Suicide deaths are still a global health problem, and few studies have shown the effectiveness of treatment options. This exploratory study examined the effectiveness of eye movement and remodeling (EMDR) treatment. Treatment refers to patients with severe mental health problems to check whether their potential harm is being treated, whether their overall psychology has improved, and whether their suicidal consciousness has decreased.
METHOD OF TREATMENT
A service-based development project was launched in the mental hospital. In the pre-random design, a preliminary survey is used. Participants were identified as adult patients currently undergoing hospitalization or in the “crisis solution team and family therapy” (CRHTT). Those who reported having experienced at least one event that they considered traumatic received EMDR treatment (emdr therapy). The annotations in the online database were analyzed to evaluate the communication service for 12 months before and after treatment.
The emergency department or CRHTT’s interdisciplinary team will refer patients to the project. A paper test must be completed before the assessment. At this stage, any patients who do not meet the requirements of the project will be excluded. Within 5 days after the referral, the patient was evaluated by a psychologist and project manager. These include structured interviews and the structured nature of looga questions, as well as the introduction of research projects. Patients’ standard treatment methods (eg, secondary psychotherapy, community mental health team) were evaluated and appropriate referrals were made.
The EMDR treatment was started within a few days after the initial assessment. The patient receives 2-3 hours for half an hour every hour and is usually sent to the doctor. Some participants who were bound by the Mental Health Act and had a history of escape in the inpatient ward received treatment in the ward.
When the various parts of the problem are significantly reduced, refuse to continue, or make no progress, treatment ends. The treatment is usually completed with the cooperation of the patient and the therapist. No minimum or maximum number of treatment sessions were given to patients. When patients move between departments or communities, or are released for emergency services, the treatment is ineffective, and continuity is maintained while the patient feels sufficiently engaged.
During the initial evaluation (t0) and the end of treatment (t1) after informed consent, the psychological steps described below were completed. In the last course of treatment, the patient’s other psychological or social needs were reassessed, and further referrals were made to appropriate services, and existing reports were revoked when necessary.
In this study, a typical eight-dimensional system was used, and patients focused on images representing the worst part of their traumatic experience and poor knowledge and emotional connections. The patient focuses on the subject while paying attention to external remodeling stimuli in the form of visual acuity or visual stimuli. The type of external stimulus depends on the patient’s preferences.
According to the standard EMDR protocol, treatment continues until the patient has a baseline risk unit (SUDS) rating of zero or 1. At this point, another shocking memory (if any) has been processed. If there are no traumatic events in the future, the treatment is over.
The study treated 72 patients with 57 complementary therapies. Throughout the psychological process, patients have achieved significant improvements, including a reduction in suicidal ideation. Most patients have less than 10 treatment courses and do not need to be referred for further psychiatric treatment. By withdrawing reports of further treatment and early evacuation of CRHTT and emergency department, and by preventing admission, cost savings were achieved. Contacts with the post have also decreased.
The main prognostic indicators are anxiety, depression, psychological effects on depression (PTSD symptoms), suicidal ideation, and service use. The Hospital Anxiety and Depression Scale (HADS)  is designed to measure symptoms of anxiety and depression in the past 7 days. HADS is a self-assessment measure, including 14 components, seven stress levels (HADS-A) and seven stress levels (HADS-D). The scores of both subscales are 0-21. It has been found to be reliable in detecting stress and depressive states, and depression is also an accurate measure of the severity of depression and anxiety. The higher the score, the more serious. The alpha value of Cronbach in HADS-A ranges from 68 to 93 (average 83), and the alpha value of HADS-D ranges from 67 to 90 (average 82).
The Impact of Weight Loss Scale-Review (IES-R)  measures the psychological impact of current mental illness. This is a simple and easy-to-use self-report assessment method that contains 22 questions. Although it is not diagnosed as PTSD, it can measure the individual’s response to a specific injury so that the degree of entry, avoidance, and exaggeration can be assessed. Summarizing the project scores, the total score is between 0 and 88. According to reports, the level of internal equilibrium is high (invasion: Cronbach’s alpha = .87-.94, prevention: Cronbach’s alpha = .84-.87, Hyperarousal: Cronbach’s alpha) = .79-.91).
EMDR treatment can effectively treat patients with mental illness, and their conditions are shocking, can significantly improve their mental health, and save a lot of money for the National Health Service (NHS).