Safety plan use in the daily lives of adolescents after psychiatric hospitalization.
Safety plan use in the daily lives of adolescents after psychiatric hospitalization.
复制标题
安全计划在青少年精神病院住院后日常生活中的使用。
DOI：
10.1111/sltb.12989
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发表时间：
2023
影响因子：
3.2
通讯作者：
Czyz,Ewa
中科院分区：
文献类型：
--
作者：
May,AlexisM;Al-Dajani,Nadia;Ballard,ElizabethD;Czyz,Ewa
安全计划型干预（SPTI）是针对自杀的简短干预。关于高风险期的安全计划使用以及安全计划使用是否受基线特征的影响知之甚少。这项研究检查了最近因自杀风险住院的青少年如何在出院后使用他们的安全计划，测试了安全计划使用的调节剂，并探讨了利用率变化与自杀意念（SI）随时间变化之间的关系。MethodsSeventy-eight青少年因自杀风险住院，参加了安全计划的试点试验，超过90%的青少年报告在出院后的一个月内获得了他们的安全计划。安全计划的使用和SI随着时间的推移而下降。没有基线特征预测出院后4周内的安全计划使用，或安全计划使用随时间的变化。然而，安全计划使用的变化和SI变化之间的关系是缓和的。对于女孩，SI和安全计划的使用上升和下降在一起;对于男孩，安全计划的使用下降，无论SI. Conclusions的变化高危青少年保留和使用他们的安全计划。结果强调了性别对SPTI利用率的影响的重要性。
IntroductionSafety planning type interventions (SPTI's) are brief suicide‐specific interventions. Little is known about safety plan use during high‐risk periods, and whether safety plan use is influenced by baseline characteristics. This study examined how adolescents recently hospitalized for suicide risk use their safety plans post‐discharge, tested moderators of safety plan utilization, and explored the relationship between changes in utilization and changes in suicidal ideation (SI) over time.MethodsSeventy‐eight adolescents hospitalized for suicide risk who participated in a pilot trial of safety planning responded to one survey/day for 4 weeks post‐discharge and completed a 1‐month assessment.ResultsOver 90% of adolescents reported having access to their safety plan during the month post‐discharge. Safety plan use and SI declined over time. No baseline characteristics predicted safety plan use in the 4 weeks after discharge, or changes in safety plan use over time. However, the relationship between changes in safety plan use and changes in SI was moderated. For girls, SI and safety plan use rose and fell together; for boys, safety plan use declined regardless of changes in SI.ConclusionsHigh‐risk adolescents retain and use their safety plans. Results underscore the importance of looking at sex effects on SPTI utilization.