增加归属感作为改变学校课程减轻青少年自杀念头的机制
Shira Barzilay1,2, Daniella Ekstein3,4, Itay Cohen5
1Department of Community Mental Health, University of Haifa, Haifa, Israel. shirabarzilay@univ.haifa.ac.il.
European child & adolescent psychiatry
|November 26, 2025
概括
学校的心理健康计划可能不会通过改善归属感来直接减少青少年的自杀念头. 在学校之外促进更广泛的社会联系似乎更有效地降低了随着时间的推移自杀风险.
科学领域:
- 心理学 心理学 心理学
- 公共卫生 公共卫生
- 青少年精神病学 青少年精神病学
背景情况:
- 自杀是青少年中一个重要的公共卫生问题.
- 基于学校的心理健康干预措施对于早期预防至关重要.
- 人际自杀理论 (IPTS) 将被挫败的归属感和感知到的负担感作为关键的危险因素.
研究的目的:
- 通过改变被挫败的归属感和感知到的负担,调查是否以学校为基础的心理健康干预措施可以减少自杀念头 (SI).
- 检查归属性和负担性在干预对SI的影响中的调解作用.
- 为了比较心理健康意识干预与对这些构造的最小干预的影响.
主要方法:
- 一项随机对照试验,涉及以色列中部436名青少年.
- 参与者被分配到心理健康意识干预或对照组.
- 措施包括在基线,干预后1个月和1年评估的归属性,负担性和SI.
主要成果:
- 较低的归属性和较高的负担性预测1个月后SI增加;只有归属性在1年后仍然显著.
- 心理健康意识干预增强了学校特定的归属感;控制干预增加了一般的归属感.
- 调解分析没有显示出通过归属性对SI的干预效应的显著调解.
结论:
- 基于学校的干预措施并没有通过增加归属感显著调解减少自杀念头.
- 在学校之外加强更广泛的社会联系可能对减少青少年自杀风险产生更大的影响.
- 未来的干预措施应考虑促进青少年更广泛的社会支持网络.
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