直接或间接心理治疗后的自杀念头和自杀企图:系统性审查和元分析
Wouter van Ballegooijen1,2, Josine Rawee3, Christina Palantza4
1Department of Psychiatry and Amsterdam Public Health Research Institute, Amsterdam University Medical Center, Amsterdam, the Netherlands.
JAMA psychiatry
|September 25, 2024
概括
直接和间接的心理治疗都有效地减少了自杀念头和自杀企图. 间接治疗为那些犹不决寻求直接心理健康护理的人提供了一种有价值的方法.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 临床心理学 临床心理学
- 公共卫生 公共卫生
背景情况:
- 自杀念头和自杀企图是严重的心理健康问题.
- 心理治疗是一种常见的治疗方法,使用了直接和间接的方法.
- 以前的元分析没有全面研究直接和间接心理治疗对自杀念头和企图的影响.
研究的目的:
- 进行元分析,研究直接和间接心理治疗对自杀念头的影响大小.
- 确定直接和间接心理治疗对自杀企图发生率的影响.
主要方法:
- 在2023年4月1日之前,对多个数据库 (PubMed,Embase,PsycInfo,Web of Science,Scopus,Cochrane Central) 进行了系统的搜索.
- 包括任何心理健康问题的心理治疗随机临床试验,但不包括单项测量自杀念头的研究.
- 数据由两名独立研究人员提取,并使用三级元分析进行分析,Hedges g用于构想,RR用于尝试.
主要成果:
- 分析包括147项试验,其中有11001名参与者.
- 直接和间接的心理治疗都与自杀念头的显著减少有关 (直接:g = -0.39;间接:g = -0.30).
- 这两种方法也减少了自杀企图 (直接:RR = 0.72;间接:RR = 0.68),在直接和间接干预之间观察到类似的效果大小.
结论:
- 直接和间接的心理治疗在减少自杀念头和自杀企图方面表现出相似的有效性.
- 间接心理治疗提供了一个机会,可以接触到那些可能不会为自杀念头或自我伤害寻求直接治疗的个人.
- 研究结果支持在自杀预防策略中扩大间接干预措施的使用.
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