预防自我伤害重复的心理社会干预措施:系统审查和网络元分析协议
Massimiliano Orri1,2,3, Anthony J Gifuni4, Dennis Ougrin5
1McGill Group for Suicide Studies, Douglas Mental Health University Institute, Department of Psychiatry, McGill University, Montreal, Quebec, Canada massimiliano.orri@mcgill.ca.
BMJ open
|August 24, 2023
概括
这项研究将比较心理社会干预措施,以防止成年人反复自伤. 它旨在确定预防自杀的最有效的治疗方法.
科学领域:
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
- 临床心理学 临床心理学
背景情况:
- 自杀是一个重大的公共卫生问题.
- 基于证据的心理社会干预对于预防自杀至关重要.
- 确定有效的干预措施来防止自我伤害的重复是必不可少的.
研究的目的:
- 进行随机对照试验 (RCT) 的系统审查和网络元分析 (NMA).
- 评估各种心理社会干预措施在预防成年人自我伤害重复的比较有效性.
- 确定预防自杀的最有效的干预措施.
主要方法:
- 对在过去6个月内自我伤害的成年人进行RCT的系统审查和NMA.
- 根据理论方法分类的干预措施 (例如,认知行为疗法,病例管理).
- 进行全面的数据库搜索 (MEDLINE,Embase,PsycInfo等) 从2020年7月到2023年9月.
- 使用RoB-2进行偏差风险评估和使用CINeMA进行可信度评估.
主要成果:
- 主要的结果是自我伤害的重复.
- 二次结果包括自杀死亡率,自杀念头和抑郁症状.
- 治疗延续 (放弃率) 将被分析为一个关键的可接受性结果.
结论:
- 这个NMA协议将综合有关心理社会干预措施的证据,以预防自我伤害.
- 结果将为预防自杀的临床实践和公共卫生策略提供信息.
- 研究结果将通过会议和同行评审的出版物传播.
相关概念视频
Self-Help Support Groups
53
Self-help support groups are voluntary, community-based organizations that provide a platform for individuals with shared concerns to exchange support, insights, and practical strategies for coping with life challenges. Typically led by group members or paraprofessionals, these groups form a cornerstone of mental health care, especially in reaching populations that are underserved by traditional healthcare systems.
Accessibility and Cost-Effectiveness
One of the primary strengths of self-help...
Accessibility and Cost-Effectiveness
One of the primary strengths of self-help...
53
Psychological and Sociocultural Causes of Schizophrenia
138
Schizophrenia, a complex psychiatric disorder, has been historically misunderstood. Early psychological theories attributed its origins to childhood trauma and unresponsive parenting. However, contemporary research largely rejects these notions, favoring the vulnerability-stress hypothesis. This model proposes that individuals with a genetic predisposition to schizophrenia may develop the disorder following exposure to significant environmental stressors. Notably, studies on high-risk...
138
Operant Conditioning Intervention
81
Operant conditioning serves as a foundational principle in therapeutic interventions aimed at modifying maladaptive behaviors. Central to this approach is the notion that behaviors, both adaptive and maladaptive, are learned through reinforcement. By analyzing the environmental factors that reinforce problematic behaviors, clinicians can design interventions to weaken these reinforcements and replace maladaptive behaviors with healthier alternatives.
In operant conditioning, behaviors that are...
In operant conditioning, behaviors that are...
81
Stress Prevention and Stress Management Techniques VI
50
Adopting a healthier lifestyle often requires overcoming significant challenges, but leveraging psychological, social, and cultural resources can facilitate meaningful change. Effective self-change hinges on understanding and applying key tools such as motivation and goal setting, which help sustain efforts toward long-term health benefits.
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
50
Community Based Intervention
65
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
65
Treatment Strategies for Psychological Disorders
170
Treatment approaches for psychological disorders fall into three main categories: psychological, biological, and sociocultural. Each approach targets different aspects of mental health, requiring varying levels of education and training.
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
170


