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应对青少年自杀意念的社会经济决定因素:来自印度青少年发展方法的经验教训。

Addressing Socioeconomic Determinants of Youth Suicidal Ideation: Lessons from a Youth Development Approach in India.

作者信息

Mathiyazhagan Siva, Kulandai Raj Francis, Fitrianingsih Kartika, Raja Vaiju, Mayom Dawood

机构信息

Trust for Youth and Child Leadership (TYCL) International, 508 West 121st Street, 10027, New York, NY, USA.

TYCL, Puducherry, India.

出版信息

Community Ment Health J. 2024 Feb;60(2):340-353. doi: 10.1007/s10597-023-01177-z. Epub 2023 Aug 18.

DOI:10.1007/s10597-023-01177-z
PMID:37594696
Abstract

Socioeconomic situations in young people's families and communities make them more vulnerable to suicidal ideations. The Youth Helpline has made a significant difference in youth's lives and livelihoods by addressing their social and economic needs with positive mental health support. The quantitative and qualitative data validate the micro- and macro-level impact of the Youth Helpline in Puducherry. However, the multi-stakeholder model faces challenges in ensuring accountability, particularly from government partners. This paper highlights how direct intervention on the socio-economic determinants of youth suicidal ideation has positively affected youth mental health and reduced suicidal ideation in Puducherry. Social identity-based inequalities and access and affordability to mental health services are the major contributors to youth mental health problems. This paper critically discusses the Youth Helpline's multi-stakeholder process and youth-led approach to addressing socio-economic determinants, as well as the Helpline's impact on youth mental health.

摘要

年轻人家庭和社区的社会经济状况使他们更容易产生自杀念头。青年热线通过提供积极的心理健康支持来满足青年的社会和经济需求,从而在年轻人的生活和生计方面产生了重大影响。定量和定性数据证实了青年热线在本地治里的微观和宏观层面的影响。然而,多利益相关方模式在确保问责制方面面临挑战,尤其是来自政府合作伙伴的问责。本文强调了对青年自杀念头的社会经济决定因素进行直接干预如何对本地治里的青年心理健康产生积极影响并减少了自杀念头。基于社会身份的不平等以及心理健康服务的可及性和可负担性是导致青年心理健康问题的主要因素。本文批判性地讨论了青年热线的多利益相关方流程以及以青年为主导的解决社会经济决定因素的方法,以及该热线对青年心理健康的影响。

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Community Ment Health J. 2024 Feb;60(2):340-353. doi: 10.1007/s10597-023-01177-z. Epub 2023 Aug 18.
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本文引用的文献

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Longitudinal assessment of an anti-stigma campaign related to common mental disorders in rural India.农村地区常见精神障碍反污名运动的纵向评估。
Br J Psychiatry. 2019 Feb;214(2):90-95. doi: 10.1192/bjp.2018.190.
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The impact of urbanization on mental health in India.城市化对印度心理健康的影响。
Curr Opin Psychiatry. 2018 May;31(3):276-281. doi: 10.1097/YCO.0000000000000408.
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Social Distance and Community Attitudes Towards People with Psycho-Social Disabilities in Uttarakhand, India.印度北阿坎德邦社会距离与社区对心理社会残疾者的态度
Community Ment Health J. 2018 Apr;54(3):343-353. doi: 10.1007/s10597-017-0211-y. Epub 2017 Nov 15.
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Promoting Positive Youth Development Through School-Based Social and Emotional Learning Interventions: A Meta-Analysis of Follow-Up Effects.通过基于学校的社会和情绪学习干预促进青少年积极发展:随访效果的元分析。
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Suicide: An Indian perspective.自杀:印度视角。
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