基于互联网的干预措施降低自杀念头的有效性:系统性审查和元分析
Fatemeh Abbasi1, Masome Rahimi2, Zahra Sedighifar3
1Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
BMC psychiatry
|November 26, 2025
概括
基于互联网的自杀预防干预措施在减少自杀念头方面显示出不同的结果. 需要更多的研究来了解哪些数字方法对不同的人最有效.
科学领域:
- 数字心理健康数字心理健康
- 公共卫生干预措施 公共卫生干预措施
- 自杀学 自杀学
背景情况:
- 预防自杀是一个关键的公共卫生问题.
- 基于互联网的干预措施为心理健康提供了可访问和可扩展的解决方案.
- 数字化方法提供了匿名性和灵活性,有可能改善结果.
研究的目的:
- 系统地审查基于互联网的干预措施在减少自杀念头方面的有效性.
- 通过子组分析和元回归,探索干预效应异质性的来源.
主要方法:
- 按照PRISMA指南进行系统审查.
- 在多个数据库 (PubMed,PsycINFO等) 中进行全面搜索. 在2025年3月之前.
- 包括成年人的随机对照试验 (RCT) 自杀想法或尝试,比较基于互联网的干预措施控制条件.
主要成果:
- 包括来自10个国家的18项研究; 实质性的异质性排除了整体元分析.
- 叙事综合显示混合的发现;指导干预显示一些承诺,但效果是不一致的.
- 亚组分析和元回归没有发现有效性的显著调节剂;高异质性 (I2>78%) 表明不明原因的变化.
结论:
- 基于互联网的干预措施在减少自杀念头方面具有不一致的效果,因为存在显著的异质性.
- 目前的证据尚不确定;指导方法显示出潜力,但需要进一步调查.
- 未来的研究需要标准化措施,长期跟进和定制干预措施.
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