Attachment-Based Family Therapy (ABFT) is the only empirically supported family therapy model designed to treat adolescent depression, including those at risk for suicide, and their families. ABFT aims to repair interpersonal ruptures and rebuild an emotionally protective parent-child relationship. To study the effectiveness of ABFT compared with Treatment as Usual (TAU) in reducing suicidal ideation in clinically depressed adolescents. Sixty adolescents (86.7% girls), aged 13 to 18 years (M = 14.9), with major depressive disorder referred to two CAMHS were randomized to receive 16 weeks of ABFT or TAU. ABFT consisted of weekly therapy sessions according to the treatment manual. Suicidal ideation was measured with the Suicidal Ideation Questionnaire-Junior at 4, 6, 8, 10, 12, 14, and 16 weeks. Linear mixed models were fitted to test our hypothesis, time was the only factor to have a significant effect on suicidal ideation t(31.05) = -3.32, p < .01. Participants in both treatment groups reported significantly reduced suicidal ideation, but the majority were still in the clinical range after 16 weeks of treatment. ABFT was not associated with more favorable outcomes than TAU. Findings must be interpreted with caution given the study limitations.

中文翻译：

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与常规治疗相比，基于依恋的家庭治疗对 MDD 青少年自杀意念的疗效

基于依恋的家庭治疗 (ABFT) 是唯一一个有经验支持的家庭治疗模式，旨在治疗青少年抑郁症，包括那些有自杀风险的人及其家人。ABFT 旨在修复人际关系破裂并重建情感保护的亲子关系。研究 ABFT 与常规治疗 (TAU) 相比在减少临床抑郁青少年自杀意念方面的有效性。60 名青少年（86.7% 女孩），年龄在 13 至 18 岁（M = 14.9），患有重度抑郁症，涉及两个 CAMHS，被随机分配接受 16 周的 ABFT 或 TAU。根据治疗手册，ABFT 包括每周一次的治疗。在第 4、6、8、10、12、14 和 16 周时，使用自杀意念问卷调查表测量了自杀意念。拟合线性混合模型来检验我们的假设，时间是唯一对自杀意念有显着影响的因素 t(31.05) = -3.32, p < .01。两个治疗组的参与者都报告自杀意念显着减少，但大多数人在治疗 16 周后仍处于临床范围内。ABFT 与比 TAU 更有利的结果无关。鉴于研究的局限性，必须谨慎解释结果。