新兴成年性和性别少数群体的自杀预防干预:试点混合疗效随机对照试验的协议
Lily A Brown1, Jessica L Webster2, Jennifer T Tran2
1Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States.
JMIR research protocols
|September 29, 2023
概括
这项研究试验了一种移动应用程序干预 (STARS) 与同行支持,以减少性和性别少数群体新兴成人的自杀风险. 该干预针对积极影响,歧视和社会联系,以改善安全计划的使用.
科学领域:
- 公共卫生 公共卫生
- 心理健康 心理健康
- 数字健康数字健康
背景情况:
- 性和性别少数群体新兴成年人 (EA-SGM) 经历了不成比例的高自杀企图和死亡率.
- 现有的自杀预防策略并不适合EA-SGM人群.
- 安全规划干预 (SPI) 是有前途的,但需要对EA-SGM组进行调整的支持.
研究的目的:
- 试点测试一个移动应用程序干预 (支持成年过渡和减少自杀 (STARS)) 结合对EA-SGM个人进行同行指导.
- 通过针对积极影响,歧视和社会支持,评估干预对减少自杀念头和行为的影响.
- 增强EA-SGM个人使用安全计划的意图和能力.
主要方法:
- 将招募一个种族和种族多样化的60个EA-SGM个人,报告有自杀想法.
- 参与者将被随机分配,接受单独SPI (控制) 或SPI加STARS干预 (干预臂).
- 该研究采用1型有效性-实施混合设计,在2,4和6个月进行6个月的后续评估.
主要成果:
- 研究活动于2021年9月开始,目前正在进行中.
- 机构审查委员会获得了宾夕法尼亚大学的批准 (协议号 849500).
- 参与者招聘于2022年10月14日启动.
结论:
- 这项研究代表了第一个专门针对EA-SGM自杀风险较高的人士的移动式干预措施之一.
- 该干预措施解决了关键的差距,重点关注所选择的家庭,生活过程的视角,基于网络的方法,健康公平以及对这一群体的相关服务.
- STARS干预旨在改善健康平等,并为性和性别少数群体青年提供基本服务.
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