Competency-Based Training for Young Men with Suicide Risk: A Randomized Waitlist-Controlled Trial

IF 2.1 4区社会学 Q1 SOCIAL WORK

Research on Social Work Practice Pub Date : 2026-04-20 DOI:10.1177/10497315261441540

Yik Wa Law, Man Tsun Wong, Byron Chiang

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引用次数: 0

Abstract

Purpose: Traditional masculine norms of self-reliance and emotional restraint deter help-seeking, contributing to higher suicide rates in men. Young men online adhering to these norms face elevated risk, worsened by negative digital experiences. Interventions emphasizing masculine-valued physical competency may aid suicide prevention. Methods: A two-arm, four-wave randomized waitlist-controlled trial recruited men aged 17–30 at suicide risk from online forums. Participants received either online social work (OSW) alone or OSW with a three-month competency-based physical training module (CbM) involving high-intensity circuit training. Outcomes were tracked for five months. Results: The CbM group showed significant, lasting gains in self-esteem, physical self-perception, and sport engagement. Suicidal ideation stabilized, with a 95% higher likelihood of improvement versus controls. Perceived physical mastery, not objective fitness, appeared key to mental health benefits. Competency-based physical training module also showed higher engagement. Conclusions : Combining competency-based physical training with OSW provides a scalable, gender-sensitive approach to reducing suicide risk among young men.

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针对有自杀风险的年轻男性的能力培训：一项随机候补对照试验

目的：自力更生和情绪克制的传统男性规范阻碍了寻求帮助，导致男性自杀率较高。在网上遵守这些规范的年轻男性面临着更高的风险，负面的数字体验使风险更大。强调男性看重的身体能力的干预措施可能有助于预防自杀。方法：一项两臂、四波随机候补对照试验从网上论坛招募了17-30岁有自杀风险的男性。参与者要么接受单独的在线社会工作（OSW），要么接受为期三个月的基于能力的体能训练模块（CbM），包括高强度的循环训练。结果被跟踪了五个月。结果：CbM组在自尊、身体自我感知和运动参与方面表现出显著而持久的进步。自杀意念稳定下来，与对照组相比，改善的可能性高出95%。对心理健康有益的关键似乎是对身体的感知掌握，而非客观健康。基于能力的体育训练模块也显示出更高的参与度。结论：将基于能力的体能训练与OSW相结合，提供了一种可扩展的、性别敏感的方法来降低年轻男性的自杀风险。

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来源期刊

Research on Social Work Practice SOCIAL WORK-

CiteScore

3.50

自引率

11.10%

发文量

105

期刊介绍： Research on Social Work Practice, sponsored by the Society for Social Work and Research, is a disciplinary journal devoted to the publication of empirical research concerning the methods and outcomes of social work practice. Social work practice is broadly interpreted to refer to the application of intentionally designed social work intervention programs to problems of societal and/or interpersonal importance, including behavior analysis or psychotherapy involving individuals; case management; practice involving couples, families, and small groups; community practice education; and the development, implementation, and evaluation of social policies.