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无家可归的年轻人使用物质预防自杀:随机对照试验的研究协议

Natasha Slesnick¹, Brittany Brakenhoff², Laura J Chavez^3,4

¹Department of Human Sciences, College of Education and Human Ecology, The Ohio State University, 1787 Neil Ave, Columbus, OH, 43210, USA. slesnick.5@osu.edu.

|March 9, 2024

概括

这项研究测试了用于预防自杀的认知疗法 (CTSP) 加上无家可归的青少年使用物质和自杀意图的通常服务 (SAU). 预计结果将显示CTSP+SAU比单独的SAU更能减少自杀念头和物质使用.

科学领域:

心理健康研究心理健康研究
临床心理学临床心理学
公共卫生干预公共卫生干预

背景情况:

经历无家可归 (YEH) 的年轻人面临自杀的高风险,这是该人口中死亡的主要原因.
尽管越来越多的研究,但对年轻人健康的有效预防自杀干预措施缺乏.
许多年轻人无法获得可用的支持服务,这凸显了对可访问干预措施的需求.

研究的目的:

为了确定年轻人的有效预防自杀干预措施,这些干预措施可以被社区服务机构轻松采用.
在YEH中直接解决自杀念头,而不是仅仅关注潜在的条件.
评估用于预防自杀的认知治疗 (CTSP) 结合常规服务 (SAU) 的有效性.

主要方法:

招募 300 年的年轻人最近使用物质和自杀念头或尝试从街头外展和一个下降中心.
随机分配参与者到CTSP + SAU (n=150) 或单独的SAU (n=150).
3,6,9和12个月的后续评估以衡量结果,调解者和调解者 (性别,种族,性取向,服务连接).
混合方法评估干预的可接受性,可行性,准确性和传播成本.

主要成果:

与SAU单独相比,CTSP+SAU组的自杀念头 (主要结果) 减少得更大.
预计CTSP+SAU组中物质使用和抑郁症状 (次要结果) 的显著减少.
在接受CTSP+SAU的年轻人中,预计自杀风险和保护因素的改善.

结论:

这项临床试验解决了高风险年轻人的自杀预防方面的关键差距.
这项研究旨在提供证据,以直接针对这一弱势群体的自杀念头进行干预.
调查结果将为为年轻人计划服务的社区机构制定和实施可扩展的自杀预防策略提供信息.

关键词:

随机对照试验是随机对照试验.使用物质使用物质.自杀预防自杀预防青年无家可归问题

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