Systematic review and narrative synthesis of suicide prevention in high-schools and universities: a research agenda for evidence-based practice.
Systematic review and narrative synthesis of suicide prevention in high-schools and universities: a research agenda for evidence-based practice.
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DOI：
10.1186/s12889-021-11124-w
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发表时间：
2021-06-10
影响因子：
4.5
通讯作者：
Bantjes J
中科院分区：
文献类型：
--
作者：
Breet E;Matooane M;Tomlinson M;Bantjes J
在高中和大学预防青少年自杀是公共卫生的优先事项。我们的目的是提出一个研究议程，通过综合和批判性地审查现有干预研究中使用的研究重点和方法，在高中和大学推进循证自杀预防。系统地检索了14个数据库，以确定评估高中或大学校园自杀预防干预措施的研究，包括前后措施。从纳入的研究（n = 43）中提取数据，以确定什么，在哪里，如何和谁的干预措施进行了测试。叙述性综合被用来批判性地评估研究重点和方法。评估研究质量。研究主要侧重于选择性干预措施，较少关注有针对性的普遍干预措施。大多数证据来自北美和高收入国家。干预的目标是：非致命的自杀行为;教职员/学生在自杀危机中干预的信心和能力;与自杀有关的知识和态度;以及与自杀有关的耻辱。没有研究将自杀死亡作为结果，评估生态系统干预措施，探讨环境如何影响实施，使用多地点研究设计，或明确关注LGBTQ+青年。两项研究评估了数字干预措施。大多数研究的质量因缺乏方法学严谨性、样本量小和中/高偏倚风险而受到影响。干预措施往往假定存在一个运作良好的外部转诊渠道，但在资源匮乏的环境中可能并非如此。为了在教育环境中推进循证自杀预防，我们需要：开展更多高质量的临床和务实试验;促进中低收入国家的研究;测试针对弱势群体的干预措施（如LGBTQ+青年），评估自杀死亡是主要结局的干预措施;包括转化研究和使用实施科学来促进干预措施的吸收;评估数字和生态系统干预措施的潜在用途;并在不同的文化背景下进行多地点研究。在线版本包含补充材料，可通过10.1186/s12889-021-11124-w获得。
Youth suicide prevention in high-schools and universities is a public health priority. Our aim was to propose a research agenda to advance evidence-based suicide prevention in high-schools and universities by synthesizing and critically reviewing the research focus and methodologies used in existing intervention studies. Fourteen databases were systematically searched to identify studies which evaluate suicide prevention interventions delivered on high-school or university campuses, with before and after measures. Data from included studies (n = 43) were extracted to identify what, where, how and for whom interventions have been tested. Narrative synthesis was used to critically evaluate research focus and methodology. Study quality was assessed. Research has focused primarily on selective interventions, with less attention on indicated and universal interventions. Most evidence comes from North America and high-income countries. The target of interventions has been: non-fatal suicidal behaviour; confidence and ability of staff/students to intervene in a suicidal crisis; suicide-related knowledge and attitudes; and suicide-related stigma. No studies included suicide deaths as an outcome, evaluated eco-systemic interventions, explored how context influences implementation, used multisite study designs, or focused explicitly on LGBTQ+ youth. Two studies evaluated digital interventions. Quality of the majority of studies was compromised by lack of methodological rigour, small samples, and moderate/high risk of bias. Interventions often assume the existence of an external well-functioning referral pathway, which may not be true in low-resource settings. To advance evidence-based suicide prevention in educational settings we need to: conduct more high-quality clinical and pragmatic trials; promote research in low- and middle-income countries; test targeted interventions for vulnerable populations (like LGBTQ+ youth), evaluate interventions where death by suicide is the primary outcome; include translational studies and use implementation science to promote intervention uptake; evaluate the potential use of digital and eco-systemic interventions; and conduct multisite studies in diverse cultural settings. The online version contains supplementary material available at 10.1186/s12889-021-11124-w.
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DOI：
10.1027/0227-5910/a000465
发表时间：
2017-09-01
影响因子：
3
作者：
Bailey, Eleanor;Spittal, Matthew J.;Robinson, Jo
通讯作者：
Robinson, Jo
DOI：
10.1027/0227-5910/a000014
发表时间：
2010-01-01
影响因子：
3
作者：
Cross, Wendi;Matthieu, Monica M.;Knox, Kerry L.
通讯作者：
Knox, Kerry L.
DOI：
10.1111/j.1744-6171.2002.tb00326.x
发表时间：
2002-04-01
期刊：
Journal of child and adolescent psychiatric nursing : official publication of the Association of Child and Adolescent Psychiatric Nurses, Inc
影响因子：
--
作者：
Eggert, Leona L;Thompson, Elaine A;Pike, Kenneth C
通讯作者：
Pike, Kenneth C
影响因子：
3.9
作者：
Davies, Emma L.;Law, Cara;Winstock, Adam R.
通讯作者：
Winstock, Adam R.
影响因子：
4.6
作者：
Auerbach RP;Mortier P;Bruffaerts R;Alonso J;Benjet C;Cuijpers P;Demyttenaere K;Ebert DD;Green JG;Hasking P;Murray E;Nock MK;Pinder-Amaker S;Sampson NA;Stein DJ;Vilagut G;Zaslavsky AM;Kessler RC;WHO WMH-ICS Collaborators
通讯作者：
WHO WMH-ICS Collaborators