针对自杀想法进行简短数字干预的微随机试点试验
Kate H Bentley1, Molly I Ball2, Swaraj Bose3
1Massachusetts General Hospital, Center for Precision Psychiatry, Department of Psychiatry.
Journal of consulting and clinical psychology
|October 23, 2025
概括
这项试点研究表明,数字干预是可行的,可以帮助个人使用应对自杀念头的应对策略. 在精神病医院住院后,个性化的信息更有效地促进了策略的使用.
科学领域:
- 精神病学和行为健康
- 数字健康干预措施 数字健康干预措施
- 自杀预防研究研究 自杀预防研究
背景情况:
- 在精神病医院住院后的自杀想法构成重大风险.
- 有效的即时应对策略对于预防自杀至关重要.
- 数字干预提供了一种可扩展的方法,以支持个人放弃后.
研究的目的:
- 试验一项微型随机试验,评估一个简短的数字干预.
- 评估促进应对策略使用的可行性和可接受性.
- 检查即时数字支持对自杀思想的有效性.
主要方法:
- 一项试点微随机试验,涉及71名最近因自杀风险住院的成年人.
- 生态瞬间评估 (EMA) 收集了自杀念头的实时数据,用于退院后28天.
- 报告自杀冲动的参与者被随机分配到通过智能手机接收个性化或一般的应对策略信息,或没有消息的控制.
主要成果:
- 发现数字干预是可行的,对参与者来说是可以接受的.
- 个性化信息比一般信息更受欢迎,并且显示出更强烈的效果.
- 收到干预信息的参与者更有可能使用应对策略来应对自杀想法,没有观察到任何阳效应.
结论:
- 这项试点微型随机试验证明了数字干预的可行性和可接受性,用于在自杀想法期间即时应对.
- 这些发现支持开发适应性干预措施,以预防自杀.
- 结果为设计更大的微随机试验提供了信息,以优化数字自杀预防工具.
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