预防儿童和青少年自杀的安全规划干预措施:系统审查和元分析
Carly Albaum1,2, Samantha H Irwin2, Jessica Muha2
1Centre for Addiction and Mental Health, Toronto, Ontario, Canada.
JAMA pediatrics
|May 19, 2025
概括
安全规划干预措施显示,与青少年自杀念头或行为减少没有显著的关联. 需要更多的研究来证实青少年预防自杀的有效性.
科学领域:
- 青少年心理健康 青少年心理健康
- 自杀学是一种自杀学.
- 干预科学科学干预科学
背景情况:
- 自杀念头和行为是青少年的重大问题.
- 安全规划干预措施对于成年人来说是基于证据的,但它们对青少年的有效性是未知的.
研究的目的:
- 评估安全规划作为一个独立的干预,青少年遇到自杀思想或行为.
主要方法:
- 2008年至2024年间发表的研究的系统审查和元分析.
- 包括对青少年安全规划的同行评审研究,评估自杀想法,行为或医疗保健再介绍.
- 使用了元分析随机效应模型;评估了偏差风险.
主要成果:
- 十项研究 (1002名青少年) 符合纳入标准;5项研究进行了元分析 (n=619).
- 在安全规划和减少自杀思想,行为,尝试或重新呈现之间没有发现显著的关联.
- 大多数研究都有中等到高的偏差风险.
结论:
- 目前的研究表明,安全规划作为一个独立的干预措施,并不能显著减少青少年的自杀相关结果.
- 需要进一步的高质量,强大的研究来确定安全规划在青少年自杀预防中的作用.
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