Department of Psychology, Montefiore Medical Center, 111 East 210th Street, Bronx, NY 10467, USA.
Arch Suicide Res. 2010;14(2):111-9. doi: 10.1080/13811111003704597.
Suicidal and non-suicidal self-injurious behaviors are pernicious and highly prevalent among youth worldwide. Studies confirm that engaging suicidal youth in outpatient treatment is a challenge for most therapists and that a substantial number of suicidal youth never follow through with treatment referrals received in emergency departments and eventually re-attempt suicide. The treatment engagement literature for suicidal youth has largely focused on identifying empirical correlates of attendance and testing interventions to increase compliance. In an effort to promote the use of theory in this field, this article employs Staudt's (2007) conceptual model of the treatment engagement process to both organize the empirical literature and to explain specific treatment engagement and retention strategies used in dialectical behavior therapy for suicidal adolescents. Recommendations for future research are offered.
自杀和非自杀性自伤行为在全世界青少年中普遍存在且危害极大。研究证实，让有自杀倾向的青少年接受门诊治疗对大多数治疗师来说都是一个挑战，而且相当数量的有自杀倾向的青少年从未接受过在急诊科获得的治疗转介，最终再次尝试自杀。自杀青少年的治疗参与文献主要集中在确定参与的实证相关性，并测试干预措施以提高依从性。为了促进该领域理论的应用，本文采用 Staudt（2007）的治疗参与过程概念模型，既组织实证文献，又解释在辩证行为治疗中用于自杀青少年的具体治疗参与和保留策略。还提出了未来研究的建议。
