用户报告的自杀预防网站上的变化机制:单臂实用试验
Martina Fruhbauerova1, David Huh2, Ursula Whiteside2,3
1Department of Psychology, University of Kentucky, Lexington, KY, United States.
JMIR formative research
|September 25, 2025
概括
通过提供分心,社交联系和学习机会,NowMattersNow.org有效地减少了自杀念头和负面情绪. 这些机制是其成功的关键,特别是对于寻求数字心理健康支持的弱势用户来说.
科学领域:
- 数字心理健康干预数字心理健康干预
- 辩证行为疗法 (DBT) 的应用.
- 自杀念头和情绪焦虑管理
背景情况:
- 数字平台为处于危机或资源有限的个人提供可访问的心理健康支持.
- 一个基于DBT的平台NowMattersNow.org在减少自杀念头和负面情绪方面表现出有效性.
- 了解驱动NowMattersNow.org有效性的特定机制对于优化其影响至关重要.
研究的目的:
- 在使用NowMattersNow.org.org后,调查用户报告的自杀念头和负面情绪减少的原因.
- 为了确定哪些报告的原因与精神困扰的更大或更小的改善相关.
- 检查这些变化和相关原因是否在不同的人口分组之间存在差异.
主要方法:
- 一个单臂实用试验,涉及3185名受访者,他们在NowMattersNow.org.org上完成了一项回顾性调查.
- 调查评估了自杀念头和情绪困扰的变化,帮助的原因和人口统计数据.
- 统计分析包括出于常见原因的交叉表格和对变化的意义进行纵向回归.
主要成果:
- 很大一部分用户 (72.5%有自杀念头,86.2%有负面情绪) 在网站参与后报告了改善.
- 帮助的首要原因是"我学到了一些东西" (21%),"它分散了我的注意力" (17.1%),以及"我感到不那么孤独" (13%).
- 这些原因在易受伤害的子组中也很突出;分散注意力和感到不那么孤独是那些减轻痛苦程度最大的人的关键.
结论:
- NowMattersNow.org作为一种可访问和可扩展的数字干预,用于减少自杀念头和情绪困扰.
- 促进社交联系,提供分心和提供教育内容是其有效性的关键组成部分.
- 基于网络的自助工具,如NowMattersNow.org,显示了急性精神困扰的短期管理的希望.
关键词:
行为治疗是一种行为疗法.危机干预 危机干预 干预辩证行为疗法是一种辩证行为疗法.数字可访问性 互联网上的数字可访问性数字心理健康数字心理健康寻求帮助的行为.自杀 自杀 自杀 自杀 自杀 自杀 自杀自杀预防 自杀预防基于网络的干预措施.更多相关视频
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