青少年、照顾者和治疗师对青少年和家庭自杀干预的体验:定性研究。

IF 2.6 1区 心理学 Q2 PSYCHOLOGY, CLINICAL Psychotherapy Research Pub Date : 2024-11-04 DOI:10.1080/10503307.2024.2415991
Di Simes, Ian Shochet, Kate Murray, Isobel G Sands
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引用次数: 0

摘要

研究目的本研究从七个心理治疗三人组(12-18岁的青少年、他们的父母/照顾者和治疗师)的角度,探讨个人和家庭治疗青少年自杀干预的经验:方法:通过半结构化个人访谈收集数据,并采用共识定性研究方法对数据进行分析:结果:确定了四个领域:重点关注青少年与父母的关系、针对青少年及其父母的个体治疗、联合治疗以及促进量身定制治疗的公共服务结构和系统实践。所有参与小组都重视改善青少年与家长关系的干预措施;但是,他们对干预措施对自杀和康复的影响持有不同的观点。将青少年和家长的治疗分开,对于促进针对性治疗和增强联合治疗的修复潜力至关重要。阻碍有效干预的因素包括:无法获得的、零散的、孤立的治疗(将家长排除在外)、临床医生的鄙视性回应,以及与需求或发展背景不相适应的急性护理。有帮助的干预措施是系统性的、以依恋为基础的、多学科的、针对个人的,并将免费提供的专家治疗与危机和住院治疗相结合:结论:在青少年与家长关系复杂的背景下,需要采取一种关系性的、细致入微的、灵活的方法来定制青少年自杀治疗。
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Adolescent, caregivers, and therapists' experiences of youth and family suicide intervention: A qualitative study.

Objective: This study explores the experience of an individual and family therapy youth suicide intervention from the perspectives of seven psychotherapy triads (young people aged 12-18, their parents/caregivers and therapists).

Method: Data were collected through semi-structured individual interviews and analyzed using consensual qualitative research methods.

Results: Four domains were identified: Focusing on the youth-parent relationship, individual therapy for young people and their parents, conjoint therapy, and public service structures and systemic practice that facilitated tailored treatment. All participant groups valued intervention that improved the youth-parent relationship; however, they held different views about its influence on suicidality and recovery. Separate youth and parent therapy was crucial for facilitating the tailoring of treatment and enhancing the reparative potential of conjoint therapy. Barriers to productive intervention included inaccessible, fragmented, and siloed treatment that excluded parents, stigmatizing clinician responses, and acute care that was not attuned to need or developmental context. Helpful intervention was systemically and attachment-informed, multi-disciplinary, individually tailored, and integrated freely available specialist therapy with crisis and inpatient care.

Conclusion: A relational, nuanced, and flexible approach is needed to tailor youth suicide treatment in the context of the complexity of youth-parent relationships.

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来源期刊
Psychotherapy Research
Psychotherapy Research PSYCHOLOGY, CLINICAL-
CiteScore
7.80
自引率
10.30%
发文量
68
期刊介绍: Psychotherapy Research seeks to enhance the development, scientific quality, and social relevance of psychotherapy research and to foster the use of research findings in practice, education, and policy formulation. The Journal publishes reports of original research on all aspects of psychotherapy, including its outcomes, its processes, education of practitioners, and delivery of services. It also publishes methodological, theoretical, and review articles of direct relevance to psychotherapy research. The Journal is addressed to an international, interdisciplinary audience and welcomes submissions dealing with diverse theoretical orientations, treatment modalities.
期刊最新文献
Adolescent, caregivers, and therapists' experiences of youth and family suicide intervention: A qualitative study. Therapist responsiveness in psychotherapy: Introduction to the special issue. Therapists' experiences of negative effects in intensive short-term dynamic psychotherapy: A qualitative interview study. Do treatments for mental disorders affect relationship satisfaction? A systematic review and meta-analysis. Client-counselor behavioral and inter-brain synchronization among dismissing and secure clients and its association with alliance quality and outcome.
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