Psychosocial intervention following suicide attempt: a svstematic review of treatment interventions
Psychosocial intervention following suicide attempt: a svstematic review of treatment interventions
复制标题
自杀未遂后的心理社会干预：治疗干预措施的系统回顾
DOI：
10.1111/j.1600-0447.1997.tb09903.x
复制
发表时间：
1997
影响因子：
6.7
通讯作者：
H. Engeland
中科院分区：
文献类型：
--
作者：
R. Sande;E. Buskens;É. Allart;Y. Graaf;H. Engeland
反复自杀未遂是一个常见问题。然而，很少有关于自杀未遂者治疗的随机对照研究。虽然其中一些研究显示对幸福感的措施有有益的影响，但没有一项研究显示对反复自杀行为有持久的积极影响。在试图分析所获得的结果，一个系统的回顾随机对照试验的干预措施自杀未遂。通过CD‐ROM文献参考检索（MEDLINE/PSYCLIT）收集文献。随后，提取了研究设计和治疗疗效的信息。相应地审查了在治疗原则方面具有同质性的研究，并进行了汇总分析。Meta分析解释了研究间方差（随机效应模型），以估计共同效应指标（相对风险）。对数据的系统回顾显示，研究设计和治疗方案存在相当大的差异。鉴于这些差异，对所有研究进行单一汇总分析似乎不可行。一项集中于对依从性差的精神科管理的研究的汇总分析显示，对自杀企图的重复没有显着影响。同样，社会心理危机干预的研究，以及紧急情况下有保障的住院患者庇护所的研究，也没有显示重复自杀企图的显着减少。然而，四项关于认知行为疗法的研究的汇总结果显示，对反复自杀企图有显著的预防作用。目前，只有认知行为方法似乎对反复自杀企图有有益的影响。然而，由于方法的可变性，所获得的结果可能过于乐观。需要进行更多的研究，以确定这种干预措施的优点。
Repeated suicide attempts are a common problem. However, few randomized controlled studies on the treatment of suicide attempters have been described. Although some of these studies showed beneficial effects on measures of well‐being, none of them demonstrated lasting positive effects on repeated suicidal behaviour. In an attempt to analyse the results obtained, a systematic review of randomized controlled trials of interventions for suicide attempters is presented. The literature was gathered by means of a CD‐ROM literature reference search (MEDLINE/PSYCLIT). Subsequently, information on study design and treatment efficacy was abstracted. Studies that were homogeneous with regard to therapeutic principles were reviewed accordingly, and pooled analyses were performed. Meta‐analyses accounted for inter‐study variance (random‐effects model) to estimate a commmon‐effect measure (relative risk). Systematic review of the data showed considerable differences in both study design and therapeutic protocols. In view of these differences, a single pooled analysis of all studies appeared to be unfeasible. A pooled analysis of studies that focus on psychiatric management of poor compliance showed no significant effect on the repetition of suicide attempts. Similarly, studies of psychosocial crisis intervention, as well as studies of guaranteed in‐patient shelter in cases of emergency, did not show a significant reduction in repeated suicide attempts. However, the pooled results of four studies on cognitive‐behavioural therapies showed a significant preventive effect on repeated suicide attempts. At present, only the cognitive‐behavioural approach appears to have a beneficial effect on repeated suicide attempts. However, because of methodological variability, the results obtained may be too optimistic. Additional research is required to establish the merits of this type of intervention.
影响因子：
--
作者：
M. Linehan;H. Heard;H. Armstrong
通讯作者：
M. Linehan;H. Heard;H. Armstrong
DOI：
10.1016/0197-2456(87)90155-3
发表时间：
1987-12-01
期刊：
CONTROLLED CLINICAL TRIALS
影响因子：
--
作者：
DICKERSIN, K;CHAN, S;SMITH, H
通讯作者：
SMITH, H