推进青少年自杀干预策略 (ASSIST):为多站点随机对照试验的研究协议
Molly Adrian1, Elizabeth McCauley2, Robert Gallop3
1University of Washington, Seattle, Washington, USA adriam@uw.edu.
BMJ open
|December 12, 2023
概括
本研究评估了简短的干预措施,安全规划干预与结构化后续 (SPI+) 和自杀倾向协作评估和管理 (CAMS),以减少急性护理后青少年的自杀风险. 结果将为青少年自杀倾向的有效治疗策略提供信息.
科学领域:
- 心理健康 心理健康
- 临床心理学 临床心理学
- 青少年精神病学 青少年精神病学
背景情况:
- 经历急性自杀倾向的年轻人需要在过渡到门诊护理期间进行有效的干预.
- 目前的治疗方法缺乏足够的证据来降低这一弱势群体的自杀风险.
- 需要基于证据的策略来管理和治疗青少年自杀行为驱动因素.
研究的目的:
- 为了比较安全规划干预与结构化后续 (SPI+) 和自杀倾向协作评估和管理 (CAMS) 与增强常规护理的有效性.
- 评估SPI+和CAMS对青少年自杀事件,自杀企图和自杀思想严重性的影响.
- 探索影响青少年自杀倾向治疗结果的机制和调节者.
主要方法:
- 一个三臂随机对照试验设计.
- 参与者将在约8周内接受多达8次SPI+或CAMS课程.
- 主要结局:自杀事件 (死亡,尝试,准备行为或导致紧急评估/入院的想法). 二次结果:自杀企图的数量和自杀思想的严重程度.
主要成果:
- 当研究完成并可获得结果后,该部分应填写.
- 该研究旨在提供有关干预措施比较有效性的可靠数据.
- 预期的结果将指导临床实践和青少年心理健康政策.
结论:
- 这项试验将为SPI+和CAMS对自杀风险高的青少年的有效性提供关键证据.
- 调查结果将为制定管理青少年自杀倾向急性护理后的最佳实践提供信息.
- 这项研究旨在改善患者的治疗结果,并减少年轻人的自杀行为负担.
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