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评价青少年自杀查计划的阳性风险:一个随机对照试验

Madelyn S Gould¹, Frank A Marrocco, Marjorie Kleinman

¹Division of Child and Adolescent Psychiatry, Columbia University and New York State Psychiatric Institute, New York, NY 10032, USA. gouldm@childpsych.columbia.edu

|April 7, 2005

概括

高中普遍进行自杀查并没有增加痛苦或自杀念头. 这项研究没有发现阳性效应,表明自杀查是青年自杀预防工作的安全和有效组成部分.

科学领域:

精神病学是一个精神病学.
公共卫生公共卫生
青少年医学青少年医学

背景情况:

针对心理健康问题和自杀风险的普遍查是预防青少年自杀的国家优先事项.
以前的研究并没有直接评估青少年自杀查的潜在危害.
人们担心这样的查可能会导致潜在的痛苦或增加自杀念头.

研究的目的:

为了确定在查期间询自杀念头或行为是否会导致高中学生的痛苦或增加自杀念头.
专门研究对高风险学生的影响,包括那些有抑郁症状,物质使用问题或之前自杀企图的学生.

主要方法:

一项随机对照试验,涉及6所学校的2342名高中生.
参与者被随机分配到一个接受自杀问题的实验组或没有接受自杀问题的对照组.
使用青少年版本的情绪状态概况 (POMS-A) 测量了痛苦,并通过2天的调查评估了自杀念头.

主要成果:

在第一次调查后或2天后,实验组和对照组之间没有观察到痛苦水平的显著差异.
抑郁情绪的比率在两组之间没有显著差异.
接触自杀问题的学生比对照组的学生报告自杀想法的可能性并不高.
实验组中的高风险学生没有增加自杀或痛苦;一些子组甚至报告自杀和痛苦的减少.

结论:

该研究没有发现自杀查产生的阳效应 (查过程造成的伤害) 的证据.
在高中环境中实施自杀查是全面青年自杀预防战略的安全和有价值的组成部分.

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