青少年自杀企图和自我伤害的复发 (RASS研究):单个治疗项目的有效性
Yoichi T Konno1, Gerardo Md Araújo Filho1, José Robson Sr Almeida1
1Department of Psychiatry and Neurology, Faculdade de Medicina de Sao Jose do Rio Preto, Sao Jose do Rio Preto, Brazil.
Clinical child psychology and psychiatry
|November 6, 2023
概括
单一治疗项目 (STP) 有效地减少了青少年的自我伤害和自杀企图. 坚持家庭干预和社会服务改善了结果,而家庭/朋友自我伤害和歧视增加了风险.
科学领域:
- 儿童和青少年精神病学 儿童和青少年精神病学
- 心理健康服务研究 心理健康服务研究
- 公共卫生 公共卫生
背景情况:
- 青少年自我伤害和自杀企图 (SA) 构成了重大的公共卫生挑战.
- 有效的干预措施对于防止脆弱年轻人复发至关重要.
- 为了满足这些需求,实施了单一治疗项目 (STP).
研究的目的:
- 评估Singular Therapeutic Project (STP) 在预防青少年反复自我伤害和自杀企图 (SA) 的有效性.
- 为了比较遵守STP的青少年与不遵守STP的青少年之间的结果.
- 确定与降低复发风险相关的因素.
主要方法:
- 回顾性队列研究分析了2015-2019年228名青少年的医疗记录.
- 主要结局:SA复发,自我伤害和住院治疗.
- 二次结果:人口统计,诊断,约会遵守,和负面的生活事件.
主要成果:
- 社会服务咨询与94.6%的风险降低有关.
- 坚持家庭干预措施将SA风险降低了66.2%.
- 家庭/朋友自我伤害事件的风险增加了23倍;歧视 (偏见,种族主义,同性恋恐惧症,跨性别恐惧症) 的风险增加了3.7倍.
结论:
- STP干预措施在减少青少年自我伤害和自杀企图的复发方面表现出有效性.
- 包括社会服务和家庭支持在内的有针对性的干预措施至关重要.
- 解决歧视等不利的社会决定因素对于预防至关重要.
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