Predictors of Treatment Engagement Among Suicidal Youth Experiencing Homelessness.

Predictors of Treatment Engagement Among Suicidal Youth Experiencing Homelessness.
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DOI:
10.1007/s10597-021-00850-5
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发表时间:
2021-10
影响因子:
2.7
通讯作者:
Slesnick N
Slesnick N
中科院分区:
医学4区
文献类型:
--
作者:
Walsh L;Luthy E;Feng X;Yilmazer T;Ford J;Kelleher K;Chavez L;Slesnick N

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经历无家可归的青少年和年轻人报告自杀意念和企图的发生率很高,但有限的研究已经研究了自杀无家可归的年轻人群体中治疗参与的预测因素。从哥伦布,俄亥俄州的当地救助中心招募了18 - 24岁的自杀无家可归青年(N=150)。参与者被随机分配到自杀预防认知疗法+治疗,通过当地的下拉中心(CTSP + TAU)(N=75)或单独的TAU(N=75),并在分配到CTSP +TAU的治疗出席率在本研究中进行了检查。正如预期的那样,在参与CTSP+TAU的年轻人中,那些有亲密伴侣暴力史的人显示出治疗出勤率下降。研究结果还显示,随机分配到CTSP+TAU的年轻人具有较高的获得性自杀能力(ACS)评分,并且那些被确定为黑人的人更有可能参加治疗。这些发现表明,有效的治疗实施必须考虑青年的创伤史,人口统计学和自杀意念和行为的严重程度。
Adolescents and young adults experiencing homelessness report high rates of suicidal ideation and attempts, yet limited research has examined predictors of treatment engagement among suicidal homeless youth populations. Suicidal homeless youth (N=150) between the ages of 18 and 24 years old were recruited from a local drop-in center in Columbus, Ohio. Participants were randomly assigned to Cognitive Therapy for Suicide Prevention + treatment as usual through a local drop-in center (CTSP + TAU) (N=75) or TAU alone (N=75), and treatment attendance among those assigned to CTSP +TAU was examined in the current study. As expected, among youth engaged in CTSP+TAU, those with a history of intimate partner violence (IPV) showed decreased odds of treatment attendance. Findings also revealed that youth randomized into CTSP+TAU with higher acquired capability for suicide (ACS) scores and those identifying as Black were more likely to attend treatment sessions. These findings suggest that effective treatment implementation must consider youth’s trauma history, demographics and severity of suicidal ideation and behaviors.
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