心理干预对降低自杀未遂患者再次 自杀风险效果的网状Meta分析  

Network Meta-analysis of psychological intervention on reducing re-attempted suicide risk effect in patients with attempted suicide

作　　者：田甜 邓敏 熊丽君[3] 唐明辉 TIAN Tian;DENG Min;XIONG Lijun;TANG Minghui(School of Nursing,Chengdu Medical College,Chengdu 610000,Sichuan,China;Department of Nursing,the First People′s Hospital of Neijiang,Neijiang 641000,Sichuan,China;Department of Geriatric Respiratory,the First People′s Hospital of Neijiang,Neijiang 641000,Sichuan,China;Department of General Practice,the First People′s Hospital of Neijiang,Neijiang 641000,Sichuan,China)

机构地区：[1]成都医学院护理学院,四川省成都市610000 [2]内江市第一人民医院护理部,四川省内江市641000 [3]内江市第一人民医院老年呼吸科,四川省内江市641000 [4]内江市第一人民医院全科医疗科,四川省内江市641000

出　　处：《广西医学》2023年第9期1076-1082,共7页Guangxi Medical Journal

摘　　要：目的系统评价不同心理干预措施降低自杀未遂患者再次自杀风险的效果。方法计算机检索中国知网、万方数据知识服务平台、中国生物医学文献服务系统、Embase、PubMed、The Cochrane Library、Web of Science等数据库,搜集有关心理干预对自杀未遂患者再次自杀风险改善效果的文献。筛选文献、提取资料并进行方法学质量评价后,采用Stata 13.0软件进行网状Meta分析。结果最终纳入13篇文献,包含4652例患者,涉及8种心理干预措施。网状Meta分析结果显示,与常规护理疗法相比,自杀未遂短期干预计划(ASSIP)+常规护理疗法干预后自杀未遂患者的再次尝试自杀发生率更低,且其改善患者高风险自杀意念的效果最优。曲线下累积排序概率面积分析结果显示,降低自杀未遂患者再次自杀尝试发生率的最优措施依次是ASSIP+常规护理疗法、情绪调节治疗+常规护理疗法、电话联系管理+常规护理疗法,改善患者产生高风险自杀意念的最优措施依次是ASSIP+常规护理疗法、标准案例管理疗法+常规护理疗法、短期认知行为疗法+常规护理疗法。结论ASSIP+常规护理疗法在降低自杀未遂患者再次自杀尝试发生率及高风险自杀意念发生率方面均有较好效果,推荐采用ASSIP+常规护理疗法降低自杀未遂患者再次自杀风险。Objective To systematically evaluate the effect of different psychological intervention on reducing re-attempted suicide risk in patients with attempted suicide.Methods The China National Knowledge Infrastructure,Wanfang Data Knowledge Service Platform,China Biologic Medicine disc,Embase,PubMed,The Cochrane Library,Web of science and other databases were retrieved by computer to collect literature related to psychological intervention on the improvement effect of re-attempted suicide risk in patients with attempted suicide.After literature screening,data extraction,and methodological quality evaluation,the network Meta-analysis was performed by using Stata 13.0 software.Results A total of 13 articles were finally enrolled,including 4652 patients,involving 8 psychological intervention measures.The results of network Meta-analysis revealed that the incidence rate of re-attempted suicide was lower in attempted suicide patients with attempted suicide short-term intervention plan(ASSIP)+routine nursing therapy as compared with in attempted suicide patients with routine nursing therapy,and its effect of ameliorating patients for developing a high risk of suicidal ideation was the optimum.The results of surface under the cumulative ranking analysis depicted that the optimal measures to reduce the incidence rate of re-attempted suicide in patients with attempted suicide were ASSIP+routine nursing therapy,emotion regulation therapy+routine nursing therapy,and telephone contact management+routine nursing therapy successively,and the optimal measures to ameliorate patients for developing a high risk of suicidal ideation were ASSIP+routine nursing therapy,standard case management therapy+routine nursing therapy,and short-term cognitive behavioral therapy+routine nursing therapy successively.Conclusion ASSIP+routine nursing therapy exerts a relatively favorable effect in reducing the incidence rate of re-attempted suicide and high-risk of suicidal ideation in patients with attempted suicide.Therefore,ASSIP+routine nursing the

关 键 词：自杀未遂 心理干预 自杀风险 再次自杀 自杀意念 网状Meta分析 

分 类 号：R473[医药卫生—护理学]