在智利,Reframe-IT+是一种预示性预防性学校干预措施,可降低智利脆弱环境中青少年的自杀念头
Daniel Nuñez1,2,3, Daniela Meza1,2, Javiera Andaur1
1Faculty of Psychology, Universidad de Talca, Talca, Chile.
BMC psychology
|December 24, 2024
概括
这项研究表明,混合干预显著减少了拉丁美洲青少年的自杀念头和改善了他们的心理健康. 根据Reframe-IT+计划,有效提高了解决问题的技能,这是预防自杀倾向的关键因素.
科学领域:
- 心理健康研究 心理健康研究
- 青少年心理学 青少年心理学
- 公共卫生干预 公共卫生干预
背景情况:
- 基于学校的自杀预防计划是有效的.
- 混合数字和面对面的干预表明有希望.
- 在拉丁美洲,有限的心理健康支持需要新的战略.
研究的目的:
- 为了测试Reframe-IT +的有效性,一种混合认知行为干预,在拉丁美洲青少年中减少自杀念头.
- 评估干预对抑郁症状,焦虑,绝望和情绪调节的影响.
主要方法:
- 一个集群随机对照试验 (RCT),涉及21所学校的中学学生 (9-11年级).
- 干预组接受了Reframe-IT+ (8个基于互联网的,5个面对面的会议).
- 使用多级回归模型评估结果的治疗意图分析.
主要成果:
- 在干预组中观察到自杀念头,抑郁和焦虑症状以及绝望的显著减少.
- 在解决问题的技能,行为激活和认知重新评估方面注意到了改进.
- 解决问题的技能被确定为干预对自杀念头的影响的重要调解者.
结论:
- 这是拉丁美洲首个集群RCT评估学校自杀预防混合干预措施.
- 研究结果支持Reframe-IT+作为一种有效的干预措施,用于减少青少年的自杀念头和改善青少年的心理健康.
- 结果为决策者提供了考虑扩大这一干预措施对关键公共卫生问题的基础.
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