Effect of mobile phone-based psychotherapy in suicide prevention: a randomized controlled trial in Sri Lanka
Effect of mobile phone-based psychotherapy in suicide prevention: a randomized controlled trial in Sri Lanka
复制标题
DOI：
10.1258/jtt.2012.sft107
复制
发表时间：
2012-01-01
影响因子：
4.7
通讯作者：
Jiffry, Mohamad T. M.
中科院分区：
文献类型：
--
作者：
Marasinghe, Rohana B.;Edirippulige, Sisira;Jiffry, Mohamad T. M.
我们进行了一项随机对照试验，以测试短暂的移动治疗(BMT)干预是否可以改善自杀未遂者相对于常规护理的结果。干预措施包括解决问题治疗的培训、冥想、增加社会支持的简短干预以及关于酒精和其他药物的建议，以及手机随访。通过在基线、6个月和12个月时自杀意念、抑郁和自我伤害的减少来衡量干预的效果。一个等待名单的控制组接受了通常的护理。共有68名参与者是在一次自杀未遂后从斯里兰卡一家医院招募的。研究发现，接受干预的参与者比接受常规护理的参与者在减少自杀意念和抑郁方面取得了显著改善。与对照组相比，骨髓移植组的社会支持也有了显著的改善。然而，BMT组在减少实际的自我伤害和大多数物质使用方面并没有表现出显著的效果，而且对酒精使用的不同影响仅限于男性。虽然目前的研究仅限于揭示干预的哪一部分在预防自杀方面更有效，但它显示了其在总体上减少自杀的有效性。
We conducted a randomized controlled trial to test whether a Brief Mobile Treatment (BMT) intervention could improve outcomes relative to usual care among suicide attempters. The intervention included training in problem solving therapy, meditation, a brief intervention to increase social support as well as advice on alcohol and other drugs, and mobile phone follow-up. The effect of the intervention was measured in terms of a reduction in suicidal ideation, depression and self-harm at Baseline, six and 12 months. A wait-list control group received usual care. A total of 68 participants was recruited from a Sri Lankan hospital following a suicide attempt. Participants who received the intervention were found to achieve significant improvements in reducing suicidal ideation and depression than those receiving usual care. The BMT group also experienced a significant improvement of social support when compared to the control group. However, the BMT group did not demonstrate a significant effect in reducing actual self-harm and most substance use, and differential effects on alcohol use were restricted to men. Although the present study was limited in revealing which component of the intervention was more effective in preventing suicide, it showed its efficacy in reducing suicide as a whole.