基于社区的心理健康干预措施,以减少青少年的自杀想法和行为:系统性审查和元分析
Lulu Barker1,2, Samantha Sijing Wang1, Md Nazmul Huda1,3,2
1Discipline of Psychiatry and Mental Health, School of Clinical Medicine, University of New South Wales, Sydney, NSW, 2052, Australia.
BMC psychiatry
|October 31, 2025
概括
基于社区的心理健康计划显著减少了儿童和年轻人的自杀想法和自杀企图. 需要进一步的研究来证实对非自杀性自伤和自杀计划的有效性.
科学领域:
- 儿童和青少年心理健康
- 公共卫生 公共卫生
- 精神病学是一个精神病学.
背景情况:
- 全球儿童和青少年自杀思想和行为 (STB) 和非自杀自我伤害 (NSSI) 的增加.
- 基于社区的心理健康干预提供了可访问的支持,但对CYP有效性的证据有限.
- 本综述综合了针对CYP (18岁以下) 的社区计划的证据,以减少STB和NSSI.
研究的目的:
- 评估社区精神卫生计划在减少CYP中的STB和NSSI方面的有效性.
- 提供现有证据的最新综合.
主要方法:
- 对受控试验的系统审查和元分析.
- 搜索了四个数据库 (PsycINFO,EMBASE,PubMed,CINAHL) 和谷歌学者 (2013年10月 - 2024年6月) 的数据库.
- 包括社区环境中对CYP (平均年龄<18) 的研究,重点关注STB或NSSI结果.
主要成果:
- 13项研究符合纳入标准,涵盖了12个国家的不同类型的项目.
- 分析显示,自杀念头 (OR=0.57) 和自杀企图 (OR=0.43) 的显著减少.
- 对于NSSI和自杀计划的有效性是不确定的,因为数据有限和异质性.
结论:
- 基于社区的干预措施有效地减少了自杀念头和CYP的尝试.
- 对NSSI和自杀计划的有效性需要进一步调查.
- 支持将社区自杀预防纳入国家战略;呼吁进行严格,长期,文化包容性的研究.
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