减少非洲裔美国青少年的自杀念头:一项随机对照临床试验
W LaVome Robinson1, Christopher R Whipple2, Kate Keenan3
1Department of Psychology, DePaul University.
Journal of consulting and clinical psychology
|September 28, 2023
概括
适应应对压力 (A-CWS) 干预措施显著减少了非洲裔美国青少年的自杀念头. 这种文化敏感的计划显示了持续的效果,特别是对于那些具有更高初始意图的人来说,干预后12个月.
科学领域:
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
- 青少年心理学 青少年心理学
背景情况:
- 非洲裔美国青少年的自杀率正在惊人上升.
- 独特的社会生态压力因素和自杀风险表现需要文化定制的干预措施.
- 预防策略必须满足这一群体的具体需求.
研究的目的:
- 评估适应应对压力 (A-CWS) 课程的有效性.
- 为了确定A-CWS是否减少非洲裔美国青少年的自杀念头.
- 评估文化敏感的预防干预措施的长期影响.
主要方法:
- 一项随机对照试验,涉及410名九年级学生,主要是黑人/非裔美国人.
- 参与者被分配到A-CWS干预或标准护理对照组.
- 评估是在基线,干预后以及6个月和12个月进行的.
主要成果:
- 潜伏生长模型显示,显著的治疗效应有利于A-CWS组.
- 在A-CWS条件下,基线较高的自杀念头的参与者表现出更大的减少.
- 这些减少自杀念头的积极影响持续了12个月.
结论:
- A-CWS干预有效地减少了非洲裔美国青少年的自杀念头.
- A-CWS对自杀念头的积极影响是长期持续的.
- 文化适应的预防干预措施对于解决青少年自杀风险至关重要.
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