自杀未遂短期干预计划 (ASSIP) 的随机对照试验:一个独立的非复制性研究
Anna Monn1, Tania Villar de Araujo1, Annia Rüesch1
1Department of Adult Psychiatry and Psychotherapy, University Hospital of Psychiatry and University of Zurich, Zurich, Switzerland.
Journal of affective disorders
|April 6, 2025
概括
这项研究发现,自杀未遂短期干预计划 (ASSIP) 并没有减少最近试图自杀的患者的自杀行为. 需要进一步的研究来改进这种危机干预策略.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 公共卫生 公共卫生
背景情况:
- 复制研究对于预防自杀的研究至关重要.
- 自杀未遂短期干预计划 (ASSIP) 是针对最近自杀未遂的患者的短期干预计划.
- 以前的研究表明,ASSIP在减少自杀行为的有效性.
研究的目的:
- 重新评估ASSIP在添加到通常治疗 (TAU) 时在减少重复自杀行为的有效性.
- 根据在危机干预中严格研究实践的呼吁,进行复制研究.
主要方法:
- 这是一项开放的,随机的,受控的平行组试验,涉及92名近期自杀未遂的患者.
- 患者被分配到TAU或TAU加ASSIP.
- 主要结局是12个月的自杀行为 (尝试,死亡);次要结局包括重复尝试和精神病医院的入院.
主要成果:
- 在治疗意图分析中,ASSIP并没有显著减少自杀行为或精神病医院入院.
- 在ASSIP和对照组中发生了一起自杀死亡.
- 一项针对每项协议的分析显示,ASSIP组中自杀再尝试的发病率惊人地更高.
结论:
- 这项非复制性研究表明,与TAU相结合的ASSIP与单独的TAU相比,并没有显著减少自杀行为.
- 这些发现与之前的积极结果相矛盾,强调需要进一步调查.
- 需要进行额外的研究来完善ASSIP的适用性,并提高其在预防自杀方面的有效性.
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