Journal of Child and Adolescent Psychiatric Nursing最新文献_第7页

Celebrating the specialty of child and adolescent psychiatric nursing through a dedicated, specialist journal 通过专门的专业期刊来庆祝儿童和青少年精神科护理专业的发展

IF 1.5 Q2 NURSING

Journal of Child and Adolescent Psychiatric Nursing

Pub Date : 2024-04-19 DOI: 10.1111/jcap.12465

Brenda Happell RN, Cert Psych Nurs, BA (Hons), DipEd, BEd, MEd, PhD, FACMHN

引用次数: 0

The relationship of depressive symptoms with pain and analgesic use in Turkish adolescents 土耳其青少年抑郁症状与疼痛和镇痛药使用的关系

IF 1.5 Q2 NURSING

Journal of Child and Adolescent Psychiatric Nursing

Pub Date : 2024-04-09 DOI: 10.1111/jcap.12464

Gulbahar Celik MSN, RN, Meryem Öztürk Haney PhD, RN

Problem

This study aimed to determine the prevalence of depressive symptoms, pain (headache, abdominal pain, back pain) and analgesic use among Turkish adolescents. Additionally, it aimed to examine the association between depressive symptoms and pain and analgesic use in adolescents.

Methods

This cross-sectional, correlational study was conducted in Izmir, Turkey with 954 adolescents aged 11–19 years. Data were collected with the “socio-demographic questionnaires” and the “Center for Epidemiologic Studies Depression Scale for Children”. Analyzes were performed using descriptive statistics and multiple logistic regression analysis.

Findings

Of the adolescents, 632 (66.2%) showed depressive symptoms. Of the adolescents, 424 (44.4%) experienced headache, 256 (26.8%) experienced abdominal pain, and 343 (36.0%) experienced back pain. A total of 309 (32.4%) adolescents used analgesics for headaches, 132 (13.8%) abdominal pain, and 47 (4.9%) for back pain. Female gender, high level maternal education, bad economic status, poor health perception, bad school success, pain and analgesic use were the correlated variables with adolescent depression.

Conclusions

The depressive symptoms, headache and back pain, and use of analgesics especially for headaches were common among adolescents. The results showed depression in adolescent correlated with pain (headache, abdominal pain, and back pain) and analgesic use. Regular screening is needed to assure early intervention of depression among adolescents.

问题本研究旨在确定土耳其青少年中抑郁症状、疼痛（头痛、腹痛、背痛）和镇痛药使用的普遍程度。此外，研究还旨在探讨青少年抑郁症状、疼痛与镇痛药使用之间的关联。方法这项横断面相关研究在土耳其伊兹密尔市进行，共有 954 名 11-19 岁的青少年参加。数据通过 "社会人口调查问卷 "和 "流行病学研究中心儿童抑郁量表 "收集。分析采用描述性统计和多元逻辑回归分析。调查结果在青少年中，有 632 人（66.2%）出现抑郁症状。其中 424 人（44.4%）有头痛症状，256 人（26.8%）有腹痛症状，343 人（36.0%）有背痛症状。共有 309 名（32.4%）青少年因头痛、132 名（13.8%）青少年因腹痛、47 名（4.9%）青少年因背痛而使用镇痛剂。女性性别、母亲受教育程度高、经济状况差、健康观念差、学习成绩差、疼痛和使用镇痛药是与青少年抑郁症相关的变量。结论青少年普遍存在抑郁症状、头痛和背痛，以及使用止痛药，尤其是头痛止痛药。结果显示，青少年抑郁与疼痛（头痛、腹痛和背痛）和镇痛药的使用有关。需要定期进行筛查，以确保对青少年抑郁症进行早期干预。

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引用次数: 0

Levels of COVID-19 fear, COVID-19 anxiety, and hopelessness in young adolescents: A structural equation modeling: Correspondence 青少年的 COVID-19 恐惧、COVID-19 焦虑和绝望程度：结构方程模型：通讯

IF 1.5 Q2 NURSING

Journal of Child and Adolescent Psychiatric Nursing

Pub Date : 2024-04-02 DOI: 10.1111/jcap.12462

Hinpetch Daungsupawong, Viroj Wiwanitkit

引用次数: 0

Preliminary evaluation of behavior technician burnout when working with boarded and traditional psychiatric inpatients diagnosed with developmental disabilities 对行为技术人员在为被诊断为发育障碍的寄宿和传统精神病住院患者工作时的职业倦怠进行初步评估

IF 1.5 Q2 NURSING

Journal of Child and Adolescent Psychiatric Nursing

Pub Date : 2024-04-02 DOI: 10.1111/jcap.12461

Mathew C. Luehring PhD, BCBA-D, NCSP, Patrick W. Romani PhD, BCBA-D, Merlin Ariefdjohan PhD, MPH

Problem

The COVID-19 pandemic has led to a youth mental health crisis, with research demonstrating an increased prevalence of depression, anxiety, and disruptive behavior in youth compared to pre-pandemic years. Consequently, the insurgence of emergency psychiatric evaluations has increased the demands for extended inpatient stay (or patient boarding) at various licensed treatment facilities. Questions remain about the extent of burnout being experienced by behavior technicians who are caring for these patients.

Methods

The Shirom-Melamed Burnout Measure was used to evaluate symptoms of burnout of behavior technicians practicing at a specialized psychiatric inpatient unit. Comparisons were made for instances of caring for boarded (meeting criteria for discharge but unable to be discharged due to disposition) and traditional patients (short-term treatment).

Findings

Behavior technicians caring for boarded patients reported significantly higher scores in overall stress, physical exhaustion, cognitive fatigue, and emotional exhaustion than those managing patients getting traditional care.

Conclusions

Extensive burnout can have adverse impacts at both the personal level (staff well-being, individual staff–patient interactions) and clinic level (daily operations and service, general quality of care). Efforts need to be made to address this issue to prevent staff turnover.

问题 COVID-19 大流行导致了青少年心理健康危机，研究表明，与大流行前相比，青少年抑郁、焦虑和破坏性行为的发生率有所上升。因此，急诊精神评估的激增增加了在各种持证治疗机构延长住院时间（或病人寄宿）的需求。关于护理这些病人的行为技术人员的职业倦怠程度，仍然存在疑问。方法采用 Shirom-Melamed 职业倦怠测量法来评估在精神病专科住院部工作的行为技术人员的职业倦怠症状。比较了护理寄宿病人（符合出院标准，但因处置问题无法出院）和传统病人（短期治疗）的情况。结果行为技术人员在护理寄宿病人时，在总体压力、身体疲惫、认知疲劳和情感衰竭方面的得分明显高于管理传统护理病人的行为技术人员。结论严重的职业倦怠会对个人层面（员工福祉、员工与患者之间的个人互动）和诊所层面（日常运营和服务、总体护理质量）产生不利影响。需要努力解决这一问题，以防止员工流失。

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引用次数: 0

The correlation between domestic violence awareness and attitudes toward child marriage: The case of Turkey 家庭暴力意识与对童婚态度之间的相关性：土耳其案例。

IF 1.5 Q2 NURSING

Journal of Child and Adolescent Psychiatric Nursing

Pub Date : 2024-03-24 DOI: 10.1111/jcap.12460

Eda Gülbetekin, Sait Yildirim

Problem

The aim of this study is to determine the correlation between domestic violence awareness and attitudes toward child marriages among individuals living in Iğdır city.

Method

The correlational survey model was used in the study. The sample consisted of 814 adult individuals who lived in Iğdır city, did not have any health problem, and volunteered to participate in the study between September 2022 and January 2023. Personal Information Form, Domestic Violence Awareness Scale, and Attitude Toward Child(Girls) Marriages Scale were used to collect data. Data were obtained through online environment and face-to-face interview.

Findings

It was found that 59.5% of the sample group were female and 27% were aged between 18 and 24 years. 61.9% of the participants were married and 88.1% were married when they were over the age of 18. In addition, 51.9% were university graduates while 50.9% of them stated that they had witnessed domestic violence. The results of the study revealed that while the variables of gender, age, marital status, education level, and place of residence affected the attitudes toward child marriages, the variables of gender, age, age at marriage, education level, place of residence and witnessing domestic violence affected domestic violence awareness. Furthermore, when examining the scales used, it was concluded that the attitude toward child marriages affected the awareness of domestic violence.

Conclusion

Since domestic violence and child marriages are very common, it is recommended to conduct further studies on these issues and to identify support systems that will increase the awareness of the society on these issues.

问题：本研究旨在确定伊格尔市居民对家庭暴力的认识与对童婚的态度之间的相关性：研究采用了相关调查模式。样本包括 814 名居住在伊迪尔市、没有任何健康问题并自愿在 2022 年 9 月至 2023 年 1 月期间参与研究的成年人。收集数据时使用了个人信息表、家庭暴力意识量表和对童婚（女童）的态度量表。数据通过在线环境和面对面访谈获得：结果发现，59.5% 的样本组为女性，27% 的样本组年龄在 18-24 岁之间。61.9%的参与者已婚，88.1%在 18 岁以上时结婚。此外，51.9%的参与者为大学毕业生，50.9%的参与者表示曾目睹过家庭暴力。研究结果显示，性别、年龄、婚姻状况、受教育程度和居住地等变量影响了受访者对童婚的态度，而性别、年龄、结婚年龄、受教育程度、居住地和目睹家庭暴力等变量则影响了受访者对家庭暴力的认识。此外，对所使用的量表进行研究后得出的结论是，对童婚的态度会影响对家庭暴力的认识：由于家庭暴力和童婚非常普遍，建议对这些问题进行进一步研究，并确定支持系统，以提高社会对这些问题的认识。

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引用次数: 0

A mixed-method systematic review of the perspectives of young people, carers and professionals on psychiatric diagnosis in childhood and adolescence 以混合方法对青少年、照护者和专业人员对儿童和青少年时期精神病诊断的观点进行系统性回顾。

IF 1.5 Q2 NURSING

Journal of Child and Adolescent Psychiatric Nursing

Pub Date : 2024-03-24 DOI: 10.1111/jcap.12459

Jodie Gill MSc, BSc, RMN, Alexis Jones PhD, Klara Price PhD, Egan Goodison BSc, Philip Tyson PhD

Problem

The significance and complexities of a psychiatric diagnosis have been well-documented in existing literature. Despite the reliability and accuracy of such diagnoses, the impact and use of diagnostic labelling on young people remains unclear.

Methods

A systematic review was conducted using six databases, identifying 13 studies that explored psychiatric diagnosis experiences in professionals, caregivers, and young people.

Findings

This review focuses on three main themes related to psychiatric diagnosis in young people. The first theme is diagnostic subjectivity, which explores the accuracy, usefulness, potential harm and alternatives (e.g. psychological formulation) to psychiatric diagnosis in this population. The second theme is the utility of psychiatric diagnosis, which considers whether it helps young people access appropriate support and gain a better understanding of themselves and their presenting issues. The third theme is stigma, which examines the negative experiences and discrimination that young people may face due to their psychiatric diagnosis.

Conclusions

There is relatively limited literature which discusses the experience of psychiatric diagnosis in young people, caregivers and professionals. The available literature is difficult to compare due to discrepancies between methodologies and services, and there are several gaps i.e. a limited focus on the experience of young people themselves. Different views and experiences of psychiatric diagnosis among professionals, caregivers, and young people could impact young people's quality of life, access to healthcare, and identity development. The current literature needs to be more comprehensive to draw firm conclusions about young people's experiences with psychiatric diagnosis.

问题：精神病诊断的重要性和复杂性已在现有文献中得到充分证实。尽管此类诊断的可靠性和准确性很高，但诊断标签对青少年的影响和使用情况仍不清楚：方法：我们使用六个数据库进行了系统性回顾，确定了 13 项研究，这些研究探讨了专业人士、照顾者和青少年的精神病诊断经历：本综述主要关注与青少年精神病诊断相关的三大主题。第一个主题是诊断的主观性，探讨了这一人群中精神病诊断的准确性、有用性、潜在危害和替代方法（如心理治疗）。第二个主题是精神科诊断的效用，它考虑的是精神科诊断是否有助于青少年获得适当的支持，并更好地了解他们自己和他们所面临的问题。第三个主题是污名化，研究年轻人因其精神病诊断而可能面临的负面经历和歧视：讨论青少年、照护者和专业人员对精神病诊断的体验的文献相对有限。由于方法和服务之间的差异，现有文献很难进行比较，而且还存在一些空白，即对年轻人自身经历的关注有限。专业人士、照护者和年轻人对精神病诊断的不同看法和经历可能会影响年轻人的生活质量、获得医疗保健的机会以及身份认同的发展。目前的文献需要更加全面，才能对青少年的精神病诊断经历得出确切的结论。

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引用次数: 0

Have the effects of Covid-19 been overcome? Levels of Covid-19 fear, Covid-19 anxiety and hopelessness in young adolescents: A structural equation modeling Covid-19 的影响是否已经消除？青少年的 Covid-19 恐惧、Covid-19 焦虑和绝望程度：结构方程模型

IF 1.5 Q2 NURSING

Journal of Child and Adolescent Psychiatric Nursing

Pub Date : 2024-03-15 DOI: 10.1111/jcap.12458

Abdullah Sarman RN, PhD, Suat Tuncay RN, PhD

Objective

This research aimed to determine the level of fear, anxiety, and hopelessness of Covid-19 in young adolescents’ post Covid-19 period.

Design and Samples

Young adolescents in the 17–24 age group were included in this study, which was conducted in a descriptive-cross-sectional design.

Measurements

Sociodemographic characteristics questionnaire form and Coronavirus (Covid-19) Fear Scale, Coronavirus Anxiety Scale, and Beck Hopelessness Scale were used to collect data.

Results

90.8% of the participants had been vaccinated, 26.9% had previously caught in Covid-19, and 10.3% of those who had been caught in the disease had a severe course. 10.7% of young adolescents had to take medicines, 56.4% had a family history of Covid-19, and 18.7% had lost a relative as a result of Covid-19, was found. The level of fear, anxiety and hopelessness was higher among women, first-grade students, those who did not receive the Covid-19 vaccine, those who have caught in Covid-19 before, and those who have lost a family due to Covid-19.

Conclusion

It is thought that the increase in the awareness level of young adolescents about Covid-19 improves preventive health behaviors and enables the development of positive behaviors related to the disease.

研究目的本研究旨在确定青少年在 Covid-19 后的恐惧、焦虑和绝望程度：本研究纳入了 17-24 岁年龄组的青少年，采用描述性横断面设计：采用社会人口学特征调查表、冠状病毒（Covid-19）恐惧量表、冠状病毒焦虑量表和贝克无望量表收集数据：90.8%的参与者接种过疫苗，26.9%的参与者曾感染过 Covid-19，10.3%的感染者病情严重。调查发现，10.7%的青少年必须服药，56.4%的青少年有 Covid-19 家族史，18.7%的青少年因 Covid-19 而失去亲人。女性、一年级学生、未接种过 Covid-19 疫苗的人、曾感染过 Covid-19 的人和因 Covid-19 而失去亲人的人的恐惧、焦虑和绝望程度更高：结论：我们认为，提高青少年对 Covid-19 的认识水平可以改善他们的健康预防行为，并促进他们形成与该疾病相关的积极行为。

{"title":"Have the effects of Covid-19 been overcome? Levels of Covid-19 fear, Covid-19 anxiety and hopelessness in young adolescents: A structural equation modeling","authors":"Abdullah Sarman RN, PhD, Suat Tuncay RN, PhD","doi":"10.1111/jcap.12458","DOIUrl":"10.1111/jcap.12458","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This research aimed to determine the level of fear, anxiety, and hopelessness of Covid-19 in young adolescents’ post Covid-19 period.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design and Samples</h3>\u0000 \u0000 <p>Young adolescents in the 17–24 age group were included in this study, which was conducted in a descriptive-cross-sectional design.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Measurements</h3>\u0000 \u0000 <p>Sociodemographic characteristics questionnaire form and Coronavirus (Covid-19) Fear Scale, Coronavirus Anxiety Scale, and Beck Hopelessness Scale were used to collect data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>90.8% of the participants had been vaccinated, 26.9% had previously caught in Covid-19, and 10.3% of those who had been caught in the disease had a severe course. 10.7% of young adolescents had to take medicines, 56.4% had a family history of Covid-19, and 18.7% had lost a relative as a result of Covid-19, was found. The level of fear, anxiety and hopelessness was higher among women, first-grade students, those who did not receive the Covid-19 vaccine, those who have caught in Covid-19 before, and those who have lost a family due to Covid-19.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>It is thought that the increase in the awareness level of young adolescents about Covid-19 improves preventive health behaviors and enables the development of positive behaviors related to the disease.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"37 2","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140132796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The effect of a training program on adolescents' stress levels and healthy lifestyle behaviors during the Covid-19 pandemic: A randomized controlled study 在 Covid-19 大流行期间，培训计划对青少年压力水平和健康生活方式行为的影响：随机对照研究。

IF 1.5 Q2 NURSING

Journal of Child and Adolescent Psychiatric Nursing

Pub Date : 2024-03-12 DOI: 10.1111/jcap.12456

Edanur Tar Bolacali PhD, Derya Kaya Şenol PhD

Topic

Adolescence is the period when people adopt healthy lifestyle behaviors and turn them into habits. Healthy lifestyle behaviors are a significant step toward a long and healthy life.

Purpose

This study investigated the effect of a training program on adolescents' stress levels and healthy lifestyle behaviors during the COVID-19 pandemic.

Methods

This randomized controlled study was conducted between May and July 2021. The sample consisted of 100 adolescents living in a city in the south of Turkey. Participants were randomized into intervention and control groups using block randomization. The intervention group participated in an online (Zoom) training program consisting of two 45 min sessions once a week for 8 weeks. Data were collected using the adolescent stress questionnaire (ASQ) and the adolescent lifestyle profile (ALP).

Results

The results showed that 73% (n: 73) of the participants had developed hygiene habits since the onset of the pandemic. However, the pandemic negatively affected participants' dietary habits (45%, n: 45), physical activity (70%, n: 70), coping mechanisms (68%, n: 68), sleep patterns (54%, n: 54), Internet/social media/video game addiction (64%, n: 64), and interpersonal relationships (57%, n: 57). The intervention group had a lower mean ASQ posttest score and a higher mean ALP posttest score than the control group. The intervention group had a lower mean ASQ posttest score than their pretest score. The intervention group also had a higher mean ALP posttest score than their pretest score.

Conclusions/Implications for Practice

The training program helped adolescents feel less stress and adopt more healthy lifestyle behaviors. Pediatric nurses should identify risk factors and design and implement appropriate plans to help adolescents go through future pandemics with as little damage as possible. Parents and educators should support adolescents against the adverse impacts of events such as the COVID 19 pandemic.

主题青春期是人们采取健康生活方式行为并将其转化为习惯的时期。健康的生活方式行为是迈向健康长寿的重要一步。目的：本研究调查了在 COVID-19 大流行期间，培训项目对青少年压力水平和健康生活方式行为的影响：这项随机对照研究于 2021 年 5 月至 7 月间进行。样本包括居住在土耳其南部城市的 100 名青少年。采用整群随机法将参与者随机分为干预组和对照组。干预组参加在线（Zoom）培训项目，每周一次，每次两节课，每节课 45 分钟，共 8 周。使用青少年压力问卷（ASQ）和青少年生活方式档案（ALP）收集数据：结果显示，73% 的参与者（人数：73）在大流行发生后养成了卫生习惯。然而，大流行对参与者的饮食习惯（45%，n: 45）、体育活动（70%，n: 70）、应对机制（68%，n: 68）、睡眠模式（54%，n: 54）、网络/社交媒体/视频游戏成瘾（64%，n: 64）和人际关系（57%，n: 57）产生了负面影响。与对照组相比，干预组的 ASQ 后测平均得分较低，ALP 后测平均得分较高。干预组的 ASQ 后测平均得分低于其前测得分。干预组的ALP测试后平均得分也高于其测试前得分：培训计划帮助青少年减轻了压力，并采取了更多健康的生活方式。儿科护士应识别风险因素，设计并实施适当的计划，帮助青少年在未来的流行病中尽可能减少伤害。家长和教育工作者应帮助青少年抵御 COVID 19 大流行等事件带来的不利影响。

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引用次数: 0

Indonesian COVID-19 lesson: A mixed-methods study on adolescent health status and health services during pandemic 印度尼西亚 COVID-19 课程：关于大流行病期间青少年健康状况和医疗服务的混合方法研究。

IF 1.5 Q2 NURSING

Journal of Child and Adolescent Psychiatric Nursing

Pub Date : 2024-03-03 DOI: 10.1111/jcap.12457

Siti Khuzaiyah MEpid, PhD (Cand), Qorinah Estiningtyas Sakilah Adnani PhD, Ainun Muthoharoh MSc, Nur Chabibah MPH, Windha Widyastuti MNS, Sandi Ari Susiatmi MMid, Nina Zuhana MEpid, Wahyu Ersila MPH, Paul Barach BMedSci, MD, MPH, Maj (Ret), AUA, Ka Yiu Lee PhD

Topic

The COVID-19 pandemic affected adolescents' physical and psychological health. There must be specific services to cater to the needs of adolescents during COVID-19 in Indonesia. Lessons learned from previous pandemics will be beneficial for nurses and other health professionals to prepare services for future pandemics.

Purpose

This mixed-method study aimed to examine 459 Indonesian adolescents' health, literacy, preventive measures, and preferred health services during the COVID-19 pandemic. This study also examines sociodemographics, respondent characteristics, health information sources, and media choices.

Results

A total of 47.5% of adolescents knew about COVID-19, 26.8% experienced physical health changes, and 61.7% considered wearing masks. Adolescent health information came from teachers (26.6%) and the Internet (32.9%). Psychological changes showed 67.8% irritation. Indonesians preferred online counseling (53.8%) and WhatsApp (45.8%) for pandemic health services. COVID-19 literacy did not affect physical or mental health (p > 0.05).

Conclusions

Most adolescents reported mental and physical health changes during COVID-19. Our data suggest that adolescents' strong COVID−19 knowledge did not prevent anxiety and other psychological difficulties. The longitudinal studies could be utilized if pandemic demands social and physical distance. The government, as well as nurses, might utilize WhatsApp-based remote online treatment for health services.

主题COVID-19 大流行影响了青少年的身心健康。在印尼发生 COVID-19 期间，必须有专门的服务来满足青少年的需求。目的：这项混合方法研究旨在调查 459 名印尼青少年在 COVID-19 大流行期间的健康状况、识字率、预防措施和首选医疗服务。本研究还考察了社会人口学、受访者特征、健康信息来源和媒体选择：结果：47.5%的青少年知道 COVID-19，26.8%的青少年经历了身体健康变化，61.7%的青少年考虑佩戴口罩。青少年的健康信息来自教师（26.6%）和互联网（32.9%）。67.8%的人受到心理变化的刺激。印尼人更喜欢在线咨询（53.8%）和 WhatsApp（45.8%）提供的大流行病健康服务。COVID-19扫盲并不影响身心健康（P > 0.05）：大多数青少年在 COVID-19 期间报告了身心健康的变化。我们的数据表明，青少年对 COVID-19 的深入了解并不能预防焦虑和其他心理问题。如果大流行病需要社会和身体上的距离，可以利用纵向研究。政府和护士可以利用基于 WhatsApp 的远程在线治疗来提供健康服务。

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引用次数: 0

Suicide prevention: Introducing the Lothian Safekeeping Plan© for parents as a clinical innovation for use alongside safety plans for children and young people 预防自杀：为父母推出 "洛锡安安全计划©"，作为一项临床创新，与儿童和青少年安全计划一起使用。

IF 1.5 Q2 NURSING

Journal of Child and Adolescent Psychiatric Nursing

Pub Date : 2024-02-18 DOI: 10.1111/jcap.12455

Susan Abbott-Smith RGN, RMN, MSc, BSc, PGCert CBT, PGCert TLAP, Nadine Dougall PhD, MSc, BSc, Nicola Ring PhD, MSc, BSc, Dip, HV, RSCN, RGN

Topic

Internationally, preventing suicide in children and young people is a priority and there are a range of preventative approaches available for health professionals to use, including brief interventions. Safety planning is one such brief intervention. Safety plans have long been recommended for use with young people who are suicidal but, these were initially developed for adults. A recent scoping review revealed safety plans need to be tailored to children and young people. This review also identified an important practice gap, that parents also require plans supporting them to keep their child safe.

Purpose

This paper highlights how a Scottish clinical child and adolescent mental health setting in the UK's National Health Service developed and implemented evidence-based safety plans for suicidality–the Lothian Safety Plan for young people and the Lothian Safekeeping Plan for parents. This paper outlines both plans and gives recommendations for their use by healthcare professionals. The parental Lothian Safekeeping Plan is discussed in more depth as this is a novel intervention.

Conclusion

The Lothian Safekeeping Plan is a clinically led evidence-based practice innovation. It is a specific suicide prevention plan for use by parents as an additional, complementary, and enhanced resource to the Lothian Safety Plan for young people. It is recommended that healthcare professionals also use a parental safety plan when supporting young people presenting with suicidal crisis. Further research is needed to evaluate the impact of these plans.

主题：在国际上，预防儿童和青少年自杀是一个优先事项，有一系列预防方法可供卫生专业人员使用，包括简短干预。安全计划就是这样一种简短的干预措施。长期以来，安全计划一直被推荐用于有自杀倾向的青少年，但这些计划最初是为成年人制定的。最近的一次范围界定审查显示，安全计划需要为儿童和青少年量身定制。目的：本文重点介绍了英国国民健康服务中的苏格兰临床儿童和青少年心理健康机构是如何制定并实施以证据为基础的自杀安全计划的--针对青少年的洛锡安安全计划和针对家长的洛锡安安全计划。本文概述了这两项计划，并为医护人员使用这两项计划提出了建议。由于父母的 "洛锡安安全计划 "是一项新颖的干预措施，因此本文对其进行了更深入的讨论：洛锡安安全计划是一项以临床为主导的循证创新实践。它是一项专门的自杀预防计划，供家长使用，是针对青少年的 "洛锡安安全计划 "的附加、补充和强化资源。建议医护人员在为出现自杀危机的青少年提供支持时，也使用家长安全计划。需要进一步开展研究，以评估这些计划的影响。

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引用次数: 0