中国心理卫生杂志2012，Vol.26Issue(1)：24-29,6.DOI:10.3969/j.issn.1000-6729.2012.01.006
社会心理干预对自杀未遂者的效果
Effectiveness of 18-month psychosocial intervention for suicide attempters
摘要
Abstract
Objective: To evaluate the effectiveness of psychosocial intervention for suicide attempters. Methods: A total of 115 suicide attempters treated in emergency room of a rural general hospital were interviewed about mental illness, physical diseases, factors related suicide and assessed with the Scale of WHO Well-being, Beck Depression Inventory and Trait Anger Scale. The suicide attempters were then randomly assigned to intervention group (n = 58) and control group (re =57). The intervention group got psychosocial intervention including education on suicide prevention at hospital and 6- time home visits during the following 18 months. The controls were treated as usual and only got debriefing at hospital. The intervention outcome evaluated was administered to the two groups of patients at 18-month follow-up visit with the prior assessment tools and others including the Scale of Quality of Life, Scale for mature coping strategies, and so on. Results: During the 18 months after dis-charged from the hospital, 1 patient attempted suicide again and none completed suicide in the intervention group, and 4 patients had suicidal behaviors in the control group (2 attempted suicide again and 2 completed suicide). At the 18-month follow-up interview, the scores of Scale of WHO Well-being in the intervention group were increased more than that in the control group (P < 0. 05), and there were no significantly difference among the scores of Beck Depression Inventory and Trait Anger Scale between the two groups. The mean scores of subjective feelings in the intervention group were significantly higher than that in the control group. The scores of problem-solving and social support in the intervention group were all higher than that in the control group (Ps <0. 05). Conclusion: It suggests that the psychosocial intervention may effectively improve the life quality, decrease their hopelessness, and therefore decrease the risk of repeated suicidal behavior in rural suicide attempters.关键词
自杀未遂/社会心理干预/随访/效果Key words
attempted suicide/ psychosocial intervention/ follow up/ effectiveness分类
社会科学引用本文复制引用
徐东,张学立,李献云,牛雅娟,张艳萍,王绍礼,杨甫德,曹孔敬,许永臣..社会心理干预对自杀未遂者的效果[J].中国心理卫生杂志,2012,26(1):24-29,6.基金项目
世界卫生组织SUPRE-MISS项目 （）
