PLOS MED:治疗性智能手机应用程序对年轻成年人自杀意念的影响

2022-06-12 MedSci原创 MedSci原创

自杀意念是年轻人自杀企图的主要风险

自杀意念是年轻人自杀企图的主要风险,因此,减少意念的严重性是预防自杀的一个重要目标。智能手机应用程序为管理年轻人的意念提供了一个新的机会;然而,缺乏来自随机试验的确认性疗效证据。本研究的目的是评估一个治疗性的智能手机应用程序("LifeBuoy")在减少自杀意念的严重性方面是否优于一个注意力匹配的对照应用程序。

在这项双臂平行、双盲、随机对照试验中,来自澳大利亚的455名近期有自杀意念、年龄在18至25岁的年轻人被按2:2的比例随机分配到2020年5月使用一个智能手机应用程序6周,并在2020年10月进行最后跟踪。

主要结果是自杀意念症状严重程度得分从基线(T0)到干预后(T1)和干预后3个月随访(T2)的变化,使用自杀意念属性量表(SIDAS)测量。次要结果是抑郁症(PHQ-9)、广泛性焦虑(GAD-7)、苦恼(DQ5)和幸福感(SWEMWBS)方面的症状变化。干预组获得了一个基于辩证行为疗法(DBT;"LifeBuoy")的自我指导的智能手机应用程序,以改善情绪调节和压力容忍。

在228名随机接受LifeBuoy的参与者中,有110人没有完成最终调查;在227名随机接受控制条件的参与者中,有91人没有完成最终调查。所有的随机参与者都被纳入主要和次要结果的意向治疗分析中。在T1(p < 0.001,d = 0.45)和T2(p = 0.007,d = 0.34),自杀意念得分有显著的时间×条件效应,说明LifeBuoy有保护作用。但从基线到T1或T2,LifeBuoy对任何二级心理健康结果都没有优越的干预效果[p值:0.069至0.896]。

综上,与对照应用相比,LifeBuoy与自杀意念严重程度的改善有关,但与次级心理健康结果无关。

参考文献:

The effect of a therapeutic smartphone application on suicidal ideation in young adults: Findings from a randomized controlled trial in Australia

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    2022-06-17 户外阳光

    有没有中文版

    0

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    2022-06-14 docwu2019
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    2022-06-13 小小医者

    #智能手机##自杀#可能有关,自杀因素很多,确实需要深入研究。

    0

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心理治疗和综合治疗在降低SAE发生几率方面优于单纯ADM治疗,这或许是通过提供策略来增强生活的理由。因此,对于患有 MDD 的高危青少年,应优先考虑心理治疗;对于患有 MDD 的高危成年人,应优先考虑

Psychiatry Research:静脉注射氯胺酮治疗自杀倾向的患者有效性实际如何?

现有的临床和人口统计学变量中,只有与主动想到死亡和/或计划有关的较高评分可以预测哪些基线CHRT-SR评分较高的患者不会从治疗中获益。

大连理工三年级硕士研究生因压力自杀,这样的事每40秒发生一次

10月13日凌晨2:00,一名大连理工大学化学工程专业硕士三年级学生在微博发布遗书。他因为课题实验长期受挫可能面临延期毕业的压力,选择在实验室结束生命。

BMJ:枪支限购年龄与青少年自杀风险

将枪支限购年龄放宽到18岁可导致青少年自杀率上升

上海开首条24h自杀干预热线

  台湾自杀防治协会秘书长林昆辉在上海市发起的首条24小时自杀干预公益热线(021-51619995)于12月3日正式开通。该热线旨在通过专业的心理危机干预救治,尽可能挽救徘徊在生死边缘的求助者。   据介绍,该公益热线培训的100名志愿者,均获得国家二级心理咨询师资质,可对求助者快速进行危机干预等级分析,并进行有针对性的处理。在值班人员安排上,借鉴台湾预防自杀热线与公安、消防和医院密切联动的机