An online, single-session intervention for adolescent self-injurious thoughts and behaviors: Results from a randomized trial
An online, single-session intervention for adolescent self-injurious thoughts and behaviors: Results from a randomized trial
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DOI：
10.1016/j.brat.2021.103983
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发表时间：
2021-10-21
影响因子：
4.1
通讯作者：
Fox, Kathryn R.
中科院分区：
文献类型：
--
作者：
Dobias, Mallory L.;Schleider, Jessica L.;Fox, Kathryn R.
背景：经过50年的研究，现有的针对青少年自伤思想和行为（sitb）的干预措施在很大程度上仍然是无效的和难以获得的。单次干预措施，即旨在持续一次治疗的干预措施，对于参与sitb的青少年来说可能是一种低成本和及时的资源，否则他们可能得不到治疗。方法：565名青少年（m -年龄= 14.95岁）被随机分为两组，一组接受30分钟、基于网络的单次干预——“拯救项目”，另一组接受积极的、注意力匹配的控制项目。在基线和干预后立即测量近端结果。在基线和3个月随访时测量长期结果。结果：青少年对SAVE项目的评价为可接受；80%随机分配到SAVE组的参与者完成了干预。预登记结果的组间效应不显著：干预后未来自伤的可能性；随访时自伤和自杀意念的3个月频率。与对照组参与者相比，SAVE参与者报告了两项探索性结果的短期改善：自我憎恨(d =-35, p
Background: Across 50 years of research, existing interventions for self-injurious thoughts and behaviors (SITBs) in adolescents have remained largely ineffective and inaccessible. Single-session interventions, interventions designed to last one session, may be a low-cost and timely resource for adolescents engaging in SITBs who may not otherwise receive treatment.Method: 565 adolescents (M-age = 14.95 years) endorsing recent engagement in non-suicidal self-injury (NSSI) were randomized to receive a 30-min, web-based, single-session intervention-"Project SAVE"-or an active, attention-matched control program. Proximal outcomes were measured at baseline and immediately postintervention. Long-term outcomes were measured at baseline and 3-month follow-up.Results: Adolescents rated Project SAVE as acceptable; 80% of participants randomized to SAVE completed the intervention. Between-group effects were non-significant for pre-registered outcomes: post-intervention likelihood of future NSSI; 3-month frequencies of NSSI and suicidal ideation at follow-up. Relative to control-group participants, SAVE participants reported short-term improvements in two exploratory outcomes: self-hatred (d =-35, p