Long-term impact of the Fostering Healthy Futures for Preteens program on suicide-related thoughts and behaviors for youth in out-of-home care: A randomized controlled trial

IF 3.4 2区 心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY
Heather N. Taussig, Anthony Fulginiti, Sarah J. Racz, Rhiannon Evans, Colleen Cary Katz
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Abstract

Youth in out-of-home care are at high risk for suicide-related thoughts and behaviors (STB), yet there are no known efficacious interventions that reduce STB for this population. Fostering Healthy Futures for Preteens (FHF-P) is a 9-month community-based mentoring and skills training preventive intervention for children in out-of-home care. A randomized controlled trial enrolled 156 participants aged 9–11 years who were placed in out-of-home care over the prior year. Participants were 48.9% female, 54.1% Hispanic, 30.1% Black, and 27.1% American Indian. Follow-up interviews, conducted 7–12 years postintervention (85.2% retention rate), asked young adult participants, aged 18–22, to self-report lifetime STB as indexed by non-suicidal self-injury, suicidal thoughts, plans, and/or attempts. There was a nonsignificant reduction in the odds of STB for the intervention group at follow-up (OR = 0.74; CI, 0.32, 1.69). However, FHF-P significantly moderated the effect of baseline STB; control youth who reported baseline STB had 10 times the odds of young adult STB (OR = 10.44, CI, 2.28, 47.78), but there was no increase in the odds of adult-reported STB for intervention youth. Findings suggest that FHF-P buffers the impact of pre-existing STB on young adult STB for care-experienced youth. Further research is needed to identify mechanisms that may reduce STB in this population.

青少年健康未来培养计划对家庭外青少年自杀相关想法和行为的长期影响:随机对照试验。
家庭外托儿所中的青少年是自杀相关想法和行为(STB)的高风险人群,但目前尚无有效的干预措施来减少这一人群的 STB。青少年健康未来培养计划(FHF-P)是一项为期 9 个月的社区辅导和技能培训预防性干预措施,针对的是家庭外托管的儿童。一项随机对照试验招募了 156 名年龄在 9-11 岁的参与者,他们都是在上一年被置于家庭外照料的儿童。参与者中女性占 48.9%,西班牙裔占 54.1%,黑人占 30.1%,美国印第安人占 27.1%。在干预后 7-12 年(保留率为 85.2%)进行的后续访谈中,要求 18-22 岁的青少年参与者自我报告终生 STB(以非自杀性自残、自杀想法、计划和/或企图为指标)。干预组在随访时发生 STB 的几率明显降低(OR = 0.74;CI, 0.32, 1.69)。然而,FHF-P 对基线 STB 的影响有明显的调节作用;报告基线 STB 的对照组青少年发生青少年 STB 的几率是对照组的 10 倍(OR = 10.44,CI, 2.28, 47.78),但干预组青少年发生成人报告 STB 的几率没有增加。研究结果表明,对于有护理经验的青少年来说,FHF-P 可以缓冲原有 STB 对青少年 STB 的影响。还需要进一步研究,以确定可能减少这一人群 STB 的机制。
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
CiteScore
6.30
自引率
9.70%
发文量
55
期刊介绍: The American Journal of Community Psychology publishes original quantitative, qualitative, and mixed methods research; theoretical papers; empirical reviews; reports of innovative community programs or policies; and first person accounts of stakeholders involved in research, programs, or policy. The journal encourages submissions of innovative multi-level research and interventions, and encourages international submissions. The journal also encourages the submission of manuscripts concerned with underrepresented populations and issues of human diversity. The American Journal of Community Psychology publishes research, theory, and descriptions of innovative interventions on a wide range of topics, including, but not limited to: individual, family, peer, and community mental health, physical health, and substance use; risk and protective factors for health and well being; educational, legal, and work environment processes, policies, and opportunities; social ecological approaches, including the interplay of individual family, peer, institutional, neighborhood, and community processes; social welfare, social justice, and human rights; social problems and social change; program, system, and policy evaluations; and, understanding people within their social, cultural, economic, geographic, and historical contexts.
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