The SOS Suicide Prevention Program: Further Evidence of Efficacy and Effectiveness
The SOS Suicide Prevention Program: Further Evidence of Efficacy and Effectiveness
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DOI：
10.1007/s11121-015-0594-3
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发表时间：
2016-02-01
影响因子：
3.5
通讯作者：
James, Amy
中科院分区：
文献类型：
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作者：
Schilling, Elizabeth A.;Aseltine, Robert H., Jr.;James, Amy
这项研究复制并扩展了之前对高中人群自杀迹象 (SOS) 预防计划的评估，使用了比之前高中 SOS 评估更严格的测试前测试后随机对照设计（Aseltine 和 DeMartino 2004；Aseltine 等人 2007）。 SOS 被呈现给康涅狄格州技术高中的一群不同种族的九年级学生。在控制了自杀行为的预测试报告后，参与 SOS 计划与该计划后 3 个月内自我报告的自杀企图显着减少相关。与对照组学生相比，干预组九年级学生在过去 3 个月内报告自杀企图的可能性大约降低 64%。同样，参与 SOS 项目可以使人们对抑郁和自杀有更多的了解，并对以下方面抱有更积极的态度：(1) 对可能表现出自杀意图迹象的朋友进行干预；(2) 如果他们感到抑郁或有自杀倾向，可以为自己寻求帮助。此外，与低风险参与者相比，高风险 SOS 参与者（定义为终生有自杀企图史的参与者）在计划结束后 3 个月内计划自杀的可能性显着降低。差异性磨损是该研究最严重的局限性；与对照组相比，干预组中在基线前 3 个月内报告有自杀企图的参与者在后测中更有可能失踪。
This study replicated and extended previous evaluations of the Signs of Suicide (SOS) prevention program in a high school population using a more rigorous pre-test post-test randomized control design than used in previous SOS evaluations in high schools (Aseltine and DeMartino 2004; Aseltine et al. 2007). SOS was presented to an ethnically diverse group of ninth grade students in technical high schools in Connecticut. After controlling for the pre-test reports of suicide behaviors, exposure to the SOS program was associated with significantly fewer self-reported suicide attempts in the 3 months following the program. Ninth grade students in the intervention group were approximately 64 % less likely to report a suicide attempt in the past 3 months compared with students in the control group. Similarly, exposure to the SOS program resulted in greater knowledge of depression and suicide and more favorable attitudes toward (1) intervening with friends who may be exhibiting signs of suicidal intent and (2) getting help for themselves if they were depressed or suicidal. In addition, high-risk SOS participants, defined as those with a lifetime history of suicide attempt, were significantly less likely to report planning a suicide in the 3 months following the program compared to lower-risk participants. Differential attrition is the most serious limitation of the study; participants in the intervention group who reported a suicide attempt in the previous 3 months at baseline were more likely to be missing at post-test than their counterparts in the control group.