A socially assistive robot to support mental wellbeing in LGBTQ+ young people at risk of self-harm: a randomized controlled trial.

One impactful way to reduce risk and promote wellbeing is by supporting emotion regulation; that is, the process by which individuals can influence which emotions they feel, when they feel them and how they experience or express these emotions.

降低风险和促进福祉的一个有效方法是支持情绪调节；也就是说，个体能够影响他们感受哪些情绪，何时感受以及如何体验或表达这些情绪的过程。

This universal, modifiable process is widely considered a key transdiagnostic target for mental ill-health prevention and intervention efforts.

这种普遍且可修改的过程被广泛认为是精神健康障碍预防和干预努力的关键跨诊断目标。

We conducted a randomized controlled trialusing Purrble, a socially assistive robot designed to provide in-the-moment emotion regulation support through intuitive tactile interaction.

我们进行了一项随机对照试验，使用Purrble，这是一种社交辅助机器人，旨在通过直观的触觉互动提供即时的情绪调节支持。

Between 12 January and 1 September 2024, 153 LGBTQ+ youth with self-harm ideation were randomized 1:1 to receive Purrble and safety planning (Purrble + SP) or safety planning alone (SP-Only), stratified by gender identity (50.3% transgender/gender diverse).

在2024年1月12日至9月1日期间，共有153名有自伤想法的LGBTQ+青少年按照1:1的比例随机接受Purrble和安全计划（Purrble + SP）或仅安全计划（SP-Only），按性别认同（50.3%为跨性别/性别多样性）进行分层。

Data were collected over 13 weeks, with data collection closing on 22 October 2024.

数据收集工作持续了13周，数据收集截止于2024年10月22日。

The primary outcome was perceived emotion regulation difficulties at follow-up, adjusted for baseline, gender identity and age.

主要结果是在随访时调整基线、性别认同和年龄后的感知情绪调节困难。

Participants allocated to the Purrble intervention reported fewer emotion regulation difficulties at follow-up than those allocated to safety planning alone (adjusted mean difference: -3.04; 95% confidence interval(CI): -4.92 to -1.16; P = 0.002; partial η2 = 0.07).

被分配到Purrble干预的参与者在随访时报告的情绪调节困难比那些仅被分配到安全计划的参与者少（调整后的平均差异：-3.04；95%置信区间（CI）：-4.92至-1.16；P=0.002；偏η2=0.07）。

For secondary outcomes, participants in the Purrble intervention also reported significantly lower symptoms of anxiety and depression, but no significant main effect was observed for self-harm.

次要结果方面，参与Purrble干预的受试者报告了显著降低的焦虑和抑郁症状，但对自伤行为未观察到显著的主要效应。

No serious Purrble-related adverse events were observed.

未观察到与Purrble相关的严重不良事件。

Purrble may offer a scalable intervention to complement existing therapeutic approaches to support LGBTQ+ youth to enhance their emotion regulation.

Purrble 可能提供了一种可扩展的干预措施，以补充现有的治疗方法，帮助LGBTQ+青少年提高他们的情绪调节能力。

ClinicalTrials.gov: NCT06025942 .

ClinicalTrials.gov: NCT06025942 .