School of Social Work, University of Maryland, Baltimore, Maryland, USA.
College of Social Work, University of Utah, Salt Lake City, Utah, USA.
Suicide Life Threat Behav. 2023 Feb;53(1):137-153. doi: 10.1111/sltb.12932. Epub 2022 Nov 14.
This randomized controlled trial of the online intervention, man therapy (MT), evaluated efficacy to reduce suicidal ideation (SI) and depression among working-aged men.
Five-hundred and fifty-four men enrolled and 421 completed all surveys. Control Condition men explored the Healthy Men Michigan (HMM) website and Intervention Condition men explored HMM and MT. Hypotheses included men who used MT would report decreased SI and depression over time compared to Control Condition men.
Latent growth curve modeling revealed improvements in SI (slope = -0.23, p < 0.001, 95% CI: -0.29, -0.16) and depression (slope = -0.21, p < 0.001, 95% CI: -0.23, -0.18) over time for men in both groups; however, there was no difference in slope based on group assignment. Depression, lifetime suicide attempts, and interpersonal needs were associated with SI. Interpersonal needs and poor mental health were associated with depression. No group differences in change in risk and protective factors over time were observed. MT sub-group analyses revealed significant improvements in risk and protective factors.
While a direct effect of MT versus HMM on SI or depression was not observed, men in both groups improved. Results suggest online screening might play a role in reducing SI and depression among men and there are potential benefits to MT related to mental health, social support, and treatment motivation.
本随机对照试验研究了在线干预措施“男性治疗”（MT）对减轻工作年龄段男性自杀意念（SI）和抑郁的疗效。
共有 554 名男性参与，其中 421 名完成了所有调查。对照组男性浏览密歇根健康男性（HMM）网站，干预组男性浏览 HMM 和 MT。假设包括使用 MT 的男性在随访过程中报告的 SI 和抑郁比对照组男性减少。
潜在增长曲线模型显示，两组男性的 SI（斜率为-0.23，p<0.001，95%CI：-0.29，-0.16）和抑郁（斜率为-0.21，p<0.001，95%CI：-0.23，-0.18）均随时间改善；然而，基于分组的斜率没有差异。抑郁、终生自杀企图和人际关系需求与 SI 相关。人际关系需求和心理健康不良与抑郁相关。未观察到随时间变化的风险和保护因素在组间存在差异。MT 亚组分析显示风险和保护因素有显著改善。
虽然未观察到 MT 与 HMM 对 SI 或抑郁的直接影响，但两组男性都有所改善。结果表明，在线筛查可能在减少男性的 SI 和抑郁方面发挥作用，并且 MT 可能对心理健康、社会支持和治疗动机有潜在的益处。
