对最近自杀未遂的青少年进行简短心理干预的有效性:一项随机临床试验
Ainoa García-Fernández1,2,3,4, Manuel Couce-Sánchez1,2,3,5,4, Jorge Andreo-Jover6
1Department of Psychiatry, Universidad de Oviedo, Oviedo, Spain.
概括
心理健康自我意识 (SAM) 计划与单独的通常治疗相比,并没有显著减少青少年的再次自杀企图. 然而,这项研究确定了影响青少年自杀风险的关键心理因素.
科学领域:
- 精神病学是一个精神病学.
- 青少年健康 青少年健康
- 临床心理学 临床心理学
背景情况:
- 青少年在住院后面临高的自杀再尝试率.
- 对这一群体的基于证据的干预措施是有限的.
- 这项研究研究了一种针对有风险的年轻人的新型干预措施.
研究的目的:
- 为了评估心理健康自我意识 (SAM) 计划与通常治疗 (TAU) 相结合的疗效,与单独的TAU相比.
- 为了减少高风险青少年再次尝试自杀.
- 为了确定再次自杀企图的风险和保护因素.
主要方法:
- 一项随机临床试验,涉及9家西班牙医院的261名青少年 (12-17岁).
- 参与者被分配到SAM + TAU或TAU单独.
- 在12个月的随访期间,评估了自杀的重复尝试和重复尝试的时间.
主要成果:
- 没有发现重复自杀率 (22.6%的SAM与27.8%的TAU) 或重复自杀的时间有显著差异.
- 在SAM组中,注意力冲动是一种危险因素,而非计划冲动是一种保护因素.
- 在TAU组中,自杀意图和之前的尝试增加了风险;较少的精神病诊断具有保护性.
结论:
- 与单独TAU相比,SAM计划并没有显著减少青少年再次尝试自杀的情况.
- 该研究强调了冲动性等心理因素对自杀风险的影响.
- 研究结果表明,可以为青少年预防自杀制定有针对性的干预措施.
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