自杀危机住院期间启动的针对情绪调节的干预措施:系统性审查和探索性元分析
Luigi F Saccaro1, Alexis E Giff2, Zamfira Parincu3
1Psychiatry Department, Geneva University Hospitals, Switzerland; Psychiatry Department, Faculty of Medicine, University of Geneva, Switzerland.
Journal of affective disorders
|February 13, 2026
概括
精神病医院住院患者的情绪调节干预措施在减少自杀念头和行为方面表现有前途. 这些干预措施是可行的和可以接受的,但需要更大的试验来确认有效性.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 公共卫生 公共卫生
背景情况:
- 自杀是导致过早死亡的主要原因,特别是在精神病医院住院患者中.
- 情绪失调 (ED) 是自杀想法和行为的重要危险因素.
- 针对ED的干预措施在此人群中减少自杀倾向的有效性尚未得到充分证实.
研究的目的:
- 系统地审查和元分析针对精神病学住院患者的情绪调节 (ER) 的干预措施.
- 评估这些针对ER的干预措施的可行性,可接受性和有效性.
主要方法:
- 一个符合PRISMA的随机和非随机试验的系统审查和元分析.
- 在PubMed,Embase和PsycINFO进行的搜索.
- 采用随机效应模型将标准化平均差异 (Hedges' g) 汇集在一起.
主要成果:
- 十二项研究 (n=1708) 评估了各种ER干预措施,包括DBT,正念和ACT.
- 干预措施显示出高可行性和可接受性.
- 与常规护理相比,针对ER的干预措施显著改善了与自杀有关的结果,尽管研究异质,样本规模小.
结论:
- 针对ER的干预措施是可行的,并且有望改善精神病医院住院患者的自杀相关结果.
- 需要更大,更强大的随机试验,标准化终点,以确认疗效和完善治疗方案.
- 研究结果支持将急救干预措施纳入自杀风险人群的急性护理途径.
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