在自我伤害治疗干预后青少年的死亡率:系统性审查和元分析
Faraz Mughal1,2,3, Paul Young4, Daniel Stahl5
1School of Medicine, Keele University, Keele, UK.
JCPP advances
|April 14, 2025
概括
针对青少年自我伤害的治疗干预 (TI) 并没有显著影响死亡率. 然而,TI有效地减少了反复自我伤害和自杀企图,提供了巨大的好处.
科学领域:
- 青少年健康 青少年健康
- 心理健康干预措施 心理健康干预
- 公共卫生 公共卫生
背景情况:
- 青少年自我伤害是一个重大的国际关注.
- 已知治疗干预 (TI) 可以减少自我伤害的重复.
- 青少年死亡率上TI的影响仍未得到充分研究.
研究的目的:
- 研究治疗干预 (TI) 对青少年死亡率的影响.
- 评估TI对减少反复自我伤害和自杀企图的影响.
主要方法:
- 进行了随机对照试验 (RCT) 的系统审查和元分析.
- 搜索包括MEDLINE,EMBASE,PsycINFO和Cochrane图书馆,截至2024年6月.
- 来自24项涉及3470名青少年的试验的数据使用随机效应模型进行了分析.
主要成果:
- 治疗干预 (TI) 对试验内或试验后死亡率没有显著影响 (风险差异=0.002,p=0.42).
- TI显著减少了重复自我伤害 (风险差异 = -0.07,p=0.028).
- TI还显著减少了自杀企图 (风险差异 = -0.05,p=0.022).
结论:
- 治疗干预 (TI) 并没有显著影响青少年未来的死亡率.
- 试管婴儿在减少青少年自杀企图方面表现出有效性.
- 这些发现强调了TI对青少年,家庭和临床服务的好处.
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