{"title":"Information-Knowledge-Attitude-Practice Model in Non-Suicidal Self-Injury Behaviours of Adolescence and Young Adults With Major Depressive Disorder: Randomised Controlled Trials.","authors":"Liangliang Tan, Zhengdi Lin, Yuhua Zhang, Nan Sun, Qiu Ding, HaiXia Feng, Wenhao Jiang, Yonggui Yuan","doi":"10.1111/jpm.13154","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Non-suicidal self-injury (NSSI) is considered a cathartic approach to reducing negative emotions; repeated occurrences increase the risk of suicide. Applying an information-knowledge-attitude-practice (IKAP) model might help patients establish effective and sustainable ways to express negative emotions and cope with difficulties, reducing NSSI.</p><p><strong>Aim: </strong>We explored an IKAP-based intervention on NSSI among adolescents and young adult patients with major depressive disorder (MDD).</p><p><strong>Methods: </strong>A total of 120 adolescent and young adult patients with MDD who reported NSSI were recruited from January to December 2021. Using stratified randomisation, the participants were randomly divided into a balanced control group (usual treatment) and intervention group (IKAP intervention). The Cognitive Emotion Scale, NSSI, and handling of dangerous items were assessed pre- and post-intervention.</p><p><strong>Results: </strong>Post-intervention, the intervention group had significantly lower NSSI, were more likely to give up dangerous items, and indicated better cognitive-emotional regulation than the control group (all p < 0.05).</p><p><strong>Discussion: </strong>The IKAP model significantly improved NSSI-related outcomes.</p><p><strong>Implication for practice: </strong>The IKAP model could improve patients' cognitive-emotional regulation more than traditional health education, enabling patients to participate more actively in disease management, learn problem-solving skills, reduce negative emotions, actively cooperate with ward safety management practices, and reduce NSSI.</p><p><strong>Trial registration: </strong>ChiCTR registration number: ChiCTR2100050317.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":2.6000,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Psychiatric and Mental Health Nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/jpm.13154","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
Information-Knowledge-Attitude-Practice Model in Non-Suicidal Self-Injury Behaviours of Adolescence and Young Adults With Major Depressive Disorder: Randomised Controlled Trials.
Introduction: Non-suicidal self-injury (NSSI) is considered a cathartic approach to reducing negative emotions; repeated occurrences increase the risk of suicide. Applying an information-knowledge-attitude-practice (IKAP) model might help patients establish effective and sustainable ways to express negative emotions and cope with difficulties, reducing NSSI.
Aim: We explored an IKAP-based intervention on NSSI among adolescents and young adult patients with major depressive disorder (MDD).
Methods: A total of 120 adolescent and young adult patients with MDD who reported NSSI were recruited from January to December 2021. Using stratified randomisation, the participants were randomly divided into a balanced control group (usual treatment) and intervention group (IKAP intervention). The Cognitive Emotion Scale, NSSI, and handling of dangerous items were assessed pre- and post-intervention.
Results: Post-intervention, the intervention group had significantly lower NSSI, were more likely to give up dangerous items, and indicated better cognitive-emotional regulation than the control group (all p < 0.05).
Discussion: The IKAP model significantly improved NSSI-related outcomes.
Implication for practice: The IKAP model could improve patients' cognitive-emotional regulation more than traditional health education, enabling patients to participate more actively in disease management, learn problem-solving skills, reduce negative emotions, actively cooperate with ward safety management practices, and reduce NSSI.
期刊介绍：
The Journal of Psychiatric and Mental Health Nursing is an international journal which publishes research and scholarly papers that advance the development of policy, practice, research and education in all aspects of mental health nursing. We publish rigorously conducted research, literature reviews, essays and debates, and consumer practitioner narratives; all of which add new knowledge and advance practice globally.
All papers must have clear implications for mental health nursing either solely or part of multidisciplinary practice. Papers are welcomed which draw on single or multiple research and academic disciplines. We give space to practitioner and consumer perspectives and ensure research published in the journal can be understood by a wide audience. We encourage critical debate and exchange of ideas and therefore welcome letters to the editor and essays and debates in mental health.
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