青少年自杀企图. 青少年自杀企图. 对预防自杀计划的反应
D Shaffer1, V Vieland, A Garland
1Department of Child Psychiatry, Columbia University College of Physicians & Surgeons, New York, NY 10032.
JAMA
|December 26, 1990
概括
这项研究评估了青少年的自杀预防课程. 虽然尝试者表现出痛苦,但这些计划在改变他们对自杀或寻求帮助行为的看法方面取得了有限的成功.
科学领域:
- 心理学 心理学 心理学
- 公共卫生 公共卫生
- 青少年健康 青少年健康
背景情况:
- 青少年的自杀企图是一个重大的公共卫生问题.
- 有效的自杀预防策略对于这一群体至关重要.
- 了解青少年对自杀和寻求帮助的态度对于干预发展至关重要.
研究的目的:
- 评估高中学生三种预防自杀课程的有效性.
- 为了比较青少年尝试和未尝试者对自杀和寻求帮助的态度.
- 评估青少年对预防自杀计划的反应.
主要方法:
- 一项受控的评估,涉及1438名九年级和十年级学生.
- 63名尝试性青少年和910名未尝试者之间的态度比较.
- 通过比较接触课程的尝试者和未尝试者来评估项目反应.
- 通过比较暴露的试验者与试验者的对照组进行影响评估.
主要成果:
- 自称尝试者在基线时不太可能与课程的观点保持一致.
- 有限的证据表明,这些程序成功地影响了尝试者的观点.
- 接触这些节目的青少年尝试者报告说,与没有尝试者相比,他们的痛苦更大.
- 自我报告的自杀企图患病率高于采访方法的研究.
结论:
- 评估的自杀预防课程在改变青少年试图自杀的态度方面表现出有限的有效性.
- 试图自杀的青少年可能会对预防自杀的内容产生更强烈的情绪反应.
- 与采访研究相比,自我报告措施可能会捕捉到青少年自杀企图的更高患病率.
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