Recurrence of adolescent suicide attempt and self-harm (RASS study): Effectiveness of single therapeutic project.

Clinical child psychology and psychiatry Pub Date : 2023-11-06 DOI:10.1177/13591045231213029

Yoichi T Konno, Gerardo Md Araújo Filho, José Robson Sr Almeida, Nágila Bl Santos, Altino B Marques Filho, Bianca B Fernandes, Gabriel S Parreira, Pedro Hf Carvalho, Loise Mt Cenedesi

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引用次数: 1

Abstract

Objectives: This retrospective cohort study aims to understand the effectiveness of the Singular Therapeutic Project (STP) implemented in a Child Psychosocial Care Center in preventing recurrence of self-harm and suicide attempt (SA), by comparing the group of patients who adhered to the STP with the group that did not adhere completely.

Method: Data were collected from the medical records of adolescents with self-harm or SA during the period from 2015 to 2019. The primary outcomes analyzed were recurrence of SA, self-harm, and hospitalization; and the secondary outcomes analyzed were demographics, diagnosis, number of appointments, and negative life events.

Results: A total of 228 adolescents were included. After multivariate analysis, social service consultations decreased risk in 94.6% (HR .054, 95% CI: .004-.681) of the cases, but risk was increased by 23 times if there was an episode of self-harm among family members and/or friends (HR 23.641, 95% CI: 1.394-400.8). Additionally, in terms of SA, adherence to family interventions reduced the risk by 66.2% (HR .338, 95% CI: .125-.913). Victims of prejudice, racism, homophobia, transphobia presented a 3.7-fold increased risk (HR 3.766, 95% CI: 1.058-13.401).

Conclusion: The STP interventions were effective in reducing the recurrence of self-harm and SAs in adolescents.

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青少年自杀未遂和自残的复发（RASS研究）：单一治疗项目的有效性。

目的：本回顾性队列研究旨在通过比较坚持STP的患者组和未完全坚持的患者组，了解儿童心理社会护理中心实施的单一治疗项目（STP）在预防自残和自杀未遂（SA）复发方面的有效性。方法：收集2015年至2019年期间青少年自残或SA的医疗记录。分析的主要结果是SA复发、自残和住院治疗；分析的次要结果是人口统计学、诊断、预约次数和负面生活事件。结果：共纳入228名青少年。经过多变量分析，社会服务咨询降低了94.6%的病例的风险（HR.054，95%CI:.004-.681），但如果家庭成员和/或朋友发生自残事件，风险会增加23倍（HR23.641，95%CI:1.394-400.8）。此外，就SA而言，坚持家庭干预可将风险降低66.2%（HR.338，95%CI:.125-.913）。偏见、种族主义、恐同症和跨性别恐惧症的受害者的风险增加了3.7倍（HR3.766，95%CI:1.058-13.401）。结论：STP干预可有效减少青少年自残和SA的复发。

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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Clinical child psychology and psychiatry

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