青少年电子自我指导安全计划的可访问性和实用性。

IF 4.2 1区 心理学 Q1 PSYCHOLOGY, CLINICAL
Nehal Methi, Imani Weeks, Rowan Hunt, Taylor C McGuire, Alex Rubin, Madlin Decker, Jessica L Schleider, Shirley B Wang, Kathryn Fox
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引用次数: 0

摘要

目的:自杀想法和行为是导致青少年死亡、受伤和住院的主要原因。以证据为基础的干预措施寥寥无几,而且大多数青少年往往无法获得这些干预措施。电子安全计划干预是传播循证自杀预防工具的新途径。然而,目前还不清楚青少年是否认为电子、自我指导的安全计划有帮助,也不清楚他们在有自杀念头或冲动时是否会使用由此产生的安全卡。本研究探讨了青少年对电子自我指导安全计划干预的看法和使用情况:我们通过社交媒体在线招募了 322 名在过去一年中有自杀想法或行为的 13-17 岁青少年(55.9% 为白人和非西班牙裔;大多数报告了不同的性取向和性别),让他们参与这项由两部分组成的纵向研究。在基线阶段,参与者完成了电子安全计划干预,并报告了其有用性的主要方面和需要改进的地方。一个月后,参与者报告了他们对该计划的使用情况和看法:结果表明,青少年理解、喜欢并相信他们会使用自我指导的安全计划。一个月后,约 ⅓ 有自杀念头或冲动的青少年使用了他们的安全卡。开放式回答强调了青少年喜欢的几个特点,包括清晰度、易用性和隐私性。参与者还强调了需要改进的地方,包括格式和语言:本研究为青少年使用电子自我指导安全计划提供了初步支持。下一步工作包括根据青少年的反馈意见更新该干预措施,并使用金标准研究方法测试该工具的有效性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Accessibility and Utility of an Electronic Self-Guided Safety Plan for Adolescents.

Objective: Suicidal thoughts and behaviors are a leading cause of death, injury, and hospitalization among adolescents. Few evidence-based interventions exist, and these tend to be inaccessible for most youth. Electronic safety plan interventions represent a new avenue to disseminate an evidence-based suicide prevention tool. However, it is not clear whether youth find electronic, self-guided safety plans helpful, nor whether they will use the resulting safety card when experiencing suicidal thoughts or urges. This study examines adolescents' perceptions and use of an electronic, self-guided safety plan intervention.

Method: We recruited 322 adolescents with a past-year history of suicidal thoughts or behaviors, ages 13-17 (55.9% white and non-Hispanic; majority reporting diverse sexual orientations and genders) online via social media to participate in this two-part longitudinal study. At baseline, participants completed the electronic safety plan interventions and reported on key aspects of its usefulness and areas of improvement. Participants reported their use and perceptions of the plan one month later.

Results: Results suggested that adolescents understood, liked, and believed they would use a self-guided safety plan. One month later, about ⅓ of youth who experienced suicidal thoughts or urges used their safety card. Open-ended responses highlighted several features that adolescents enjoyed, including clarity, ease of use, and privacy. Participants also highlighted key areas for improvement, including formatting and language.

Conclusion: This study provides initial support for adolescent use of electronic self-guided safety plans. Next steps include updating this intervention based on youth feedback and testing the effectiveness of this tool using gold standard research methods.

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来源期刊
CiteScore
9.70
自引率
4.80%
发文量
58
期刊介绍: The Journal of Clinical Child and Adolescent Psychology (JCCAP) is the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association. It publishes original contributions on the following topics: (a) the development and evaluation of assessment and intervention techniques for use with clinical child and adolescent populations; (b) the development and maintenance of clinical child and adolescent problems; (c) cross-cultural and sociodemographic issues that have a clear bearing on clinical child and adolescent psychology in terms of theory, research, or practice; and (d) training and professional practice in clinical child and adolescent psychology, as well as child advocacy.
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