在线抑郁症预防干预对青少年和青年自杀风险因素的影响。
Impact of an online depression prevention intervention on suicide risk factors for adolescents and young adults.
作者信息
Dickter Benjamin, Bunge Eduardo L, Brown Lisa M, Leykin Yan, Soares Erin E, Van Voorhees Benjamin, Marko-Holguin Monika, Gladstone Tracy R G
机构信息
Palo Alto University, Palo Alto, CA, USA.
出版信息
Mhealth. 2019 May 7;5:11. doi: 10.21037/mhealth.2019.04.01. eCollection 2019.
BACKGROUND
Adolescent death by suicide is an emergent health crisis in the United States of America. Although many suicide prevention programs have been created to address suicide in this population, rates continue to increase. Online interventions can disseminate treatments world-wide and reach large numbers of users. Thus, the purpose of the present study was to determine the effects of CATCH-IT, an Internet-based depression prevention intervention on risk factors for suicide (i.e., suicidal ideation, hopelessness, low self-esteem and social isolation).
METHODS
A total of 83 participants aged 14-21 years [mean =17.5; standard deviation (SD) =2.04] consented to take part in the intervention study.
RESULTS
Results indicated that suicidal ideation decreased from baseline to post-intervention. For those who completed the entire CATCH-IT program, the effect size was moderate ( =0.60, P<0.05). For those who partially completed the program the effect size was small ( =0.22, P<0.05). Interestingly, scales measuring hopelessness and social isolation were not associated with changes in suicidal ideation.
CONCLUSIONS
The findings provide initial evidence that online depression prevention programs could be related to decreased suicidal ideation, and that those who complete the entire program may benefit more than those who complete only a part of CATCH-IT.
背景
青少年自杀在美国是一个紧急的健康危机。尽管已经创建了许多自杀预防项目来解决这一人群的自杀问题，但自杀率仍在上升。在线干预可以在全球范围内传播治疗方法并覆盖大量用户。因此，本研究的目的是确定CATCH-IT（一种基于互联网的抑郁症预防干预措施）对自杀风险因素（即自杀意念、绝望、低自尊和社会隔离）的影响。
方法
共有83名年龄在14至21岁之间的参与者[平均年龄=17.5岁；标准差（SD）=2.04]同意参加干预研究。
结果
结果表明，从基线到干预后自杀意念有所减少。对于完成整个CATCH-IT项目的人，效应量中等（=0.60，P<0.05）。对于部分完成该项目的人，效应量较小（=0.22，P<0.05）。有趣的是，测量绝望和社会隔离的量表与自杀意念的变化无关。
结论
研究结果提供了初步证据，表明在线抑郁症预防项目可能与自杀意念的减少有关，并且完成整个项目的人可能比只完成部分CATCH-IT项目的人受益更多。
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