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A School-Based Cognitive Behavioural Therapy Skills Intervention for Suicide Prevention and Wellbeing in Youth.
紀錄類型:
書目-電子資源 : Monograph/item
正題名/作者:
A School-Based Cognitive Behavioural Therapy Skills Intervention for Suicide Prevention and Wellbeing in Youth./
作者:
Conforti, Paula Klim.
面頁冊數:
1 online resource (215 pages)
附註:
Source: Dissertations Abstracts International, Volume: 84-05, Section: B.
Contained By:
Dissertations Abstracts International84-05B.
標題:
Medicine. -
電子資源:
http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=29321527click for full text (PQDT)
ISBN:
9798357554994
A School-Based Cognitive Behavioural Therapy Skills Intervention for Suicide Prevention and Wellbeing in Youth.
Conforti, Paula Klim.
A School-Based Cognitive Behavioural Therapy Skills Intervention for Suicide Prevention and Wellbeing in Youth.
- 1 online resource (215 pages)
Source: Dissertations Abstracts International, Volume: 84-05, Section: B.
Thesis (Ph.D.)--University of Toronto (Canada), 2022.
Includes bibliographical references
This dissertation aimed to evaluate the impact of a Cognitive Behavioural Therapy Skills Intervention (CBTSI) on suicidality in middle schoolers. The primary objective was to determine whether the CBTSI produced a meaningful reduction in suicidality (4-item composite) in middle schoolers who endorsed at least one item on the Life Problems Inventory (LPI) questionnaire. Exploratory objectives were to determine if the CBTSI produced a meaningful improvement in depression, anxiety, and wellbeing. Following a feasibility study, I conducted a randomized control trial (RCT) with 430 students (46 classes) in total, to evaluate the causal effect of the CBTSI on outcome measures of interest in a large, urban, diverse school board. In Study 3, I evaluated the potential differences in the impact of the intervention on youth with and without mental health symptoms that may be clinically relevant. A subset of these students participated in Study 4; there were 8 groups of 60 students in total. I utilized qualitative methods to explore students' experiences of the intervention during the RCT and to better understand barriers and facilitators to engagement. Students were 12 to 14 years of age or in grades 7 or 8 for all studies. One of the most reliable risk factors for youth suicide is suicidal ideation and most notably, suicide attempts. Non-suicidal injury's (NSSI) role in youth suicidality remains debated and is not fully understood. For these reasons, measures of suicidality consisted of a composite score reflective of 1 suicide attempt item, 2 suicidal ideation items and 1 NSSI item. A decision was made to rerun the analyses and introduce the NSSI back into the results of the RCT following a Chronbach's alpha reliability estimate calculation. Overall results of the quantitative studies indicate inconsistent findings in suicidality, but improved wellbeing. Results across the studies for depression and anxiety outcomes were mixed. When discussing the CBTSI, students expressed that the intervention needs to be adaptable to enhance the personal dignity of youth, respecting their wishes and individual goals. Maximizing the opportunities for involvement and self-determination created an atmosphere for confidence and self-compassion to flourish, the highlighted core themes.
Electronic reproduction.
Ann Arbor, Mich. :
ProQuest,
2023
Mode of access: World Wide Web
ISBN: 9798357554994Subjects--Topical Terms:
641104
Medicine.
Subjects--Index Terms:
Depression and anxietyIndex Terms--Genre/Form:
542853
Electronic books.
A School-Based Cognitive Behavioural Therapy Skills Intervention for Suicide Prevention and Wellbeing in Youth.
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This dissertation aimed to evaluate the impact of a Cognitive Behavioural Therapy Skills Intervention (CBTSI) on suicidality in middle schoolers. The primary objective was to determine whether the CBTSI produced a meaningful reduction in suicidality (4-item composite) in middle schoolers who endorsed at least one item on the Life Problems Inventory (LPI) questionnaire. Exploratory objectives were to determine if the CBTSI produced a meaningful improvement in depression, anxiety, and wellbeing. Following a feasibility study, I conducted a randomized control trial (RCT) with 430 students (46 classes) in total, to evaluate the causal effect of the CBTSI on outcome measures of interest in a large, urban, diverse school board. In Study 3, I evaluated the potential differences in the impact of the intervention on youth with and without mental health symptoms that may be clinically relevant. A subset of these students participated in Study 4; there were 8 groups of 60 students in total. I utilized qualitative methods to explore students' experiences of the intervention during the RCT and to better understand barriers and facilitators to engagement. Students were 12 to 14 years of age or in grades 7 or 8 for all studies. One of the most reliable risk factors for youth suicide is suicidal ideation and most notably, suicide attempts. Non-suicidal injury's (NSSI) role in youth suicidality remains debated and is not fully understood. For these reasons, measures of suicidality consisted of a composite score reflective of 1 suicide attempt item, 2 suicidal ideation items and 1 NSSI item. A decision was made to rerun the analyses and introduce the NSSI back into the results of the RCT following a Chronbach's alpha reliability estimate calculation. Overall results of the quantitative studies indicate inconsistent findings in suicidality, but improved wellbeing. Results across the studies for depression and anxiety outcomes were mixed. When discussing the CBTSI, students expressed that the intervention needs to be adaptable to enhance the personal dignity of youth, respecting their wishes and individual goals. Maximizing the opportunities for involvement and self-determination created an atmosphere for confidence and self-compassion to flourish, the highlighted core themes.
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