Multisystemic therapy effects on attempted suicide by youths presenting psychiatric emergencies
Multisystemic therapy effects on attempted suicide by youths presenting psychiatric emergencies
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DOI：
10.1097/00004583-200402000-00014
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发表时间：
2004-02-01
影响因子：
13.3
通讯作者：
Edwards, J
中科院分区：
文献类型：
--
作者：
Huey, SJ;Henggeler, SW;Edwards, J
目的：评估多系统治疗（MST）在减少因精神病急诊住院的非裔美国青年中自杀未遂的有效性。方法：提出精神病紧急情况的青少年被随机分配到MST或住院治疗。在治疗前、招募后4个月和治疗后1年随访时评估自杀未遂、自杀意念、抑郁情绪和父母控制指数。结果如下：根据青少年报告，MST在1年随访时降低自杀未遂率方面比急诊住院更有效;此外，接受MST的青少年症状随时间减少的速度更大。此外，自杀未遂（护理人员报告）变化模式的治疗差异因种族、性别和年龄而异。此外，治疗效果被认为是由父母控制的，但对青少年抑郁情绪，绝望或自杀意念没有影响。结论：结果普遍支持MST的有效性，在减少自杀未遂的精神病困扰的青少年，而住院治疗的影响不同的基础上的线人和青年人口特征。J. Am. Acad.儿童青少年。
Objective: To evaluate the efficacy of multisystemic therapy (MST) in reducing attempted suicide among predominantly African American youths referred for emergency psychiatric hospitalization. Method: Youths presenting psychiatric emergencies were randomly assigned to MST or hospitalization. Indices of attempted suicide, suicidal ideation, depressive affect, and parental control were assessed before treatment, at 4 months after recruitment, and at the 1-year posttreatment follow-up. Results: Based on youth report, MST was significantly more effective than emergency hospitalization at decreasing rates of attempted suicide at 1-year follow-up; also, the rate of symptom reduction over time was greater for youths receiving MST. Also, treatment differences in patterns of change in attempted suicide (caregiver report) varied as a function of ethnicity, gender, and age. Moreover, treatment effects were found for caregiver-rated parental control but not for youth depressive affect, hopelessness, or suicidal ideation. Conclusions: Results generally support MST's effectiveness at reducing attempted suicide in psychiatrically disturbed youngsters, whereas the effects of hospitalization varied based on informant and youth demographic characteristics. J. Am. Acad. Child Adolesc.