Evidence-based psychosocial treatments for self-injurious thoughts and behaviors in youth.
Evidence-based psychosocial treatments for self-injurious thoughts and behaviors in youth.
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DOI：
10.1080/15374416.2014.945211
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发表时间：
2015
期刊：
影响因子：
--
通讯作者：
Nock MK
中科院分区：
文献类型：
--
作者：
Glenn CR;Franklin JC;Nock MK
目的：回顾目前针对青少年自杀和非自杀性自伤想法和行为（SITBs）的社会心理治疗的证据基础。我们回顾了2013年6月之前发表的相关研究的主要科学数据库（HealthSTAR、MEDLine、PsycInfo、PubMed）。检索确定了29项研究，检查儿童或青少年自杀或非自杀性SITB的干预措施。目前没有干预措施符合JCCAP 1级标准：成熟的治疗。6个治疗类别被分类为2级：可能有效或3级：可能有效减少青年SITB。这些治疗来自各种理论方向，包括认知行为，家庭，人际关系和心理动力学理论。有效治疗的共同要素包括家庭技能培训（例如，家庭沟通和解决问题），家长教育和培训（例如，监测和应急管理），以及个人技能培训（例如，情绪调节和解决问题）。几种治疗方法已显示出减少儿童和青少年SITB的潜在希望。然而，确定的可能/可能有效的治疗方法仅来自一项随机对照试验。未来的研究应侧重于：复制有希望的治疗方法的研究;确定有效的治疗成分;检查治疗效果的介导剂和调节剂;以及为高危期制定简短的干预措施（例如，出院后）。
To review the current evidence base of psychosocial treatments for suicidal and nonsuicidal self-injurious thoughts and behaviors (SITBs) in youth. We reviewed major scientific databases (HealthSTAR, MEDLine, PsycInfo, PubMed) for relevant studies published prior to June 2013. The search identified 29 studies examining interventions for suicidal or nonsuicidal SITBs in children or adolescents. No interventions currently meet the JCCAP standards for Level 1: well-established treatments. Six treatment categories were classified as Level 2: probably efficacious or Level 3: possibly efficacious for reducing SITBs in youth. These treatments came from a variety of theoretical orientations, including cognitive-behavioral, family, interpersonal, and psychodynamic theories. Common elements across efficacious treatments included family skills training (e.g., family communication and problem-solving), parent education and training (e.g., monitoring and contingency management), and individual skills training (e.g., emotion regulation and problem-solving). Several treatments have shown potential promise for reducing SITBs in children and adolescents. However, the probably/possibly efficacious treatments identified each have evidence from only a single randomized controlled trial. Future research should focus on: replicating studies of promising treatments; identifying active treatment ingredients; examining mediators and moderators of treatment effects; and developing brief interventions for high-risk periods (e.g., following hospital discharge).