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Ella Arensman Ellen Townsend Keith Hawton Sandy Bremner Eleanor Feldman Robert Goldney David Gunnell Philip Hazell Kees Van Heeringen Allan House David Owens Isaac Sakinofsky Lil Trskman‐Bendz 《Suicide & life-threatening behavior》2001,31(2):169-180
Development of effective treatments for patients following deliberate self-harm (self-poisoning or self-injury) is a very important element in suicide prevention. The randomized controlled trial (RCT) is the mainstay of evaluation of treatments. In a systematic review of the literature, the effectiveness of treatments based on RCTs was examined and the quality of the RCTs was assessed. Twenty trials were identified, and where possible, these were grouped on the basis of similarities among the types of treatment. In this paper, we examine the methodological aspects of the trials and consider what may be learned that will assist in the design of future studies in this field. The methodological quality of the trials was reasonable, but most trials included too few participants to detect clinically important differences in rates of repeated self-harm. In planning future trials, the following major issues should be addressed: investigators should perform power calculations to determine the number of subjects necessary to detect clinically important effects, provide information on method of randomization and interventions, use standard measures of outcome, and focus on homogeneous subgroups of patients. Improving the methodology of future studies in this field will be essential if sound evidence is to be obtained which can inform effective service provision for deliberate self-harm patients. 相似文献
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ABSTRACTThe authors describe interactive read-alouds as an effective counseling strategy to improve empathy levels in school aged children. The importance of reading development and empathy development were considered as well. Results of the literature review indicate reading development is an essential building block in school aged children’s future academic development. Furthermore, empathy development in students was deemed important. A lesson plan was created to provide school counselors with a means of implementing the interactive read-aloud as a counseling strategy. 相似文献
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Susan J Curry Evette J Ludman Louis C Grothaus Dennis Donovan Eleanor Kim 《Health psychology》2003,22(2):156-165
This randomized trial evaluated an intervention for reducing at-risk drinking practices in a sample of 307 patients. Eligible drinking patterns included chronic drinking (> or = 2 drinks per day in the past month), binge drinking (> or = 5 drinks per occasion at least twice in the past month), and drinking and driving (driving after > 2 drinks in the past month). Members of the intervention group received a message from their physician during their regularly scheduled visit, a self-help manual, written personalized feedback, and up to 3 telephone counseling calls. Dropout was significantly higher in the intervention than control group. 相似文献