比较危机应对计划和自我管理安全计划在现实生活中对关键临床结果的影响
Melanie Bozzay1, Xiaoxuan Cai2, Jiaxin Chen2
1Department of Psychiatry and Behavioral Health, The Ohio State University Wexner Medical Center, Columbus, OH, USA.
Suicide & life-threatening behavior
|September 12, 2025
概括
临床医生指导的危机应对计划 (CRP) 在减少自杀念头和增加积极影响方面比自我指导的安全计划 (SP) 更有效.
科学领域:
- 临床心理学 临床心理学
- 心理健康干预 心理健康干预
- 自杀学是一种自杀学.
背景情况:
- 当临床医生无法立即干预时,可能会发生自杀危机.
- 安全规划干预措施,如危机响应计划 (CRP) 和自导安全计划 (SP),为个人提供管理自杀风险的技能.
- 在创建过程中,CRP和SP有所不同,这影响了它们的有效性.
研究的目的:
- 检查安全计划的类型 (CRP与SP) 是否适度了计划使用频率和自杀想法和影响之间的关系.
- 为了比较临床医生指导与自我指导的安全计划在管理自杀风险方面的有效性.
主要方法:
- 一项涉及115名军人随机临床试验比较了CRP和自导SP.
- 参与者完成了一个生态瞬间评估电池.
- 一般化的线性混合效应模型分析了计划类型对日常计划使用和临床结果的缓解效应.
主要成果:
- 治疗组显著缓解了计划使用频率和自杀念头之间的关联.
- 与SP相比,使用计划的频率增加与自杀念头减少以及CRP的积极影响增加相关.
- 这些发现表明基于计划指导的差异性有效性.
结论:
- 更频繁地使用临床医生指导的危机响应计划 (CRP) 与较低的自杀念头和更大的积极影响有关.
- 这种增强的疗效可能源于CRP固有的临床指导.
- 这些发现强调了临床医生参与预防自杀的安全规划干预措施的重要性.
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