Reducing suicidal ideation in African American adolescents: A randomized controlled clinical trial.

IF 4.5 1区心理学 Q1 PSYCHOLOGY, CLINICAL Journal of consulting and clinical psychology Pub Date : 2024-02-01 Epub Date: 2023-09-28 DOI:10.1037/ccp0000849

W LaVome Robinson, Christopher R Whipple, Kate Keenan, Caleb E Flack, Sally Lemke, Leonard A Jason

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Abstract

Objective: Suicide rates among African American adolescents have increased exponentially in recent years. The socioecological stressors that can increase suicide risk for African American adolescents, in conjunction with unique suicide risk manifestations within this group, require culturally sensitive preventive interventions. This study examines the efficacy of the Adapted-Coping With Stress course (A-CWS), a culturally tailored preventive intervention, to reduce suicidal ideation in African American adolescents, utilizing a randomized controlled design.

Method: Participants included 410 ninth-grade students in a large Midwestern city; most students identified as Black/African American. Participants were randomly assigned to either the A-CWS intervention or standard care control condition. All participants were assessed at baseline, immediately postintervention, and 6 and 12 months postintervention.

Results: Treatment effects were examined using latent growth models comparing suicidal ideation trajectories in control and intervention conditions. Analyses were conducted using both intention-to-treat and treatment-as-received samples (i.e., intervention condition participants who attended at least 80% of sessions). In both intention-to-treat and treatment-as-received analyses, there was a significant treatment effect: Individuals in the A-CWS intervention condition with higher baseline ideation evidenced a superior reduction in suicidal ideation over the course of the study, relative to their counterparts in the standard care control condition.

Conclusion: Findings indicate that the A-CWS preventive intervention is efficacious in reducing suicidal ideation among African American adolescents with higher levels of baseline suicidal ideation and that effects sustain over time, with the strongest effect evidenced 12 months postintervention. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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减少非裔美国青少年自杀意念：一项随机对照临床试验。

目的：近年来，非裔美国青少年的自杀率呈指数级增长。可能增加非裔美国青少年自杀风险的社会生态压力，加上这一群体中独特的自杀风险表现，需要对文化敏感的预防干预措施。本研究采用随机对照设计，检验了适应应对压力课程（A-CWS）的有效性，这是一种文化定制的预防干预措施，旨在减少非裔美国青少年的自杀意念。方法：参与者包括中西部大城市的410名九年级学生；大多数学生被认定为黑人/非裔美国人。参与者被随机分配到A-CWS干预或标准护理控制条件下。所有参与者在基线、干预后立即以及干预后6个月和12个月进行评估。结果：使用潜在生长模型检查治疗效果，比较控制和干预条件下的自杀意念轨迹。使用意向治疗和接受治疗样本（即至少参加80%疗程的干预条件参与者）进行分析。在意向治疗和接受治疗分析中，都存在显著的治疗效果：与标准护理对照条件下的个体相比，处于a-CWS干预条件下、基线意念较高的个体在研究过程中自杀意念显著降低。结论：研究结果表明，在基线自杀意念水平较高的非裔美国青少年中，A-CWS预防性干预在降低自杀意念方面是有效的，并且这种效果会随着时间的推移而持续，干预后12个月的效果最强。（PsycInfo数据库记录（c）2023 APA，保留所有权利）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of consulting and clinical psychology PSYCHOLOGY, CLINICAL-

CiteScore

9.00

自引率

3.40%

发文量

期刊介绍： The Journal of Consulting and Clinical Psychology® (JCCP) publishes original contributions on the following topics: the development, validity, and use of techniques of diagnosis and treatment of disordered behaviorstudies of a variety of populations that have clinical interest, including but not limited to medical patients, ethnic minorities, persons with serious mental illness, and community samplesstudies that have a cross-cultural or demographic focus and are of interest for treating behavior disordersstudies of personality and of its assessment and development where these have a clear bearing on problems of clinical dysfunction and treatmentstudies of gender, ethnicity, or sexual orientation that have a clear bearing on diagnosis, assessment, and treatmentstudies of psychosocial aspects of health behaviors. Studies that focus on populations that fall anywhere within the lifespan are considered. JCCP welcomes submissions on treatment and prevention in all areas of clinical and clinical–health psychology and especially on topics that appeal to a broad clinical–scientist and practitioner audience. JCCP encourages the submission of theory–based interventions, studies that investigate mechanisms of change, and studies of the effectiveness of treatments in real-world settings. JCCP recommends that authors of clinical trials pre-register their studies with an appropriate clinical trial registry (e.g., ClinicalTrials.gov, ClinicalTrialsRegister.eu) though both registered and unregistered trials will continue to be considered at this time.