Youth self-harm and the role of reasons for living and hope: A secondary analysis from a randomized controlled trial

Psychiatry research communications Pub Date : 2024-06-01 DOI:10.1016/j.psycom.2024.100174

Sarina Rain , Marissa Williams , Rachel Mitchell , Rabia Zaheer , Craig J. Bryan , Ayal Schaffer , Vera Yu Men , Neal Westreich , Janet Ellis , Benjamin I. Goldstein , Amy H. Cheung , Steven Selchen , Mark Sinyor

{"title":"Youth self-harm and the role of reasons for living and hope: A secondary analysis from a randomized controlled trial","authors":"Sarina Rain , Marissa Williams , Rachel Mitchell , Rabia Zaheer , Craig J. Bryan , Ayal Schaffer , Vera Yu Men , Neal Westreich , Janet Ellis , Benjamin I. Goldstein , Amy H. Cheung , Steven Selchen , Mark Sinyor","doi":"10.1016/j.psycom.2024.100174","DOIUrl":null,"url":null,"abstract":"<div><p>Self-harm (SH) is one of the strongest predictors of eventual death by suicide. This study examines the potential protective role of reasons for living (RFL) and hope in youth with a history of self-harm using data from a randomized control trial (RCT) of brief cognitive behavioural therapy (BCBT). A single-blind, pilot RCT examined the efficacy of BCBT for suicide prevention versus an attentional control in youth aged 15-25 admitted to hospital following self-harm. Subjects’ reasons for living and hope were measured weekly by the Reasons for Living Scale (RFL) and Adult Hope Scale (AHS), respectively, for 10 weeks of acute treatment. Logistic regression was performed to evaluate whether baseline RFL and AHS scores predicted repeat self-harm. Mann-Whitney U tests were used to compare median RFL and AHS scores. Our study did not find associations between reasons for living or hope and repeat self-harm in youth. Treatment with BCBT was also not associated with improved scores on either measure.</p></div>","PeriodicalId":74595,"journal":{"name":"Psychiatry research communications","volume":"4 2","pages":"Article 100174"},"PeriodicalIF":0.0000,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772598724000205/pdfft?md5=9b3abed08c2b7b9020b2c4c32c9357eb&pid=1-s2.0-S2772598724000205-main.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psychiatry research communications","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2772598724000205","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 0

Abstract

Self-harm (SH) is one of the strongest predictors of eventual death by suicide. This study examines the potential protective role of reasons for living (RFL) and hope in youth with a history of self-harm using data from a randomized control trial (RCT) of brief cognitive behavioural therapy (BCBT). A single-blind, pilot RCT examined the efficacy of BCBT for suicide prevention versus an attentional control in youth aged 15-25 admitted to hospital following self-harm. Subjects’ reasons for living and hope were measured weekly by the Reasons for Living Scale (RFL) and Adult Hope Scale (AHS), respectively, for 10 weeks of acute treatment. Logistic regression was performed to evaluate whether baseline RFL and AHS scores predicted repeat self-harm. Mann-Whitney U tests were used to compare median RFL and AHS scores. Our study did not find associations between reasons for living or hope and repeat self-harm in youth. Treatment with BCBT was also not associated with improved scores on either measure.

查看原文本刊更多论文

青少年自残与生活理由和希望的作用：随机对照试验的二次分析

自残（SH）是预测最终自杀死亡的最有力因素之一。本研究利用简短认知行为疗法（BCBT）随机对照试验（RCT）的数据，研究了生活理由（RFL）和希望对有自残史的青少年的潜在保护作用。一项单盲试验性随机对照研究考察了简短认知行为疗法（BCBT）在预防15-25岁因自残入院的青少年自杀方面的疗效。在为期10周的急性治疗中，受试者的生存理由和希望每周分别通过生存理由量表（RFL）和成人希望量表（AHS）进行测量。为评估基线 RFL 和 AHS 分数是否能预测重复自残，我们进行了逻辑回归。Mann-Whitney U 检验用于比较 RFL 和 AHS 分数的中位数。我们的研究没有发现青少年的生活理由或希望与重复自残之间存在关联。BCBT治疗也与这两项指标得分的提高无关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊