Life is precious: A quasi-experimental study of a community-based program to prevent suicide among Latina adolescents in New York City.

IF 2.7 3区医学 Q2 PSYCHIATRY

Suicide and Life-Threatening Behavior Pub Date : 2025-02-01 Epub Date: 2023-12-05 DOI:10.1111/sltb.13027

Daniela Tuda, Ana Stefancic, Peter Lam, Dolly John, Shima Sadaghiyani, Tse-Hwei Choo, Hanga Galfalvy, Beatriz Coronel, Rosa Gil, Roberto Lewis-Fernández

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引用次数: 0

Abstract

Introduction: Rising rates of suicidal thoughts and behaviors (STBs) among U.S. Latina adolescents urgently need attention. Life is Precious (LIP) is a culturally responsive, community-based, afterschool-model program offering wellness-support services to supplement outpatient mental health treatment for Latina adolescents experiencing STB's. This 12-month quasi-experimental pilot study explored LIP's impact on clinical outcomes.

Methods: Latina adolescents newly enrolled in LIP and receiving outpatient treatment (n = 31) and those newly starting outpatient treatment only (n = 12; Usual Care) were assessed for Suicidal Ideation (Suicidal Ideation Questionnaire; SIQ) and depressive symptoms (Patient Health Questionnaire-9). We estimated differences in mean scores using longitudinal linear mixed models and adjusted risk ratios (ARRs) of SIQ-25%, SIQ-50%, and PHQ-9-5-point improvements using exact logistic models.

Results: The direction of the estimated impact of LIP was positive [differences (95% CIs): -15.5 (-34.16, 3.15) for SIQ; -1.16 (-4.39, 2.07) for PHQ-9], with small-to-moderate nonsignificant effect sizes (0.19-0.34). LIP participants saw two to three times higher prevalence than controls of SIQ-25%, SIQ-50%, and PHQ-9-5-point improvements; ARRs (95% CIs) were 1.91 (0.61, 3.45), 3.04 (0.43, 11.33), and 1.97 (0.44, 5.07), respectively. Suicidal behaviors also decreased in LIP.

Conclusion: The effects of LIP were in positive directions across clinical outcomes, warranting further research on its effectiveness in decreasing STBs.

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生命诚可贵：对纽约市拉丁裔青少年自杀预防社区计划的准实验研究。

简介美国拉丁裔青少年自杀想法和行为（STBs）发生率不断上升，亟需引起关注。生命弥足珍贵（LIP）是一项以社区为基础、以课后活动为模式的文化响应计划，它提供健康支持服务，以补充对有 STB 问题的拉丁裔青少年的门诊心理健康治疗。这项为期 12 个月的准实验性试点研究探讨了 LIP 对临床结果的影响：新加入 LIP 并接受门诊治疗的拉丁裔青少年（n = 31）和仅开始门诊治疗的拉丁裔青少年（n = 12；常规护理）接受了自杀意念（自杀意念问卷；SIQ）和抑郁症状（患者健康问卷-9）的评估。我们使用纵向线性混合模型估算了平均得分的差异，并使用精确逻辑模型估算了SIQ-25%、SIQ-50%和PHQ-9-5分改善的调整风险比（ARRs）：LIP的估计影响方向是积极的[差异（95% CIs）：SIQ为-15.5 (-34.16, 3.15)；PHQ-9为-1.16 (-4.39, 2.07)]，效果大小为小到中等不显著（0.19-0.34）。LIP 参与者的 SIQ-25%、SIQ-50% 和 PHQ-9-5 分改善率是对照组的 2 到 3 倍；ARRs（95% CIs）分别为 1.91（0.61，3.45）、3.04（0.43，11.33）和 1.97（0.44，5.07）。自杀行为在 LIP 中也有所减少：LIP对临床结果的影响是积极的，值得进一步研究其在减少STB方面的有效性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Suicide and Life-Threatening Behavior Medicine-Public Health, Environmental and Occupational Health

CiteScore

5.40

自引率

3.10%

发文量

期刊介绍： An excellent resource for researchers as well as students, Social Cognition features reports on empirical research, self-perception, self-concept, social neuroscience, person-memory integration, social schemata, the development of social cognition, and the role of affect in memory and perception. Three broad concerns define the scope of the journal: - The processes underlying the perception, memory, and judgment of social stimuli - The effects of social, cultural, and affective factors on the processing of information - The behavioral and interpersonal consequences of cognitive processes.