预防自我伤害的家庭安全计划干预对青少年抑郁症患者的影响OA

Objective To evaluate the impact of a family safety planning intervention on depressive symptoms,suicidal ideation,self-harm severity,and family support in adolescents with depression,in order to provide reference for reducing self-harm behaviors in this population.Methods Using a convenience sampling method,98 adolescents with depression were enrolled and randomly divided into the intervention group(n=49)and the control group(n=49).The intervention group received a family safety planning intervention for preventing self-harm,while the control group received routine treatment and care.After the 2-week intervention,participants were assessed using the Hamilton depression rating scale-24(HAMD-24),the Beck scale for suicide ideation-Chinese version(BSI-CV),the adolescent self-harm inventory,the parental psychological control scale,and the parental autonomy support scale.The differences in depression severity,suicide-related thoughts and behaviors,and levels of family support between the two groups were compared.Results A total of 86 participants completed the study.After the intervention,the intervention group demonstrated significantly lower scores compared to the control group on the HAMD-24(9.00±6.35 vs.12.46±5.98)and on the BSI-CV total score for recent suicidal ideation(5.74±4.82 vs.11.81±6.87),all P<0.05.Similarly,post-intervention scores favored the intervention group on the adolescent self-harm inventory(2.76±5.04 vs.8.86±13.60),the parental psychological control scale(28.41±9.94 vs.33.58±8.92),and the parental autonomy support scale(54.90±13.58 vs.46.86±12.02),all P<0.05.Conclusions A family safety planning intervention for self-harm prevention effectively reduces the depressive symptoms,suicidal ideation,and self-harm severity,while improving perceived family support in adolescents with depression.