Editorial: Where Are the Trials on Adolescent Self-Harm and Suicide?

IF 9.5 1区 医学 Q1 PEDIATRICS Journal of the American Academy of Child and Adolescent Psychiatry Pub Date : 2025-09-01 Epub Date: 2025-03-13 DOI:10.1016/j.jaac.2025.03.002
Kristina T. Kumpf MA , Michael H. Bloch MD, MS
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社论:关于青少年自残和自杀的试验在哪里?
自残和自杀是一个主要的公共卫生问题,在青少年中尤其如此。自杀是英国和美国青少年死亡的第三大原因,非自杀性自伤(NSSI)仍然是这一人群发病率和死亡率的重要来源。1,2尽管对这一公共健康问题的严重性有相对的共识,但我们缺乏针对自残患者的循证治疗方法。这期杂志的一项重要的荟萃分析强调了青少年自我伤害有效治疗方法的缺乏。Wright-Hughes及其同事确定了39项随机对照试验(rct),比较了自我伤害治疗干预与对照的26项研究,提供了个体患者的数据(IPD;3,448个参与者)和7个只提供汇总数据(698个参与者)。他们对IPD研究的两阶段随机效应荟萃分析发现,治疗干预和对照治疗在12个月时预防自我伤害的疗效没有显著差异。纳入综合数据的二次分析同样显示疗效无差异,也没有关于治疗效果调节因子的有力证据。
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来源期刊
CiteScore
21.00
自引率
1.50%
发文量
1383
审稿时长
53 days
期刊介绍: The Journal of the American Academy of Child & Adolescent Psychiatry (JAACAP) is dedicated to advancing the field of child and adolescent psychiatry through the publication of original research and papers of theoretical, scientific, and clinical significance. Our primary focus is on the mental health of children, adolescents, and families. We welcome unpublished manuscripts that explore various perspectives, ranging from genetic, epidemiological, neurobiological, and psychopathological research, to cognitive, behavioral, psychodynamic, and other psychotherapeutic investigations. We also encourage submissions that delve into parent-child, interpersonal, and family research, as well as clinical and empirical studies conducted in inpatient, outpatient, consultation-liaison, and school-based settings. In addition to publishing research, we aim to promote the well-being of children and families by featuring scholarly papers on topics such as health policy, legislation, advocacy, culture, society, and service provision in relation to mental health. At JAACAP, we strive to foster collaboration and dialogue among researchers, clinicians, and policy-makers in order to enhance our understanding and approach to child and adolescent mental health.
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