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基于理论的简短在线干预的随机对照试验,以减少自我伤害

Chris Keyworth¹, Jessica Z Leather^2,3, Leah Quinlivan²

¹School of Psychology, University of Leeds, UK.

|March 19, 2025

概括

使用"如果"计划的在线干预并没有显著减少有过自伤史的成年人自我伤害或自杀想法. 需要进一步的研究来改善社区自伤预防的简短干预措施.

科学领域:

心理学心理学心理学
公共卫生公共卫生
数字健康数字健康

背景情况:

形成"如果"计划是减少住院患者自我伤害的既定方法.
在更广泛的社区环境中,有很大需要评估数字干预措施来预防自我伤害.

研究的目的:

为了确定在线"如果"计划干预是否可以在一个具有自我伤害史的大型社区成年人样本中预防未来的自我伤害.
评估干预对非自杀性自伤 (NSSI),自杀意念和自杀企图的影响.

主要方法:

一个随机对照试验,涉及1040名英国成年人,将自我伤害减少干预与久坐控制干预进行比较.
参与者被分层,以确保人口代表性,结果在基线和6个月后被评估.
主要结局包括NSSI,自杀念头和自杀企图.

主要成果:

在线干预并没有显著降低NSSI,自杀念头或自杀企图的频率.
虽然大多数参与者形成了实施意图,但干预措施的有效性有限.
在反思动机方面发现了显著的相互作用,随访时对照组的水平较低.

结论:

基于网络的干预对减少自我报告的自我伤害或自杀念头在有自我伤害史的成年人中具有有限的效用.
需要进一步的研究来提高简短的,基于社区的自我伤害干预措施的有效性.
了解影响干预有效性的特定条件对于未来的发展至关重要.

关键词:

实施意图实施意图随机对照试验是一种随机对照试验.自己伤害的自我伤害.自杀自杀自杀自杀自杀自杀自杀有意的帮助表.

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