PDF(Pubmed)
Abstract：
The rotes of attempted and completed suicide among adolescents are increasing globally. Social support can help decrease the risk of adolescent suicide, but this aspect has been rarely studied in China. The present study aimed to use the Delphi methodology to establish a set of guidelines for the development of social support resources, with the goal of collectively reducing suicide risks among adolescents in Shanghai. We commenced the study in April 2021, established a research team, searched the keywords using Web of Science from 2016 to 2021 and ultimately designed a pre-evaluation index. Next, following Donabedian\'s Structure-Process-Outcome model, the research developed a questionnaire comprising 3 level-1, 12 level-2, and 73 level-3 indicators. Ten experts were enlisted to conduct three rounds of e-mail inquiries in order to finalize the indicator system, resulting in 2 level-1, 11 level-2, and 52 level-3 indicators, as well as expert consensus. Our findings indicate that the social support systems should include parents, schools, psychiatric hospitals, social organizations, and government departments, with the government sector being the most important ((M = 9.4). Furthermore, our study revealed that school counselors and psychologists play similar roles to psychiatrists within the interdisciplinary team (M ± S = 9.2 ± 1.1). As per the expert consensus, social support systems should strengthen government-led and interdisciplinary collaboration, prioritize suicide prevention in schools and encourage greater involvement from social organizations.
摘要：
在全球范围内，青少年自杀未遂和完全自杀的人数正在增加。社会支持可以帮助降低青少年自杀的风险，但这方面的研究在中国很少。本研究旨在利用德尔菲方法建立一套社会支持资源开发的指导方针，目的是集体降低上海青少年的自杀风险。我们于2021年4月开始这项研究，成立了一个研究小组，从2016年到2021年，使用WebofScience搜索关键字，并最终设计了预评估指数。接下来,遵循Donabedian的结构-过程-结果模型，该研究开发了一份包含3个1级,12个2级和73个3级指标的问卷.请十名专家进行了三轮电子邮件查询，以最终确定指标系统，产生2个一级、11个二级和52个三级指标，以及专家共识。我们的研究结果表明，社会支持系统应该包括父母，学校,精神病医院,社会组织,和政府部门，政府部门是最重要的((M=9.4)。此外，我们的研究表明,学校辅导员和心理学家在跨学科团队中扮演的角色与精神科医生相似(M±S=9.2±1.1).根据专家共识，社会支持系统应加强政府主导和跨学科合作，优先考虑学校的自杀预防，并鼓励社会组织的更多参与。
