自杀性住院患者的简短认知行为疗法:一项随机临床试验
Gretchen J Diefenbach1,2, Kayla A Lord1, Jessica Stubbing1,3
1Anxiety Disorders Center, The Institute of Living, Hartford, Connecticut.
JAMA psychiatry
|September 11, 2024
概括
在没有物质使用障碍的患者中,住院患者的简短认知行为疗法显著减少了60%的自杀企图和71%的精神病再入院.
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
- 公共卫生 公共卫生
背景情况:
- 在住院护理后,自杀风险仍然很高.
- 在住院期间需要基于证据的自杀预防策略.
研究的目的:
- 评估住院短期认知行为疗法 (iBCBT) 预防自杀的有效性.
- 确定iBCBT是否可以减少出院后的自杀企图,自杀念头和精神病医院再入院.
- 调查物质使用障碍是否会缓和治疗效果.
主要方法:
- 一个随机临床试验,比较常规治疗 (TAU) 与TAU加iBCBT.
- 纳入标准:因自杀危机而入院的住院患者.
- 后续评估每月进行一次,在下放后的6个月内进行.
主要成果:
- 在出院后的6个月内,iBCBT将自杀企图减少了60%.
- 在没有物质使用障碍的患者中,iBCBT减少了71%的精神病再入院.
- 对自杀念头的影响不太清楚,有迹象表明iBCBT后的严重程度降低.
结论:
- 住院简短的认知行为疗法在减少自杀再尝试和再接收方面是有效的.
- 药物使用障碍影响治疗的有效性,对于再接收率.
- 需要进一步的研究来优化iBCBT对有物质使用障碍的个人以及更广泛的实施.
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