布拉瓦:对有自杀念头的青少年及其照顾者进行简短小组干预的随机对照试验
Allison Kennedy1,2, Clare Gray1,2,3, Nicole Sheridan2
1Children's Hospital of Eastern Ontario (CHEO), 401 Smyth Road, Ottawa, ON, K1H 8L1, Canada.
Child and adolescent psychiatry and mental health
|July 16, 2025
概括
易受伤害的青少年 (BRAVA) 干预措施显著改善了自杀念头的青少年的焦虑,抑郁和压力. 护理人员的结果显示了改善的趋势,所有参与者都报告了高满意度.
科学领域:
- 心理健康 心理健康
- 青少年心理学 青少年心理学
- 临床心理学 临床心理学
背景情况:
- 自杀是加拿大青年死亡的主要原因.
- 增加心理健康支持等待时间不成比例地影响轻度至中度自杀念头 (SI) 的青少年.
- 易受伤害的青少年 (BRAVA) 项目是为期6周的虚拟小组干预,针对轻度至中度SI的青少年及其照顾者.
研究的目的:
- 评估BRAVA干预措施在减少青少年的SI,抑郁和焦虑方面的有效性.
- 评估BRAVA对护理人员感知压力的影响.
- 在一项随机对照试验中,将BRAVA与常规增强治疗 (ETU) 进行比较.
主要方法:
- 一项随机对照试验,涉及99名轻度至中度SI的青少年及其照顾者.
- 参与者被随机分配到BRAVA或ETU.
- 结果措施包括SI (初级),焦虑,抑郁,感知压力,依恋和家庭功能,在入学,退学和3个月后续评估 (仅BRAVA).
主要成果:
- 在BRAVA和ETU组中,青少年的SI从摄入到退出都有所改善,在意向治疗 (ITT) 分析中,退出时没有显著差异.
- 敏感性分析显示,在退出时,BRAVA组的SI得分有显著的改善,在3个月的随访中保持.
- 与ETU组相比,BRAVA参与者在焦虑,抑郁和感知压力方面的改善明显更大;照顾者结果显示压力改善的趋势.
结论:
- 布拉瓦干预措施对青少年的焦虑,抑郁和感知压力有显著的益处.
- 虽然护理人员的结果没有达到统计学意义,但青少年和护理人员的群体凝聚力和治疗满意度都很高.
- 布拉瓦为经历轻度至中度自杀念头的青少年提供了一个有前途的虚拟小组干预.
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