频繁评估对自杀念头严重性的影响:一项生态瞬间评估研究
Tengwei Chen1, Lu Niu1, Jiaxin Zhu1
1Department of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha, China.
Frontiers in public health
|June 3, 2024
概括
对自杀念头的重复生态瞬间评估 (EMA) 并没有伤害参与者. 自杀念头随着时间的推移而减少,尽管个体反应各不相同,这表明未来研究需要个性化方法.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 数字健康数字健康
背景情况:
- 生态瞬间评估 (EMA) 越来越多地用于研究自杀思想和行为 (STB).
- 人们担心频繁的STB评估对参与者的潜在不利影响.
研究的目的:
- 为了调查频繁,基于智能手机的EMA对青少年和年轻成年人情绪障碍门诊患者自杀思想的影响.
- 评估是否反复评估自杀念头是阳性产生的.
主要方法:
- 基于智能手机的EMA每天三次从83名情绪障碍的门诊患者 (年龄13到35岁) 收集了关于自杀想法的数据.
- 贝叶斯的多层次模型分析了自杀想法在几天内和几天内发生的变化.
- 分析了来自3,105项调查的数据,平均时间为14天.
主要成果:
- 自杀想法在监测期间显著减少.
- 自杀念头的减少在个体之间有所不同,这表明参与者的反应异质.
- 从重复评估中没有发现有阳性催化剂效应的证据.
结论:
- 经常出现自杀念头的EMA在这个人群中似乎不是阳性.
- 未来的研究应该探索个体差异,并采用更大的样本大小,以进一步了解评估影响.
- 个性化监测策略对于那些有自杀想法的人来说可能是有益的.
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