Eggert Leona L, Thompson Elaine A, Randell Brooke P, Pike Kenneth C
Psychosocial and Community Health, University of Washington School of Nursing, Seattle, USA.
J Child Adolesc Psychiatr Nurs. 2002 Apr-Jun;15(2):48-64. doi: 10.1111/j.1744-6171.2002.tb00326.x.
Few empirically tested, school-based, suicide-prevention programs exist. The purpose of this study was to evaluate the postintervention efficacy of Counselors-CARE (C-CAST) and Coping and Support Training (CAST) vs. "usual care" controls for reducing suicide risk.
A randomized prevention trial; 341 potential dropouts, 14 to 19 years old, from seven high schools (52% female, 56% minorities) participated. Trend analyses using data from three time points assessed over time changes.
Significant decreases occurred for all youth in suicide-risk behaviors, depression, and drug involvement. Intervention-specific effects occurred for decreases in depression.
School-based prevention approaches are feasible and show promise for reducing suicidal behaviors and related depression.
几乎没有经过实证检验的、以学校为基础的自杀预防项目。本研究的目的是评估“关爱辅导员”（C-CAST）和应对与支持训练（CAST）与“常规护理”对照组相比在降低自杀风险方面的干预后效果。
一项随机预防试验；来自7所高中的341名14至19岁的潜在辍学者（52%为女性，56%为少数族裔）参与了研究。使用三个时间点的数据进行趋势分析，以评估随时间的变化。
所有青少年在自杀风险行为、抑郁和药物使用方面均有显著下降。在抑郁减轻方面出现了特定干预效果。
以学校为基础的预防方法是可行的，并且在减少自杀行为和相关抑郁方面显示出前景。
