pwm noj qab haus huv. Peb ntawm Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv thiab Kev Noj Qab Haus Huv Pej Xeem thiab Lub Chaw Haujlwm Saib Xyuas Kev Kho Mob hauv California tau ncav cuag vim peb txhawj xeeb txog tus kabmob COVID-19 qhov cuam tshuam tam sim thiab mus ntev rau kev mob hlwb ntawm peb cov neeg nyob.
Kev sib cais ntawm kev sib raug zoo, nyiaj txiag tsis ruaj ntseg, thiab kev poob hauj lwm tag nrho ua rau muaj kev tuag los ntawm kev tua tus kheej, kev noj ntau dhau, thiab mob, cuam tshuam tsis zoo rau cov zej zog ntawm cov xim. Cov tib neeg uas muaj keeb kwm ntawm Adverse Childhood Experiences (ACEs) tshwj xeeb yog muaj kev pheej hmoo.
Koj muaj sijhawm los tshuaj xyuas, cuam tshuam thiab tiv thaiv cov xwm txheej no.
Tsis muaj txoj hauv kev paub tias ib tug neeg muaj teeb meem tshwj tsis yog koj nug. Thaum koj nug, muaj cov cuab yeej thiab cov peev txheej uas koj tuaj yeem muab uas tuaj yeem cawm tau txoj sia.
Lub koom haum National ntawm Mental Health (NIMH) tau tsim Cov Lus Nug Txog Kev Txiav Txim Siab (ASQ): https://www.nimh.nih.gov/research/research-conducted-at-nimh/asq-toolkit-materials/index.shtml), plaub nqe lus nug hauv 20 vib nas this los txheeb xyuas cov neeg muaj kev pheej hmoo ntawm kev tua tus kheej. Hauv kev tshawb fawb NIMH: https://pubmed.ncbi.nlm.nih.gov/23027429/, cov lus teb "yog" rau ib lossis ntau cov lus nug tau txheeb xyuas 97% ntawm cov tub ntxhais hluas hnub nyoog 10 txog 21 xyoos uas muaj kev pheej hmoo ntawm kev tua tus kheej:
- Ob peb lub lis piam dhau los, koj puas xav kom koj tuag?
- Ob peb lub lis piam dhau los, koj puas xav tias koj lossis koj tsev neeg yuav zoo dua yog tias koj tuag?
- Lub lim tiam dhau los, koj puas tau xav txog kev tua koj tus kheej?
- Koj puas tau sim tua koj tus kheej?
Tom ntej no yog dab tsi?
Yog tias ib tus neeg teb tias "yog" rau ib lossis ntau dua ntawm plaub Nug Cov Lus Nug Txog Kev Tua Tus Kheej, lawv muaj "kev pheej hmoo yuav tshwm sim" lossis "muaj peev xwm txaus ntshai" ntawm kev tua tus kheej.
Txhawm rau kom nkag siab zoo txog qib kev pheej hmoo, nug "koj puas muaj kev xav tua koj tus kheej tam sim no?" thiab yog tias tus neeg hais tias "yog," ces lawv yuav muaj kev pheej hmoo ntawm kev tua tus kheej thiab xav tau kev soj ntsuam kev puas siab puas ntsws ceev kom muaj kev nyab xeeb tam sim ntawd. Yog tias tus neeg teb tias "tsis yog," ces qhov kev pheej hmoo yuav raug txheeb xyuas thiab lawv xav tau kev ntsuam xyuas kev nyab xeeb ntawm kev tua tus kheej los txiav txim cov kauj ruam tom ntej.
Lub Zero Suicide Model: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5829088/ yog ib qho kev xyaum ua pov thawj qhia txog kev siv tus qauv no hauv qhov chaw kho mob. Cov kev coj ua muaj xws li:
- Ua ib txoj kev npaj kev nyab xeeb uas tus neeg mob tuaj yeem ua raws li kev txiav txim siab yog tias xav txog kev tua tus kheej tshwm sim, suav nrog kev hu xov tooj pab xws li National Suicide Prevention Lifeline (1-800-273-8255).
- Sib tham txog kev txwv tsis pub nkag mus rau tej yam uas lawv yuav siv los ua rau lawv tus kheej raug mob - tshwj xeeb tshaj yog cov phom (cov phom hauv tsev yog qhov tseem ceeb tshaj plaws rau kev tua tus kheej https://www.hsph.harvard.edu/means-matter/means- teeb meem/risk/ ).
- Tsim ib txoj kev npaj soj ntsuam xyuas kom tus neeg mob tau txais kev pab thiab kev txhawb nqa tas mus li
Overdose thiab Suicide: Kev noj tshuaj ntau dhau lossis ua rau tus kheej raug mob hauv chav kho mob xwm txheej ceev qhia tau tias muaj kev pheej hmoo siab heev. Kev noj tshuaj ntau dhau ntawm opioid qhia tau tias muaj 18 npaug ntawm kev pheej hmoo ntawm kev tua tus kheej https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2757488 thiab ntau dua 100-fold muaj kev pheej hmoo ntawm kev noj tshuaj ntau dhau rau xyoo tom ntej, piv rau cov pej xeem. Kev mus ntsib kev xav txog kev tua tus kheej ua rau muaj 30-tib npaug ntawm kev pheej hmoo ntawm kev tua tus kheej hauv xyoo tom ntej.
ACEs thiab Suicide: Cov tib neeg uas muaj plaub lossis ntau dua ACEs yog 37.5 npaug ntawm qhov yuav sim tua tus kheej, piv rau cov tib neeg uas tsis muaj ACEs12. Yog xav paub ntxiv txog kev hais txog ACES hauv koj qhov kev kho mob, mus saib www.ACEsAware.org.
Kev tshuaj xyuas cov tib neeg rau kev pheej hmoo ntawm kev tua tus kheej cawm neeg txoj sia! Cov kws saib xyuas kev noj qab haus huv tuaj yeem pab tib neeg tau txais kev saib xyuas, kev txhawb nqa thiab kev pabcuam.
Lwm cov cuab yeej thiab cov peev txheej
Hu rau lub nroog tus kab mob kev noj qab haus huv https://www.dhcs.ca.gov/individuals/Pages/MHPContactList.aspx rau kev pab cuam sai lossis tus lej xov tooj nyob tom qab ntawm daim npav kho mob tus neeg mob. Lub vev xaib txhawb kev xav txog COVID-19 https://covid19.ca.gov/resources-for-emotional-support-and-well-being/ muaj cov peev txheej rau cov neeg muaj kev pheej hmoo ntawm kev tua tus kheej - koj tuaj yeem nrhiav kev tua tus kheej hotlines, kab teeb meem, kab kev txhawb nqa phooj ywg, thiab lwm yam kev pab cuam rau cov neeg muaj kev ntxhov siab los ntawm kev kub ntxhov - suav nrog yuav ua li cas nrhiav kev siv tshuaj yeeb tshuaj.
Txhob Nco Koj Tus Kheej
Tej zaum koj yuav muaj kev ntxhov siab, ntxhov siab, ntxhov siab lossis kub hnyiab los ntawm kev xyaum ntawm cov kab hauv ntej. Cov neeg ua haujlwm noj qab haus huv kuj muaj kev pheej hmoo siab tua tus kheej, thiab koj tsis nyob ib leeg. Hu rau kev tawm tswv yim pub dawb los ntawm cov neeg tuaj yeem pab dawb ntawm COVID-19 lub vev xaib pab tswv yim: https://www.covid19counselingca.org/ . Muaj kev txhawb nqa rau koj. Yog tias koj xav tham nrog ib tus neeg, muaj cov kws tshaj lij npaj los txhawb koj kom txhawb nqa lwm tus.
Lub Chaw Haujlwm ntawm California Surgeon General kuj muaj cov lus qhia yooj yim: https://files.covid19.ca.gov/pdf/wp/california-surgeon-general_stress-busting-playbook_draft-v2clean_ada- 04072020.pdf nrog rau tej yam uas koj tuaj yeem ua tau txhua hnub, hauv tsev, los pab txhawb koj lub hlwb thiab lub cev kev noj qab haus huv, siv rau 6 lub tswv yim tseem ceeb: 1) Kev txhawb nqa kev sib raug zoo, 2) Kev tawm dag zog, 3) Kev pw tsaug zog, 4) Khoom noj khoom haus, 5) Kev Txhawb Kev Nyuaj Siab, thiab 6. ) Mindfulness. Kawm ntxiv nyob rau hauv California Surgeon General's Playbook: Stress Relief thaum COVID-19 (PDF): https://files.covid19.ca.gov/pdf/wp/california-surgeon-general_stress-busting-playbook_draft- v2clean_ada-04072020.pdf. Phau ntawv qhia kuj muaj nyob rau hauv Arabic https://files.covid19.ca.gov/pdf/wp/osg- General-stress-relief-playbook_arabic.pdf, Suav (Simplified https://files.covid19.ca.gov/pdf/wp/osg-general- stress-relief-playbook_chinese_simplified.pdf thiab tsooshttps://files.covid19.ca.gov/pdf/wp/osg-general- stress-relief-playbook_zh.pdf) Korean https://files.covid19.ca.gov/pdf/wp/osg-general-stress-relief- playbook_ko.pdf, Mev https://files.covid19.ca.gov/pdf/wp/2020-0334-osg-general-stress-relief-playbook- spanish-lsu-final.pdf, Tagalog: https://files.covid19.ca.gov/pdf/wp/osg-general-stress-relief- playbook_tl.pdf.ca.gov/img/wp/osg-general-stress-relief-playbook_tl.pdf, thiab Nyab Laj: https://files.covid19.ca.gov/pdf/wp/osg-general-stress-relief-playbook_vi.pdf . Peb vam tias koj koom nrog lwm tus kws kho mob thiab siv sijhawm 20 vib nas this los nug plaub nqe lus nug thiab cawm txoj sia. Ua tsaug rau txhua yam koj ua los tiv thaiv kev noj qab haus huv ntawm peb cov zej zog!
| Nrog kev txaus siab, | ||
| Original signed by | Original signed by | Original signed by |
| Will Lightbourne, Tus Thawj Coj | Nadine Burke Harris, MD, MPH | Sonia Angell, MD, MPH |
| Department ntawm | Surgeon General Office ntawm | State Public Health |
| Kev Pabcuam Kev Noj Qab Haus Huv | Kws phais General | Officer & Director |
Cov ntaub ntawv:
Department of Public Health
- Suicide-Screening Questions: https://www.nimh.nih.gov/research/research-conducted-at-nimh/asq-toolkit- cov ntaub ntawv/index.shtml
- NIMH Study: https://pubmed.ncbi.nlm.nih.gov/23027429/
- Zero Suicide Model: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5829088/
- Yam tseem ceeb ntawm kev pheej hmoo ua tiav kev tua tus kheej: https://www.hsph.harvard.edu/means-matter/means-matter/risk/
- Cov ntaub ntawv ntawm kev pheej hmoo tua tus kheej tom qab ED mus ntsib: https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2757488
- County Behavior Health Access Line: https://www.dhcs.ca.gov/individuals/Pages/MHPContactList.aspx
- COVID-19 lub vev xaib txhawb nqa kev xav: https://covid19.ca.gov/resources-for-emotional-support-and-well-being/
- KEVID-19 lub website: https://www.covid19counselingca.org/
- Kev Tiv Thaiv Kev Tiv Thaiv Kev Nyab Xeeb Kev Nyab Xeeb Tus Qauv: https://suicidepreventionlifeline.org/wp-content/uploads/2016/08/Brown_StanleySafetyPlanTemplate.pdf
- Safety Planning Quick Guide for Clinicianshttps://sprc.org/resources-programs/safety-planning-guide- ceev-qhia-cov kws kho mob
- California Surgeon General's Playbook: Stress Relief Thaum COVID-19 https://covid19.ca.gov/img/wp/california-surgeon-general_stress-busting-playbook_draft-v2clean_ada- ua pdf
- Kev tshawb fawb ntawm ACES: Hughes K, Bellis MA, Hardcastle KA, thiab al. Cov txiaj ntsig ntawm ntau yam kev tsis zoo rau menyuam yaus rau kev noj qab haus huv: kev tshuaj xyuas thiab kev tshuaj xyuas meta. Lancet Public Health2017; 2: e356-66
