以家庭为中心赋权模型下急诊科自杀未遂青少年主要照顾者照顾激活方案的构建与应用

注册号:

Registration number:

ChiCTR2500110849 

最近更新日期:

Date of Last Refreshed on:

2025-10-21 17:22:16 

注册时间:

Date of Registration:

2025-10-21 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

以家庭为中心赋权模型下急诊科自杀未遂青少年主要照顾者照顾激活方案的构建与应用

Public title:

Development and Application of a Care Activation Program for Primary Caregivers of Adolescents with Attempted Suicide in the Emergency Department Based on a Family-Centered Empowerment Model

注册题目简写:

English Acronym:

研究课题的正式科学名称:

以家庭为中心赋权模型下急诊科自杀未遂青少年主要照顾者照顾激活方案的构建与应用

Scientific title:

Development and Application of a Care Activation Program for Primary Caregivers of Adolescents with Attempted Suicide in the Emergency Department Based on a Family-Centered Empowerment Model

研究课题代号(代码):

Study subject ID:

在二级注册机构或其它机构的注册号:

The registration number of the Partner Registry or other register:

申请注册联系人:

余丹妮 

研究负责人:

周海芳 

Applicant:

Yu Danni 

Study leader:

Zhou Haifang 

申请注册联系人电话:

Applicant telephone:

+86 571 8582 7897

研究负责人电话:

Study leader's
telephone:

+86 571 8582 7897

申请注册联系人传真 :

Applicant Fax:

研究负责人传真:

Study leader's fax:

申请注册联系人电子邮件:

Applicant E-mail:

1043568038@qq.com

研究负责人电子邮件:

Study leader's E-mail:

783206521@qq.com

申请单位网址(自愿提供):

Applicant website(voluntary supply):

研究负责人网址(自愿提供):

Study leader's website(voluntary supply):

申请注册联系人通讯地址:

浙江省杭州市西湖区体育场路453号

研究负责人通讯地址:

浙江省杭州市西湖区体育场路453号

Applicant address:

No. 453, Tiyuchang Road, Xihu District, Hangzhou City, Zhejiang Province, China

Study leader's address:

No. 453, Tiyuchang Road, Xihu District, Hangzhou City, Zhejiang Province, China

申请注册联系人邮政编码:

Applicant postcode:

研究负责人邮政编码:

Study leader's postcode:

申请人所在单位:

杭州市中医院

Applicant's institution:

Hangzhou Hospital of Traditional Chinese Medicine

研究负责人所在单位:

杭州市中医院

Affiliation of the Leader:

Hangzhou Hospital of Traditional Chinese Medicine

是否获伦理委员会批准:

Approved by ethic committee:

Yes

伦理委员会批件文号:

Approved No. of ethic committee:

2025KLL189

伦理委员会批件附件:

Approved file of Ethical Committee:

查看附件View

批准本研究的伦理委员会名称:

杭州市中医院科研伦理委员会

Name of the ethic committee:

Hangzhou Hospital of Traditional Chinese Medicine

伦理委员会批准日期:

Date of approved by ethic committee:

2025-09-24 00:00:00

伦理委员会联系人:

张来

Contact Name of the ethic committee:

Zhang Lai

伦理委员会联系地址:

浙江省杭州市西湖区体育场路453号

Contact Address of the ethic committee:

No. 453, Tiyuchang Road, Xihu District, Hangzhou City, Zhejiang Province, China

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 571 8582 7896

伦理委员会联系人邮箱:

Contact email of the ethic committee:

研究实施负责(组长)单位:

杭州市中医院

Primary sponsor:

Hangzhou Hospital of Traditional Chinese Medicine

研究实施负责(组长)单位地址:

浙江省杭州市西湖区体育场路453号

Primary sponsor's address:

No. 453, Tiyuchang Road, Xihu District, Hangzhou City, Zhejiang Province, China.

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

浙江

市(区县):

Country:

China

Province:

Zhejiang

City:

单位(医院):

杭州市中医院

具体地址:

浙江省杭州市西湖区体育场路453号

Institution
hospital:

Hangzhou Hospital of Traditional Chinese Medicine

Address:

No. 453, Tiyuchang Road, Xihu District, Hangzhou City, Zhejiang Province, China.

经费或物资来源:

单位配套

Source(s) of funding:

Matching Funds / Support from the Work Unit

研究疾病:

自杀未遂  

Target disease:

Suicide attempt

研究疾病代码:

Target disease code:

研究类型:

干预性研究

Study type:

Interventional study

研究所处阶段:

其它 

Study phase:

N/A

研究设计:

随机平行对照 

Study design:

Parallel 

研究目的:

1.了解自杀未遂青少年及主要照顾者在急诊阶段的困境与需求。 2.提升急诊医护人员对青少年自杀危机的识别和应对能力。 3.构建并验证照护干预方案,激发家庭照护功能,进而提高青少年心理治疗的依从性、自杀行为的复发率。  

Objectives of Study:

1.To identify the challenges and needs of adolescents with attempted suicide and their primary caregivers during the emergency department phase. 2.To enhance the ability of emergency department healthcare staff to recognize and respond to adolescent suicide crises. 3. To develop and validate a care intervention protocol that activates family care functions, thereby improving adherence to psychotherapy and reducing the recurrence of suicidal behavior among adolescents.

药物成份或治疗方案详述:

 

Description for medicine or protocol of treatment in detail:

 

纳入标准:

Inclusion criteria

排除标准:

1.患者伴有其他严重躯体疾病或重性精神障碍; 2.照顾者存在严重躯体疾病或重性精神障碍。

Exclusion criteria:

1. Presence of a concomitant severe physical illness or major psychiatric disorder in the patient; 2.Presence of a severe physical illness or major psychiatric disorder in the caregiver

研究实施时间:

Study execute time:

From 2025-11-01 00:00:00 To 2028-12-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2025-11-01 00:00:00 To 2027-12-31 00:00:00

干预措施:

Interventions:

组别:

对照组

样本量:

34

Group:

Control group

Sample size:

干预措施:

在常规治疗的急诊科常规救治与护理基础上,由未经过培训的医护人员给予患者单间安置,语言与动作安抚,并为家属提供健康宣教、随访等服务,告知家属后期及时关注患者的精神状况。

干预措施代码:

Intervention:

In addition to standard treatment and routine care in the emergency department, untrained medical staff will place the patient in a single room, provide verbal and behavioral comfort, offer health education and follow-up services to family members, and inform them to monitor the patient's mental status promptly in the future.

Intervention code:

组别:

试验组

样本量:

34

Group:

Intervention Group

Sample size:

干预措施:

试验组照顾者在接受常规急诊治疗与护理的基础上,参与由研究团队基于“以家庭为中心赋权模型”和“压力-应对理论”设计的照顾激活方案。该方案包括四阶段干预路径,包括急诊现场支持、威胁感知、自我效能与自尊赋权四个方面,系统提升照顾者对青少年自杀危机的认知、自我效能感、自尊水平与照护能力,实现家庭系统的积极赋权与可持续支持。

干预措施代码:

Intervention:

Caregivers in the intervention group received a caregiver activation program, designed by the research team based on the Family-Centered Empowerment Model and the Stress-Coping Theory, in addition to routine emergency treatment and care. This program follows a four-stage intervention pathway, encompassing emergency department support, threat perception, self-efficacy, and self-esteem empowerment. It systematically enhances caregivers' understanding of adolescent suicidal crisis, self-efficacy, self-esteem, and caregiving skills, thereby achieving positive empowerment of the family system and sustainable support.

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

浙江 

市(区县):

 

Country:

China

Province:

Zhejiang

City:

单位(医院):

杭州市中医院 

单位级别:

三甲 

Institution
hospital:

Hangzhou Hospital of Traditional Chinese Medicine

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

家庭照顾者照顾能力量表

指标类型:

主要指标

Outcome:

Family Caregiver Task Inventory, FCTI

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

自杀预防素养量表

指标类型:

次要指标

Outcome:

The Literacy of Suicide Sca

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

一般自我效能感量表

指标类型:

次要指标

Outcome:

General Self-Efficacy Scale

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

再次自杀未遂发生或自杀死亡率

指标类型:

次要指标

Outcome:

The rate of repeated suicide attempts or suicide mortality.

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

青少年自杀意念量表

指标类型:

次要指标

Outcome:

Positive and Negative Suicide Ideation

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

自杀行为问卷-修订版

指标类型:

次要指标

Outcome:

Suicidal Behaviors Questionnaire-Revised

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

组织:

Sample Name:

None

Tissue:

人体标本去向

其它  

说明

Fate of sample:

0thers  

Note:

征募研究对象情况:

Recruiting status:

尚未开始

Not yet recruiting

年龄范围:

Participant age:

最小 Min age 10 years
最大 Max age 19 years

性别:

男女均可

Gender:

Both

随机方法(请说明由何人用什么方法产生随机序列):

由不参与本研究的研究者通过随机数字表法产生随机数

Randomization Procedure (please state who generates the random number sequence and by what method):

Random numbers were generated by a researcher not involved in the study using a random number table.

是否公开试验完成后的统计结果:

Calculated Results after the Study Completed public access:

公开/Public

盲法:

Blinding:

None

试验完成后的统计结果(上传文件):

Calculated Results after
the Study Completed(upload file):

是否共享原始数据:

IPD sharing

否No

共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址):

不共享

The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url):

Not shared

数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC:

本研究采用病例记录表(CRF)进行数据管理,CRF按模块化设计,系统记录社会人口学特征、家庭照顾者照顾能力量表、自杀预防素养量表、一般自我效能感量表等评价量表的评分结果。最终数据经审核导出用于统计分析。

Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture:

n this study, data management was performed using Case Report Forms (CRFs). The CRFs were modularly designed to systematically record scores from various assessment scales, including sociodemographic characteristics, the Family Caregiver Care Capacity Scale, the Suicide Prevention Literacy Scale, and the General Self-Efficacy Scale. The final data were exported for statistical analysis after review.

数据与安全监察委员会:

Data and Safety Monitoring Committee:

暂未确定/Not yet

注册人:

Name of Registration:

 2025-10-21 17:21:44