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对于接受预防自杀干预的年轻人的照顾者来说,哪些方面是有帮助的,哪些方面具有挑战性?照顾者的观点——一项快速综述。

What Is Helpful and What Is Challenging for the Caregivers of Young People Receiving Interventions to Prevent Suicide? Caregivers' Perspectives-A Rapid Scoping Review.

作者信息

Branjerdporn Grace, Erlich Ferrell, Ponraj Karthikeyan, McCosker Laura K, Woerwag-Mehta Sabine

机构信息

Mental Health and Specialist Services, Gold Coast Hospital and Health Service, Southport, QLD 4215, Australia.

Faculty of Health Sciences and Medicine, Bond University, Robina, QLD 4226, Australia.

出版信息

Children (Basel). 2023 Nov 13;10(11):1801. doi: 10.3390/children10111801.

Abstract

(1) Background: Suicide is a leading cause of death among young people. Preventing suicide in young people is a priority. Caregivers play a vital role in ensuring interventions for young people experiencing suicide ideation and/or attempts are implemented, and that they are maintained over time. Despite this, little is known about what caregivers find helpful and challenging in relation to suicide prevention interventions. This rapid scoping review is the first to address this gap. (2) Methods: Searches were completed on six electronic databases using keywords relating to 'suicide prevention, 'young people', and 'caregivers'. Ten studies-using both qualitative and quantitative methods, and involving >1400 carers from the United States and Europe-were selected for inclusion. (3) Results: The review shows that caregivers value interventions that are delivered by non-judgmental clinicians, that are suitable to the particular needs of their child, that are available when needed, and that support their confidence and communication. Caregivers experience difficulties with interventions that require their attendance at specific times, and that fail to recognize and/or address their own mental health needs. (4) Conclusions: The findings can be used to inform and improve the intervention design, with the aim of improving outcomes for caregivers and young people.

摘要

(1)背景:自杀是年轻人死亡的主要原因之一。预防年轻人自杀是当务之急。照顾者在确保对有自杀念头和/或有自杀企图的年轻人实施干预措施并长期维持这些措施方面发挥着至关重要的作用。尽管如此,对于照顾者在自杀预防干预方面认为哪些有帮助以及哪些具有挑战性,我们知之甚少。这项快速范围综述首次填补了这一空白。(2)方法:使用与“自杀预防”“年轻人”和“照顾者”相关的关键词在六个电子数据库中进行检索。选择了十项研究纳入,这些研究采用了定性和定量方法,涉及来自美国和欧洲的1400多名照顾者。(3)结果:该综述表明,照顾者重视由不评判的临床医生提供的干预措施,这些措施适合其孩子的特定需求,在需要时可用,并且能增强他们的信心和沟通能力。照顾者在需要他们在特定时间出席的干预措施以及未能认识到和/或满足他们自身心理健康需求的干预措施方面会遇到困难。(4)结论:这些研究结果可用于为干预设计提供信息并加以改进,旨在改善照顾者和年轻人的结局。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2340/10670828/22a3e2a6102c/children-10-01801-g001.jpg

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