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学校应对青少年自杀风险的潜在危害。

Potential Harms of Responding to Youth Suicide Risk in Schools.

作者信息

Reinbergs Erik J, Smith Lora Henderson, Au Josephine S, Marraccini Marisa E, Griffin Sarah A, Rogers Megan L

机构信息

Department of Psychology, Utah State University, 6405 Old Main Hill, Logan, UT, USA.

School of Education and Human Development, University of Virginia, Charlottesville, VA, USA.

出版信息

Res Child Adolesc Psychopathol. 2025 May;53(5):785-799. doi: 10.1007/s10802-024-01261-2. Epub 2024 Oct 25.

DOI:10.1007/s10802-024-01261-2
PMID:39448436
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12022146/
Abstract

The potential harms related to interventions for adults with suicide-related risk, particularly hospitalization, have been well documented. Much less work has focused on the potential harms related to interventions with youth struggling with suicidal thoughts and behaviors. Young people are most likely to receive mental health services in schools, which are recognized as meaningful sites for effective suicide prevention work. However, no overviews have conceptualized the potential harms to youth when schools engage in ineffective suicide prevention efforts. In this article, we discuss three prominent overlapping areas of potential harms: (1) privacy-related, (2) relationship-related, and (3) mental health-related. We then discuss key factors thought to influence the development and maintenance of these potential harms. We conclude by noting ways in which school-based mental health providers may attempt to reduce unintentional harms in this area, with an overarching goal of helping support school mental health providers and the youth they serve.

摘要

与有自杀相关风险的成年人干预措施相关的潜在危害,尤其是住院治疗,已有充分记录。针对有自杀想法和行为的青少年进行干预的潜在危害方面的研究则少得多。年轻人最有可能在学校接受心理健康服务,学校被认为是有效预防自杀工作的重要场所。然而,尚无综述对学校进行无效自杀预防工作时对青少年的潜在危害进行概念化。在本文中,我们讨论了潜在危害的三个突出的重叠领域:(1)隐私相关的,(2)关系相关的,以及(3)心理健康相关的。然后,我们讨论了被认为会影响这些潜在危害发展和持续存在的关键因素。最后,我们指出了学校心理健康服务提供者可以尝试减少该领域无意伤害的方法,总体目标是帮助支持学校心理健康服务提供者及其服务的青少年。

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引用本文的文献

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Navigating Through the Darkness: An Exploratory Study Unraveling the Experience of Hospitalization of Adolescents and Their Caregivers Amid Suicidal Presentations.穿越黑暗:一项探索性研究,揭示青少年及其照顾者在有自杀倾向时的住院经历
Res Child Adolesc Psychopathol. 2025 May;53(5):801-815. doi: 10.1007/s10802-025-01299-w. Epub 2025 Mar 7.

本文引用的文献

1
Navigating Through the Darkness: An Exploratory Study Unraveling the Experience of Hospitalization of Adolescents and Their Caregivers Amid Suicidal Presentations.穿越黑暗:一项探索性研究,揭示青少年及其照顾者在有自杀倾向时的住院经历
Res Child Adolesc Psychopathol. 2025 May;53(5):801-815. doi: 10.1007/s10802-025-01299-w. Epub 2025 Mar 7.
2
Stress in Caregivers of Youth Hospitalized for Suicide Ideation or Attempt.因自杀意念或自杀未遂而住院的青少年的照顾者所面临的压力。
Behav Ther. 2025 Jan;56(1):110-120. doi: 10.1016/j.beth.2024.04.013. Epub 2024 May 1.
3
Information sharing between psychiatric hospitals and schools to better support adolescents returning to school following a suicide-related crisis.精神科医院与学校之间的信息共享,以更好地支持青少年在自杀相关危机后重返学校。
J Sch Psychol. 2024 Oct;106:101343. doi: 10.1016/j.jsp.2024.101343. Epub 2024 Jul 6.
4
Collaborating to support school reintegration following suicide-related crises: Voices from the field.合作支持自杀相关危机后的重返校园:来自一线的声音。
Psychol Serv. 2025 May;22(2):280-293. doi: 10.1037/ser0000873. Epub 2024 Jun 17.
5
Collaboration matters: A randomized controlled trial of patient-clinician collaboration in suicide risk assessment and intervention.合作至关重要:一项关于医患合作在自杀风险评估和干预中的随机对照试验。
J Affect Disord. 2024 Sep 1;360:387-393. doi: 10.1016/j.jad.2024.06.004. Epub 2024 Jun 3.
6
Youth and Guardian Expectations of Privacy in Adolescent Health Care.青少年保健中青少年和监护人对隐私的期望。
J Adolesc Health. 2024 Nov;75(5):737-742. doi: 10.1016/j.jadohealth.2024.03.016. Epub 2024 May 12.
7
Evidence-based care for suicidality as an ethical and professional imperative: How to decrease suicidal suffering and save lives.将自杀倾向的循证护理作为一项道德和专业要求:如何减少自杀痛苦并挽救生命。
Am Psychol. 2025 Apr;80(3):311-322. doi: 10.1037/amp0001325. Epub 2024 May 2.
8
Suicide Postvention in Schools: What Evidence Supports Our Current National Recommendations?学校中的自杀后干预:哪些证据支持我们当前的国家建议?
Sch Soc Work J. 2022 Spring;46(2):23-69. Epub 2022 Mar 1.
9
Disclosures of self-injurious thoughts and behaviors to parents in the context of adolescent therapy: A qualitative investigation.青少年治疗中向父母披露自伤思想和行为:一项定性研究。
J Clin Psychol. 2024 Mar;80(3):537-558. doi: 10.1002/jclp.23633. Epub 2023 Dec 18.
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Social connectedness and adolescent suicide risk.社会联系与青少年自杀风险。
J Child Psychol Psychiatry. 2024 Jun;65(6):785-797. doi: 10.1111/jcpp.13908. Epub 2023 Nov 5.