预防监狱自杀的心理治疗:随机对照试验的研究协议
Daniel Pratt1,2,3, Tim Kirkpatrick4,5, Yvonne Awenat4,5,6
1School of Health Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK. daniel.pratt@manchester.ac.uk.
BMC psychiatry
|December 18, 2024
概括
这项研究评估了一种针对自杀性男性囚犯的新型心理治疗方法. 它旨在确定认知行为自杀预防 (CBSP) 是否在临床和成本效益上有效,为减少监狱自杀提供了潜在的解决方案.
科学领域:
- 精神病学是一个精神病学.
- 犯罪学 犯罪学
- 公共卫生 公共卫生
背景情况:
- 自杀是监狱中主要可预防的死亡原因,其死亡率明显高于普通人群.
- 对于被监禁的人来说,获得基于证据的心理干预措施以预防自杀是有限的.
- 这项研究解决了在惩戒设施内有效的心理健康支持的关键需求.
研究的目的:
- 调查一项针对有自杀风险的男性囚犯的新型心理治疗计划的临床和成本效益.
- 评估认知行为自杀预防 (CBSP) 对监狱环境中的自杀想法和行为的影响.
- 制定一项实施战略,在更广泛的监狱系统中实施这一干预措施.
主要方法:
- 一项实用,随机对照试验 (PROSPECT) 涉及4个监狱的360名男性囚犯.
- 参与者被随机分配到接受认知行为自杀预防 (CBSP) 加上通常的治疗,或仅接受通常的治疗.
- 在基线和6个月后期评估的共同初级结果 (自杀念头,自杀行为) 和二级结果;包括嵌套的定性过程评估.
主要成果:
- 目前正在进行的PROSPECT试验的结果正在等待.
- 该研究旨在提供关于CBSP在监狱环境中的有效性和经济可行性的可靠数据.
- 定性数据将提供有关在惩教设施内实践实施治疗的见解.
结论:
- 该试验将确定为自杀囚犯提供心理治疗是否具有临床效果和成本效益.
- 主要成果将包括证据证明CBSP的有效性,以及一个更广泛实施的平台.
- 这些发现旨在为全国各地的惩戒机构内的自杀预防策略提供信息.
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