自杀青少年的动态解构心理治疗:门诊诊所常规护理的有效性
Rebecca J Shields1, Jessica P Helfrich1, Robert J Gregory1
1Department of Psychiatry and Behavioral Sciences, SUNY Upstate Medical University, Syracuse, NY 13210, USA.
概括
动态解构性心理治疗 (DDP) 显著减少了青少年的自杀念头. 这种方法可能为青少年自杀风险提供一个具有成本效益的治疗方法.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 青少年心理健康 青少年心理健康
背景情况:
- 青少年的自杀行为和服务需求正在上升.
- 目前的治疗方法往往侧重于症状管理,而不是潜在的脆弱性.
- 动态解构性心理治疗 (DDP) 对有自杀倾向的成年人来说是有前途的,但缺乏青少年研究.
研究的目的:
- 评估DDP对自杀青少年的实际有效性.
- 评估自杀念头和其他风险因素的变化.
- 探索DDP对治疗完成和医疗保健利用的影响.
主要方法:
- 一项针对65名自杀青少年 (年龄在13-17岁) 的研究,这些青少年在门诊环境中每周接受DDP治疗.
- 主要结局:使用哥伦比亚自杀严重性评级表,在6个月内自杀念头的变化.
- 二次结果:自杀企图,自我伤害,抑郁,焦虑,残疾,自我同情和住院使用.
主要成果:
- 在6个月内,自杀念头显著减少 (大效果大小,d = 1.19).
- 在二次措施中观察到显著的改善,包括自杀企图,自我伤害,抑郁,焦虑和残疾.
- 完成≥6个月DDP的青少年显示自杀企图下降了84%.
结论:
- DDP似乎有效地减少青少年的自杀念头和相关风险因素.
- 该疗法可能会减少住院患者的利用,这表明潜在的成本效益.
- 需要进一步的研究来探索DDP对这一群体的治疗潜力.
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