针对一名波多黎各男性青少年自杀行为的社会认知行为疗法。
Socio-Cognitive Behavioral Therapy for Suicidal Behavior with a Puerto Rican Male Adolescent.
作者信息
Duarté-Vélez Yovanska, Gomez Judelysse, Colón Gisela Jiménez, Spirito Anthony
机构信息
Department of Psychiatry and Human Behavior (DPHB), Brow University, Box G-BH, Brown University, Providence, RI 02912.
Institute for Psychological Research, University of Puerto Rico, Río Piedras Campus, PO Box 23174, San Juan, PR 00931-3174.
出版信息
Evid Based Pract Child Adolesc Ment Health. 2018;3(2):81-97. doi: 10.1080/23794925.2018.1432300. Epub 2018 Mar 27.
UNLABELLED
In 2015, fifteen percent of Puerto Rican adolescents attempted suicide. In general, females have more suicidal thoughts while males are more likely to die by suicide. However, few evidence-based treatments have been developed for this population.
OBJECTIVES
The aim of this study was to illustrate the therapeutic process of a male Puerto Rican adolescent treated with the Socio-Cognitive Behavioral Therapy for Suicidal Behavior (SCBT-SB), a culturally informed protocol, and to discuss how developmental, feminist, and family system perspectives were incorporated in the SCBT-SB treatment model.
METHOD
A case study is presented: Julio received the SCBT-SB after a psychiatric hospitalization subsequent to threating to commit suicide. Baseline and post-treatment assessments evaluated diagnosis, risk factors (e.g. hopelessness), treatment satisfaction, and suicidal behaviors.
RESULTS
Julio demonstrated clinically significant change in depressive symptoms, hopelessness, suicidal ideation, and aggressive/impulsive behaviors.
CONCLUSIONS
The SCBT-SB was feasible to implement and proved acceptable to the client and his family.
未标注
2015年，15%的波多黎各青少年曾尝试自杀。总体而言，女性有更多自杀念头，而男性自杀死亡的可能性更大。然而，针对这一人群几乎没有基于证据的治疗方法。
目的
本研究的目的是阐述一名接受社会认知行为自杀行为治疗（SCBT-SB）的波多黎各男性青少年的治疗过程，这是一种具有文化针对性的方案，并讨论发展、女性主义和家庭系统视角如何纳入SCBT-SB治疗模式。
方法
呈现一个案例研究：胡里奥在威胁自杀后接受精神科住院治疗，之后接受了SCBT-SB。基线和治疗后评估包括诊断、风险因素（如绝望感）、治疗满意度和自杀行为。
结果
胡里奥在抑郁症状、绝望感、自杀意念以及攻击/冲动行为方面显示出临床上的显著变化。
结论
SCBT-SB实施起来是可行的，并且被服务对象及其家人所接受。
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