远程医疗 预防自杀的简要认知行为疗法:一项随机临床试验
Justin C Baker1, Austin Starkey2, Ennio Ammendola1
1Department of Psychiatry and Behavioral Health, The Ohio State University Wexner Medical Center, Columbus.
JAMA network open
|November 12, 2024
概括
通过远程医疗提供简短的认知行为疗法 (BCBT) 有效地减少了高风险成年人的自杀企图. 这种基于证据的治疗方法显示,与以现在为中心的治疗相比,自杀企图的风险减少了41%.
科学领域:
- 精神病学和行为健康
- 临床心理学 临床心理学
- 远程医疗研究 远程医疗研究
背景情况:
- 美国的自杀率正在上升,需要有效的治疗.
- 通过远程医疗的基于证据的自杀风险治疗的疗效在很大程度上是未知的.
研究的目的:
- 评估通过远程医疗提供简短的认知行为疗法 (BCBT) 的有效性,以减少高风险成年人的自杀企图和自杀想法.
主要方法:
- 一项并行的随机临床试验将BCBT与98名高风险成年人的以现在为中心的治疗 (PCT) 进行了比较.
- 参与者通过视频远程医疗接受治疗,随访1年.
- 结果包括自杀企图和自杀思想的严重程度.
主要成果:
- 接受BCBT的参与者与PCT (每位参与者1.40) 相比,自杀企图显著减少 (每位参与者0.70).
- BCBT与41%的自杀企图风险降低有关 (HR,0.59;P=.03).
- 在两组中,自杀念头减少,但在治疗之间没有显著差异.
结论:
- 通过视频远程医疗提供的简短认知行为疗法 (BCBT) 有效地减少了最近有自杀想法或行为的成年人中自杀企图.
- 远程医疗提供BCBT为临床环境中预防自杀提供了可行的选择.
更多相关视频
相关概念视频
Electroconvulsive Therapy
25
Electroconvulsive therapy (ECT), or shock therapy, remains a critical biomedical intervention for severe, treatment-resistant depression. While its origins can be traced back to Hippocrates' observations that malaria-induced convulsions alleviated mental illness, modern ECT has evolved significantly from its earlier, more primitive applications. First introduced in 1938 by Ugo Cerletti and his colleagues, ECT involves inducing controlled seizures using electrical currents. In its early...
25
Cognitive Therapy
145
Cognitive therapy, pioneered by Aaron T. Beck in the 1960s, is a structured approach to addressing psychological distress by focusing on the influence of thoughts on emotions and behaviors. All cognitive therapies involve the basic assumption that human beings have control over their feelings, and that how individuals feel about something depends on how they think about it. Unlike psychoanalytic methods that delve into unconscious processes or humanistic approaches emphasizing...
145
Community Based Intervention
34
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
34
Rational Emotive Behavior Therapy
43
Cognitive-behavioral therapies (CBTs) are grounded in the belief that our thoughts profoundly influence our emotions and actions. Advocates of CBT emphasize three core assumptions: first, that cognitions are identifiable and measurable; second, that they are central to psychological functioning; and third, that irrational or maladaptive beliefs can be replaced with rational and adaptive ones. This transformative approach to therapy has paved the way for specific models such as Albert...
43


