Treatment for adolescents following a suicide attempt: Results of a pilot trial
Treatment for adolescents following a suicide attempt: Results of a pilot trial
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DOI：
10.1097/00004583-200502000-00003
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发表时间：
2005-02-01
影响因子：
13.3
通讯作者：
Esposito-Smythers, C
中科院分区：
文献类型：
--
作者：
Donaldson, D;Spirito, A;Esposito-Smythers, C
目的：比较以技能为基础的治疗方案与支持性关系治疗对自杀未遂青少年的疗效。方法：39名青少年（12-17岁）和父母在自杀未遂后到普通儿科急诊科或儿童精神病医院住院部就诊，他们被随机分配到基于技能或支持关系的治疗条件。在摄入时以及尝试后3个月和6个月进行随访评估。结果如下：与社区中青少年自杀者接受治疗的低比率相反，该样本中约有60%完成了整个治疗方案。在3个月和6个月的随访中，自杀意念和抑郁情绪显著降低，但治疗组之间没有差异。随访期间有6次再次尝试。结论：当企图自杀的青少年继续接受治疗时，大多数患者的功能都可以得到显着改善。
Objective: To compare the efficacy of a skills-based treatment protocol to a supportive relationship therapy for adolescents after a suicide attempt. Method: Thirty-nine adolescents (12-17 years old) and parents who presented to a general pediatric emergency department or inpatient unit of a child psychiatric hospital after a suicide attempt were randomized to either a skills-based or a supportive relationship treatment condition. Follow-up assessments were conducted at intake and 3 and 6 months post-attempt. Results: In contrast to the low rates of treatment received by adolescent suicide attempters in the community, approximately 60% of this sample completed the entire treatment protocol. Significant decreases in suicidal ideation and depressed mood at 3- and 6-month follow-ups were obtained, but there were no differences between treatment groups. There were six reattempts in the follow-up period. Conclusions: When adolescents who attempt suicide are maintained in treatment, significant improvements in functioning can be realized for the majority of patients.