为预防自杀而采取的数字干预措施
Sean K Burr1, Miao Yu2, Danny Clark3
1Graduate College of Social Work, University of Houston, Houston, TX, USA.
Crisis
|April 4, 2025
概括
数字干预在减少自杀念头方面显示出小但显著的效果. 这些移动健康工具对于成年人来说是有效的,特别是与等候名单控制相比,为预防自杀提供了有希望的途径.
科学领域:
- 数字健康数字健康
- 自杀学是一种自杀学.
- 心理健康干预 心理健康干预
背景情况:
- 基于数字的移动干预措施对预防自杀充满希望,有可能克服成本和耻辱等障碍.
- 关于数字自杀干预措施有效性的现有证据是混合的,但表明潜在的好处.
研究的目的:
- 为了确定数字干预对自杀想法和行为的有效性.
- 分析年龄,性别和对照组类型对干预结果的影响.
主要方法:
- 在2022年1月1日之前发布的数字自杀干预 (应用程序/在线程序) 随机对照试验 (RCT) 的系统审查.
- 在 Stata 17 中使用随机效应模型进行数据分析.
- 进行了子组分析,以探索不同的人口统计和控制类型之间的影响.
主要成果:
- 发现数字干预对减少自杀念头产生了小但显著的整体效应 (g = 0.11,p = .049).
- 干预措施在成年人中显著有效 (g = 0.15,p = .01),但未在青少年中有效.
- 与等候名单对照 (g = 0.28) 相比,数字干预显示出比通常治疗或主动对照更大的效果.
结论:
- 数字干预措施在减少自杀念头方面表现出显著的影响.
- 在各个子组中,有效性各不相同,在成年人中观察到显著的影响.
- 由于研究的局限性,需要进一步的研究来检查性别和自杀行为的有效性.
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