Ghazal Lubna, Cui Naixue, Fenglin Cao, Froelicher Erika Sivarajan, Shimbrer Mulugeta Shegaze
School of Nursing and Rehabilitation, Cheeloo Medical College, Shandong University, Jinan, China.
Shaukat Khanum Memorial Cancer Hospital and Research Centre, Lahore, Pakistan.
Front Psychol. 2025 May 5;16:1356816. doi: 10.3389/fpsyg.2025.1356816. eCollection 2025.
This study was conducted to review the effectiveness of preventive mental health interventions for adolescents (aged 11-19 years) in reducing depression and suicidal tendencies.
A systematic search was conducted to identify randomized controlled trials (RCTs) from the databases and APA PsycINFO for the period 2011-2024. Studies were included based on strict inclusion/exclusion criteria, selecting those that reported preventive interventions addressing depression and suicidal tendencies among adolescents. The systematic review registration number is CRD42023384321.
Out of 1,210 studies, 13 RCTs were incorporated. The interventions yielded varied outcomes, with approximately half of the RCTs demonstrating reductions in depression and suicidal tendencies, comparable to the control group. Post-intervention, the majority of interventions exhibited mild to moderate effect sizes; however, further research is warranted to assess their long-term efficacy. Cognitive-behavioral therapy (CBT)-based psychoeducation interventions served as the primary approach, often implemented in school settings. However, these interventions were primarily delivered by specialists rather than teachers. Parental involvement in treatment emerged as a potential factor that could enhance the effectiveness of preventive interventions.
While numerous interventions in this review showed effects comparable to control groups, the diversity in methodology, intervention types, and outcome measures poses challenges in drawing definitive conclusions. Therefore, future research should prioritize addressing these methodological discrepancies within their respective contexts.
本研究旨在回顾针对青少年（11 - 19岁）的预防性心理健康干预措施在减少抑郁和自杀倾向方面的有效性。
进行了系统检索，以从2011年至2024年期间的数据库和美国心理学会心理学文摘数据库中识别随机对照试验（RCT）。根据严格的纳入/排除标准纳入研究，选择那些报告了针对青少年抑郁和自杀倾向的预防性干预措施的研究。系统评价注册号为CRD42023384321。
在1210项研究中，纳入了13项随机对照试验。这些干预措施产生了不同的结果，大约一半的随机对照试验显示抑郁和自杀倾向有所减少，与对照组相当。干预后，大多数干预措施表现出轻度至中度的效应量；然而，需要进一步研究来评估它们的长期疗效。基于认知行为疗法（CBT）的心理教育干预是主要方法，通常在学校环境中实施。然而，这些干预主要由专家而非教师提供。父母参与治疗成为可能提高预防性干预有效性的一个潜在因素。
虽然本综述中的许多干预措施显示出与对照组相当的效果，但方法、干预类型和结果测量的多样性给得出明确结论带来了挑战。因此，未来的研究应优先在各自背景下解决这些方法上的差异。
