Family network satisfaction moderates treatment effects among homeless youth experiencing suicidal ideation.
Family network satisfaction moderates treatment effects among homeless youth experiencing suicidal ideation.
复制标题
家庭网络满意度调节有自杀意念的无家可归青少年的治疗效果。
DOI：
10.1016/j.brat.2019.103548
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发表时间：
2020
影响因子：
4.1
通讯作者：
Slesnick,Natasha
中科院分区：
文献类型：
--
作者：
Wu,Qiong;Zhang,Jing;Walsh,Laura;Slesnick,Natasha
有限的研究已经评估了无家可归的青年自杀预防干预措施的有效性，特别是考虑到他们与家人的联系将如何影响treatment outcomes.Methodsuicidal无家可归的青年（N = 150）年龄在18-24岁之间，从当地的下降中心招募。青少年被随机分配到自杀预防认知疗法（CTSP）+自杀治疗（TAU）或单纯自杀治疗。青少年报告他们的家庭网络满意度在基线评估，而他们的自杀意念，自觉负担和挫败bullingness进行了评估，在基线和三个额外的时间在9个月period.ResultsA多组自回归交叉滞后模型表明，CTSP与较低的自杀意念和较低的挫败bullingness只有在那些家庭网络满意度高。在这两个群体中，感知负担预测较高的自杀意念，这反过来又预测较低的感知负担和挫败感。此外，只有在青年与低家庭网络满意度，挫败的幸福感预测较低的自杀ideation.ConclusionsFindings表明，家庭网络满意度可能是一个重要因素，考虑认知干预与无家可归的青年，具有影响，以改善治疗的努力，并减少过早死亡率，住院治疗和人力资本损失在一个非常高风险的人群。
ObjectiveLimited research has evaluated the efficacy of suicide prevention interventions among homeless youth, especially considering how their connectedness with their family would impact treatment outcomes.MethodSuicidal homeless youth (N = 150) between the ages of 18–24 years were recruited from a local drop-in center. Youth were randomly assigned to Cognitive Therapy for Suicide Prevention (CTSP) + Treatment as Usual (TAU) or Treatment as Usual alone. Youth reported their family network satisfaction at the baseline assessment, whereas their suicidal ideation, perceived burdensomeness and thwarted belongingness were assessed at baseline and three additional times during a nine-month period.ResultsA multiple-group autoregressive cross-lagged model suggests that CTSP was associated with lower suicidal ideation and lower thwarted belongingness only among those with high family network satisfaction. Among both groups, perceived burdensomeness predicted higher suicidal ideation, which in turn predicted lower perceived burdensomeness and thwarted belongingness. Additionally, only among youth with low family network satisfaction, thwarted belongingness predicted lower suicidal ideation.ConclusionsFindings suggest that family network satisfaction may be an important factor when considering cognitive interventions with homeless youth, with implications to improve treatment efforts and to reduce premature mortality, hospitalization and loss of human capital in a very high-risk population.