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预防自杀的守门员培训:随机对照试验的系统审查和元分析

Hui Liu^1,2, Chaohui Zheng³, Yu Cao^1,2

¹Department of Epidemiology and Health Statistics, School of Public Health, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi Province, China.

BMC public health

|April 1, 2025

概括

守门员培训 (GKT) 提高了自杀预防知识和自我效能. 虽然长期影响会减少,但在线GKT显示出广泛实施的希望.

科学领域:

心理健康心理健康
公共卫生公共卫生
心理学心理学心理学

背景情况:

守门员培训 (GKT) 旨在提高自杀风险评估和推技能.
之前对GKT的随机对照试验 (RCT) 已经产生了不确定的结果.
这一元分析综合了RCT证据,为有效的自杀预防策略提供信息.

研究的目的:

系统评估守门员培训 (GKT) 在预防自杀方面的有效性.
评估GKT对自杀知识,自我效能和准备能力的影响.
为了比较在线与离线GKT交付模式的有效性.

主要方法:

在2000年至2024年期间发表的RCT多个数据库中的系统文献搜索.
使用Cochrane工具进行独立研究选,数据提取和偏差风险评估.
用随机效应模型对16项研究进行元分析,计算标准化平均差异 (SMD) 和置信区间.

主要成果:

GKT显著提高了自杀知识 (SMD=0.72) 和自我效能 (SMD=0.73).
短期内,知识的提高持续,但长期下降 (SMD=0.25).
在线GKT显著提高了自我效能 (SMD=1.02);准备也显著改善 (SMD=0.69).

结论:

GKT有效地提高了预防自杀的知识和自我效能,尽管效果随着时间的推移而减弱.
在线GKT为广泛的自杀预防工作提供了可行和有效的选择.
仔细选择守门员对于最大限度地发挥在线GKT课程的影响至关重要.

关键词:

守门员培训守门员培训进行元分析分析.随机对照试验是随机对照试验.自杀预防自杀预防系统性审查系统性审查

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