青少年自杀预防计划的有效性和计划的社会文化适应:系统性审查
Rita Pokharel Poudel1,2, Sheeja Perumbil Pathrose1, Diana Jefferies1
1School of Nursing and Midwifery, Western Sydney University, Penrith, New South Wales, Australia.
International journal of mental health nursing
|April 10, 2025
概括
基于学校的自杀预防计划在青少年中显示出有效性. 然而,来自低收入国家有限的研究和不一致的计划细节阻碍了关于有效性的广泛结论.
科学领域:
- 公共卫生 公共卫生
- 青少年心理学 青少年心理学
- 教育干预教育干预
背景情况:
- 自杀是青少年死亡的一个重要原因.
- 基于学校的计划提供了一种可行的方法来预防年轻人的自杀.
研究的目的:
- 审查现有的青少年自杀预防计划.
- 评估它们的实施背景和对自杀行为,寻求帮助,知识,态度和应对技能的影响.
主要方法:
- 系统审查2023年9月之前发表的研究,遵守PRISMA指南.
- 包括在医疗保健机构之外的青少年的研究,不包括那些有先前精神健康状况或特定的人口群体的青少年.
- 使用乔安娜·布里格斯研究所工具进行质量评估.
主要成果:
- 包括53项研究,利用41个不同的自杀预防计划.
- 大多数研究 (64.2%) 来自美国;只有三项提到程序上下文化.
- 所有测量自杀行为,寻求帮助,知识,态度和应对能力的研究都报告了计划的有效性,尽管细节往往缺乏.
结论:
- 虽然现有的以学校为基础的课程证明了有效性,但研究设计和课程交付的异质性使总体结论复杂化.
- 在低收入和中等收入国家的研究以及详细报告计划上下文化方面存在重大差距.
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