Disorders - suicide or self-harm behaviours
Lu, R., Zhou,
Y., Wu, Q., Peng, X., Dong, J., Zhu, Z., Xu, W.
Background: The population of left-behind children is growing rapidly in China in recent
years. Without parents' company, left-behind children may develop severe emotional problems, which can trigger extreme behaviours such as self-harm
and suicide. Previous literature suggests that mindfulness-based intervention could effectively alleviate a variety of sufferings such as anxiety and
suicide ideation. The current study sought to examine the effectiveness of mindfulness-based intervention on suicide ideation among left-behind
children in China. Methods: This study investigated the effects of an 8-week mindfulness training programme on suicide ideation of left-behind
children in China. Forty-nine left-behind children completed a pretest and posttest on mindfulness level, social anxiety, self-esteem, and suicide
ideation, with 21 in the mindfulness training group and 28 in the waitlist control group. Results: Adjusting for pretest differences analyses of
covariance found that, compared with waitlist control group, the mindfulness training group showed a significant improvement in mindfulness level and
decreases in social anxiety and suicide ideation after the 8-week mindfulness training. Conclusion: The findings from this study support that the use
of mindfulness-based intervention can effectively reduce the suicide ideation and social anxiety of left-behind children in China. (PsycINFO Database
Record (c) 2019 APA, all rights reserved)
Child: Care, Health and
Development, 45(3) : 371-379
- Year: 2019
- Problem: Social phobia (social anxiety disorder), Suicide or self-harm behaviours (excluding non-suicidal self-harm)
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions
(any), Mindfulness based
therapy
Pistone, I., Beckman, U., Eriksson, E., Lagerlof, H., Sager, M.
BACKGROUND: Suicide is a major public health problem. Educational interventions for preventing suicidal behaviour
are widely used, although little is known regarding the collective effectiveness of these interventions. AIM: We evaluated the existing evidence for
the effectiveness of education interventions in the prevention of suicidal behaviour. METHOD(S): In this systematic review and meta-analysis, we
searched multiple databases using terms related to suicide prevention. The articles were reviewed by two independent reviewers, and the quality of
evidence was rated according to Grading of Recommendations Assessment, Development and Evaluation (GRADE) criteria. Data from individual studies were
combined in meta-analyses. RESULT(S): We identified 41 studies evaluating two different types of interventions: school-based education interventions
and gatekeeper training. Education interventions showed significant gains in terms of knowledge and attitudes, though the effects seem to vary
depending on subjects' personal characteristics. School-based education interventions significantly reduced suicidal ideation and suicide attempts
in youths. Gatekeeper training showed no significant effect on suicide attempts or gatekeeper skills, though the quality of evidence for the
estimate, according to GRADE criteria, was rated as very low. CONCLUSION(S): The results of this study indicate that school-based education
interventions are effective in preventing suicidal ideation and suicide attempts. In clinical practice, as well as in research, the development and
implementation of educational interventions should focus on participants' individual characteristics.
The International journal of social
psychiatry, : 20764019852655
- Year: 2019
- Problem: Suicide or self-harm behaviours (excluding non-suicidal self-harm)
- Type: Systematic reviews
-
Stage: Universal prevention
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions
(any), Psychoeducation, Other service delivery and improvement
interventions
Witt, K., Boland, A., Lamblin, M., McGorry, P. D., Veness, B., Cipriani, A., Hawton, K., Harvey, S., Christensen, H., Robinson, J.
QUESTION: A growing body of work suggests that medical
students may be particularly at risk of mental ill health, suicidal ideation and behaviour, resulting in recent calls to develop interventions to
prevent these outcomes. However, few reviews have synthesised the current evidence base regarding the effectiveness of these interventions and
provided guidance to improve future intervention efforts.\rSTUDY SELECTION AND ANALYSIS: The authors conducted a systematic review to identify
studies of any design reporting the effectiveness of any universal intervention to address these outcomes in medical students. Embase, MEDLINE and
PsycINFO databases were searched from their respective start dates until 1 December 2017.\rFINDINGS: Data from 39 studies were included. Most
investigated the effectiveness of relatively brief interventions designed to reduce stress; most commonly using mindfulness-based or guided
meditation approaches. Only one implemented an intervention specifically designed to address suicidal ideation; none investigated the effectiveness
of an intervention specifically designed to address suicidal behaviour. Five investigated the effects of curriculum-level changes. Overall, there was
limited evidence of an effect for these programmes at both the postintervention and longest follow-up assessment on depression, anxiety and stress.
\rCONCLUSIONS: Relatively brief, individually focused, mindfulness-based interventions may be effective in reducing levels of anxiety, depression and
stress in medical students in the short term. Effects on suicidal ideation and behaviour, however, remain to be determined. There has been a
significant lack of attention on organisational-level stressors associated with medical education and training.
Evidence-Based
Mental Health, 22(2) : 84-90
- Year: 2019
- Problem: Suicide or self-harm behaviours (excluding non-suicidal self-harm)
- Type: Systematic reviews
-
Stage: At risk (indicated or selected prevention), Universal prevention
-
Treatment and intervention: Complementary & Alternative
Interventions (CAM), Service Delivery & Improvement, Psychological Interventions
(any)
Briggs, S., Netuveli, G., Gould, N., Gkaravella, A., Gluckman, N. S., Kangogyere, P., Farr,
R., Goldblatt, M. J., Lindner, R.
BACKGROUND: Preventing suicide and self-harm is a global health priority. Although
there is a growing evidence base for the effectiveness of psychoanalytic and psychodynamic psychotherapies for a range of disorders, to date there
has been no systematic review of its effectiveness in reducing suicidal and self-harming behaviours.AimsTo systematically review randomised
controlled trials of psychoanalytic and psychodynamic psychotherapies for suicidal attempts and self-harm.\rMETHOD: We searched PubMed, PsycINFO,
Psycharticles, CINAHL, EMBASE and the Cochrane Central Register of Controlled Trials for randomise controlled trials of psychoanalytic and
psychodynamic psychotherapies for reducing suicide attempts and self-harm.\rRESULTS: Twelve trials (17 articles) were included in the meta-analyses.
Psychoanalytic and psychodynamic therapies were effective in reducing the number of patients attempting suicide (pooled odds ratio, 0.469; 95% CI
0.274-0.804). We found some evidence for significantly reduced repetition of self-harm at 6-month but not 12-month follow-up. Significant treatment
effects were also found for improvements in psychosocial functioning and reduction in number of hospital admissions.\rCONCLUSIONS: Psychoanalytic and
psychodynamic psychotherapies are indicated to be effective in reducing suicidal behaviour and to have short-term effectiveness in reducing self-
harm. They can also be beneficial in improving psychosocial well-being. However, the small number of trials and moderate quality of the evidence
means further high-quality trials are needed to confirm our findings and to identity which specific components of the psychotherapies are
effective.Declaration of interestNone.
British Journal of Psychiatry, 214(6) : 320-
328
- Year: 2019
- Problem: Suicide or self-harm behaviours (excluding non-suicidal self-harm)
- Type: Systematic reviews
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Psychological Interventions
(any), Psychodynamic/Psychoanalysis
Comtois, K. A., Kerbrat, A. H., Decou, C. R., Atkins,
D. C., Majeres, J. J., Baker, J. C., Ries,
R. K.
Importance: Accessible and cost-effective interventions for suicidality are needed to address high rates of
suicidal behavior among military service members. Caring Contacts are brief periodic messages that express unconditional care and concern and have
been previously shown to prevent suicide deaths, attempts, ideation, and hospitalizations. Objective(s): To test the effectiveness of augmenting
standard military health care with Caring Contacts delivered via text message to reduce suicidal thoughts and behaviors over 12 months. Design,
Setting, and Participant(s): This randomized clinical trial was conducted at 3 military installations in the southern and western United States.
Soldiers and Marines identified as being at risk of suicide were recruited between April 2013 and September 2016. The final follow-up was in
September 2017. Intervention(s): Both groups received standard care, and the Caring Contacts group also received consisted of 11 text messages
delivered on day 1, at week 1, at months 1, 2, 3, 4, 6, 8, 10, and 12, and on participants' birthdays. Main Outcomes and Measures: Primary outcomes
were current suicidal ideation and suicide risk incidents (hospitalization or medical evacuation). Secondary outcomes were worst-point suicidal
ideation, emergency department visits, and suicide attempts. Suicidal ideation was measured by the Scale for Suicide Ideation, suicide risk
incidents, and emergency department visits by the Treatment History Interview; attempted suicide was measured by the Suicide Attempt Self-Injury
Count. Result(s): Among 658 randomized participants (329 randomizely assigned to each group), data were analyzed for 657 individuals (mean [SD] age,
25.2 [6.1] years; 539 men [82.0%]). All participants reported suicidal ideation at baseline, and 291 (44.3%) had previously attempted suicide. Of the
657 participants, 461 (70.2%) were assessed at 12 months. Primary outcomes were nonsignificant. There was no significant effect on likelihood or
severity of current suicidal ideation or likelihood of a suicide risk incident; there was also no effect on emergency department visits. However,
participants who received Caring Contacts (172 of 216 participants [79.6%]) had lower odds than those receiving standard care alone (179 of 204
participants [87.7%]) of experiencing any suicidal ideation between baseline and follow-up (odds ratio, 0.56 [95% CI, 0.33-0.95]; P =.03) and fewer
had attempted suicide since baseline (21 of 233 [9.0%] in the group receiving Caring Contacts vs 34 of 228 [14.9%] in the standard-care group; odds
ratio, 0.52 [95% CI, 0.29-0.92]; P =.03). Conclusions and Relevance: This trial provides inconsistent results on the effectiveness of caring text
messages between primary and secondary outcomes, but this inexpensive and scalable intervention offers promise for preventing suicide attempts and
ideation in military personnel. Additional research is needed. Trial Registration: ClinicalTrials.gov identifier: NCT01829620. Copyright © 2019
American Medical Association. All rights reserved.
JAMA Psychiatry, 76(5) : 474-
483
- Year: 2019
- Problem: Suicide or self-harm behaviours (excluding non-suicidal self-harm)
- Type: Randomised controlled trials
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions
(any), Other Psychological Interventions, Technology, interventions delivered using technology (e.g. online, SMS)
Wilksch, S. M., O'Shea, A., Wade, T. D.
Objective: Eating disorders are known to have high comorbidity, and the current report outlines the impact of an online
eating disorder risk reduction program on brief, self-report measures of depressive symptoms, alcohol and other drug use, and suicidality. Method(s):
An online pragmatic, randomized-controlled trial was conducted with N = 316 young-women (M age = 20.80 years) across Australia and New Zealand. Media
Smart-Targeted (MS-T) was a 9-module program released weekly while control participants received positive body image tips. Prevention effects
(asymptomatic at baseline) and treatment effects (symptomatic at baseline) were investigated. Result(s): MS-T participants were 94% and 91% less
likely than controls to develop Moderate or higher depressive symptoms at 6-month (MS-T = 3.3%; controls = 35.4%) and 12-month follow-up (MS-T =
3.4%; controls = 29.4%), respectively. MS-T participants did not commence using recreational drugs at any assessment point, compared to 18.2% of
controls at a least one assessment point. Regarding treatment effects, MS-T participants were 84% more likely to no longer be using recreational
drugs at 12-month follow-up (MS-T = 60%; controls = 21.1%). Mutitvariate logistic regressions revealed group, depressive symptoms and alcohol use to
be significant predictors of elevated suicide risk, where being an MS-T participant, without depressive symptoms and not drinking alcohol,
significantly lowered likelihood of developing elevated suicide risk. Disordered eating at post-program mediated the relationship between group and
depressive symptoms across post-program to 12-mnoth follow-up. Discussion(s): MS-T shows promise as a program with important mental health benefits
in addition to previous reports of lowered eating disorder diagnosis, risk and impairment. Copyright © 2018 Wiley Periodicals, Inc.
International Journal of Eating Disorders, 52(2) : 132-
141
- Year: 2019
- Problem: Suicide or self-harm behaviours (excluding non-suicidal self-harm), Suicide or self-harm with comorbid mental disorder
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention), Disorder established (diagnosed disorder)
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions
(any), Other Psychological Interventions, Technology, interventions delivered using technology (e.g. online, SMS)
King, C. A., Arango, A., Kramer, A., Busby, D., Czyz, E., Foster, C.
E., Gillespie, B. W.
Importance: The prevalence of suicide among
adolescents is rising, yet little is known about effective interventions. To date, no intervention for suicidal adolescents has been shown to reduce
mortality. Objective(s): To determine whether the Youth-Nominated Support Team Intervention for Suicidal Adolescents-Version II (YST) is associated
with reduced mortality 11 to 14 years after psychiatric hospitalization for suicide risk. Design, Setting, and Participant(s): This post hoc
secondary analysis of a randomized clinical trial used National Death Index (NDI) data from adolescent psychiatric inpatients from 2 US psychiatric
hospitals enrolled in the clinical trial from November 10, 2002, to October 26, 2005. Eligible participants were aged 13 to 17 years and presented
with suicidal ideation (frequent or with suicidal plan), a suicide attempt, or both within the past 4 weeks. Participants were randomized to receive
treatment as usual (TAU) or YST plus TAU (YST). Evaluators and staff who matched identifying data to NDI records were masked to group. The length of
NDI follow-up ranged from 11.2 to 14.1 years. Analyses were conducted between February 12, 2018, and September 18, 2018. Intervention(s): The YST is
a psychoeducational, social support intervention. Adolescents nominated \"caring adults\" (mean, 3.4 per adolescent from family, school, and
community) to serve as support persons for them after hospitalization. These adults attended a psychoeducational session to learn about the youth's
problem list and treatment plan, suicide warning signs, communicating with adolescents, and how to be helpful in supporting treatment adherence and
positive behavioral choices. The adults received weekly supportive telephone calls from YST staff for 3 months. Main Outcomes and Measures: Survival
11 to 14 years after index hospitalization, measured by NDI data for deaths (suicide, drug overdose, and other causes of premature death), from
January 1, 2002, through December 31, 2016. Result(s): National Death Index records were reviewed for all 448 YST study participants (319 [71.2%]
identified as female; mean [SD] age, 15.6 [1.3] years; 375 [83.7%] of white race/ethnicity). There were 13 deaths in the TAU group and 2 deaths in
the YST group (hazard ratio, 6.62; 95% CI, 1.49-29.35; P <.01). No patients were withdrawn from YST owing to adverse effects. Conclusions and
Relevance: The findings suggest that the YST intervention for suicidal adolescents is associated with reduced mortality. Because this was a secondary
analysis, results warrant replication with examination of mechanisms. Trial Registration: ClinicalTrials.gov identifier: NCT00071617. Copyright ©
2019 American Medical Association. All rights reserved.
JAMA Psychiatry, 76(5) : 492-
498
- Year: 2019
- Problem: Suicide or self-harm behaviours (excluding non-suicidal self-harm)
- Type: Randomised controlled trials
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions
(any), Psychoeducation, Other Psychological Interventions, Other service delivery and improvement
interventions
Kelly, E. V., Newton, N. C., Stapinski, L. A., Conrod, P. J., Barrett, E. L., Champion, K. E., Teesson, M.
OBJECTIVE: To examine
the secondary effects of a personality-targeted intervention on bullying and harms among adolescent victims and bullies.\rMETHOD: Outcomes were
examined for victims and bullies in the Climate and Preventure study, Australia. Participants completed self-report measures at baseline and four
follow-up assessments (6, 12, 24, 36 months). Thirteen intervention schools (n=1087) received Preventure, a brief personality-targeted CBT
intervention for adolescents with 'high-risk' personality types (hopelessness, anxiety sensitivity, impulsivity, sensation seeking). Thirteen
control schools (n=1103) received health education as usual. Bullying was examined for 'high-risk' victims (n=143 in Preventure schools vs n=153 in
control schools), and bullies (n=63 in Preventure schools vs n=67 in control schools) in the total sample. Harms were examined for 'high-risk'
victims (n=110 in Preventure schools vs n=87 in control schools) and bullies (n=50 in Preventure schools vs n=30 in control schools) in independent
schools.\rRESULTS: There was no significant intervention effect for bullying victimization or perpetration in the total sample. In the sub-sample,
mixed models showed greater reductions in victimization (b = -0.208, 95% CI -0.4104to -0.002, p<.05), suicidal ideation (b = -0.130, 95% CI -0.225 to
-0.034, p<.01) and emotional symptoms (b = -0.263, 95% CI -0.466 to -0.061, p<.05) among 'high-risk' victims in Preventure vs control schools.
Conduct problems (b = -0.292, 95% CI -0.554 to -0.030, p<.05) showed greater reductions among 'high-risk' bullies in Preventure vs control schools,
and suicidal ideation showed greater reductions among 'high-risk' female bullies in Preventure vs control schools (b=-0.820, 95% CI -1.198 to -
0.442, p<.001).\rCONCLUSION: The findings support targeting personality in bullying prevention.\rCLINICAL TRIAL REGISTRATION INFORMATION: The CAP
Study: Evaluating a Comprehensive Universal and Targeted Intervention Designed to Prevent Substance Use And Related Harms in Australian Adolescents;
http://www.anzctr.org.au/; ACTRN12612000026820.
Journal of the American Academy of Child & Adolescent
Psychiatry, : 30
- Year: 2019
- Problem: Suicide or self-harm behaviours (excluding non-suicidal self-harm)
- Type: Randomised controlled trials
-
Stage: At risk (indicated or selected prevention)
-
Treatment and intervention: Psychological Interventions
(any), Cognitive & behavioural therapies (CBT), Motivational interviewing, includes Motivational Enhancing Therapy
Czyz, E., King, C., Biermann, B.
This pilot randomized controlled trial examined the
feasibility and acceptability of a motivational interview (MI)-enhanced safety planning intervention (MI-SafeCope) for teens hospitalized due to
suicide risk and explored proximal outcomes (possible mechanisms of change). Participants were 36 hospitalized adolescents (ages 13-17; 78.8% female)
with last-week suicidal ideation and/or past-month suicide attempts. Adolescents were randomized to MI-SafeCope, a three-component intervention
(individual and family sessions, postdischarge call), or to treatment as usual. Primary outcomes were feasibility and acceptability. We also explored
differences in proximal outcomes assessed at 2 weeks, 1 month, and 3 months (family connectedness, motivation for safety plan use, parental
motivation to encourage safety plan use), as well as daily for 4 weeks (self-efficacy, coping behavior, safety plan use). Participation and retention
rates and intervention satisfaction ratings indicate feasibility and acceptability. Mixed-effects models of daily assessments indicated, for the MI-
SafeCope group, significantly higher self-efficacy to refrain from suicidal action (B = 1.15, p = .030), greater reliance on self to cope with
suicidal ideation (B = 1.56, p = .042), and higher likelihood of safety plan use to manage suicidal thoughts (B = 0.25, p = .004). Parents in the
MI-SafeCope group reported higher motivation to encourage safety plan use (B = 1.04, p = .031). Safety planning incorporating MI is feasible and
acceptable with hospitalized teens. Preliminary findings suggest that MI strategies may be promising in maintaining adherence to safety plans,
increasing self-efficacy and coping, and in fostering parents' motivation to encourage safety plan use. Our study also highlights the benefit of
daily-level assessment of individuals' response to suicide-specific interventions. (PsycINFO Database Record (c) 2019 APA, all rights reserved)
Journal of Clinical Child and Adolescent
Psychology, 48(2) : 250-262
- Year: 2019
- Problem: Suicide or self-harm behaviours (excluding non-suicidal self-harm)
- Type: Randomised controlled trials
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions
(any), Motivational interviewing, includes Motivational Enhancing Therapy, Other Psychological Interventions, Other service delivery and improvement
interventions
Mehlum, L., Ramleth, R. K., Tormoen, A. J., Haga, E., Diep, L. M., Stanley, B. H., Miller, A. L., Larsson, B., Sund, A. M., Groholt, B.
BACKGROUND: Knowledge is lacking on the long-term outcomes of
treatment for adolescents with repetitive suicidal and self-harming behavior. Furthermore, the pathways through which treatment effects may operate
are poorly understood. Our aims were to investigate enduring treatment effects of dialectical behavior therapy adapted for adolescents (DBT-A)
compared to enhanced usual care (EUC) through a prospective 3-year follow-up and to analyze possible mediators of treatment effects.\rMETHODS:
Interview and self-report data covering the follow-up interval were collected from 92% of the adolescents who participated in the original randomized
trial.\rTRIAL REGISTRATION NUMBER: NCT01593202 (www.ClinicalTrials.gov).\rRESULTS: At the 3-year follow-up DBT-A remained superior to EUC in reducing
the frequency of self-harm, whereas for suicidal ideation, hopelessness and depressive and borderline symptoms and global level of functioning there
were no inter-group differences, with no sign of symptom relapse in either of the participant groups. A substantial proportion (70.8%) of the effect
of DBT-A on self-harm frequency over the long-term was mediated through a reduction in participants' experience of hopelessness during the trial
treatment phase. Receiving more than 3 months follow-up treatment after completion of the trial treatment was associated with further enhanced
outcomes in patients who had received DBT-A.\rCONCLUSIONS: There were on average no between-group differences at the 3-year follow-up in clinical
outcomes such as suicidal ideation, hopelessness, depressive and borderline symptoms. The significantly and consistently larger long-term reduction
in self-harm behavior for adolescents having received DBT-A compared with enhanced usual care, however, suggests that DBT-A may be a favorable
treatment alternative for adolescents with repetitive self-harming behavior.
Journal of Child Psychology & Psychiatry & Allied
Disciplines, : 25
- Year: 2019
- Problem: Suicide or self-harm behaviours (excluding non-suicidal self-harm)
- Type: Randomised controlled trials
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Psychological Interventions
(any), Dialectical behavioural therapy
(DBT)
Wolitzky-Taylor, K., LeBeau, R.T., Perez, M., Gong-Guy, E., Fong,
T.
OBJECTIVE: To
examine the effects of universal and targeted suicide prevention programs on relevant outcomes in college campuses.\rMETHODS: College suicide
prevention programs published from 2009 to 2018 were assessed on outcomes including knowledge, skills, self-efficacy, suicidal ideation, and suicidal
behaviors. Effects of the interventions on outcome variables with sufficient studies to warrant meta-analysis (ie, knowledge, skills, and self-
efficacy) were meta-analyzed. Studies reporting on the remaining outcomes (ie, suicidal ideation and behaviors) were systematically reviewed.
\rRESULTS: Significant increases in suicide prevention knowledge, skills, and self-efficacy were observed in universal prevention interventions that
typically employed gatekeeper prevention strategies. Evidence of reductions in suicidal ideation and behaviors was observed across targeted suicide
prevention programs for at-risk students.\rCONCLUSION: Prevention programs are beneficial for training those likely to come in contact with people
endorsing suicidality, but further research is needed to show that suicide interventions can consistently have significant effects on suicidal
students as well.
Journal of American College Health, : 1-11
- Year: 2019
- Problem: Suicide or self-harm behaviours (excluding non-suicidal self-harm)
- Type: Systematic reviews
-
Stage: Disorder established (diagnosed disorder)
-
Treatment and intervention: Psychological Interventions
(any), Dialectical behavioural therapy
(DBT)
Siu, A. M. H.
This paper reviews the prevalence, risk factors, and effectiveness of prevention programs for self-harm and suicide
among children and adolescents in Hong Kong. Youth suicide rates declined gradually over the past two decades, but it is alarming to see that self-
harm, suicidal thoughts, and attempts are quite common among junior secondary students. Local studies identify psychopathology (especially
depression) and family relationship issues as the most common risk factors of suicide and self-harm, and impulsive control issues are an additional
factor contributing to self-harm. In the second part, this paper reviews the evidence for six types of universal and selective prevention strategies
identified from local and overseas literature: (1) restriction of access to means of suicide; (2) guidelines for responsible media reporting of
suicides; (3) provision of quality mental healthcare to at-risk populations; (4) school-based screening and prevention programs; (5) online
prevention, monitoring, and support programs; and (6) life skills training programs. Research evidence supports that the provision of high-quality
mental health services to at-risk populations and some school-based prevention programs (awareness and screening, and gatekeeper training) are
effective in suicide prevention. Further research efforts are needed to verify the impact of the other four strategies. Practitioners could make
better use of new prevention programs through the internet and instant messaging platforms, which have the potential to alter attitude toward suicide
and self-harm as well as promoting help seeking behavior among young people. Copyright © 2018 Society for Adolescent Health and Medicine
Journal of Adolescent Health, 64(6 Supplement) : S59-
S64
- Year: 2019
- Problem: Suicide or self-harm behaviours (excluding non-suicidal self-harm)
- Type: Systematic reviews
-
Stage: Universal prevention, At risk (indicated or selected prevention)
-
Treatment and intervention: Service Delivery & Improvement, Psychological Interventions
(any), Technology, interventions delivered using technology (e.g. online, SMS), Other service delivery and improvement
interventions