Suicide prevention strategies revisited: 10-year systematic review
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00023752%3A_____%2F16%3A43915040" target="_blank" >RIV/00023752:_____/16:43915040 - isvavai.cz</a>
Result on the web
<a href="http://www.sciencedirect.com/science/article/pii/S221503661630030X" target="_blank" >http://www.sciencedirect.com/science/article/pii/S221503661630030X</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.1016/S2215-0366(16)30030-X" target="_blank" >10.1016/S2215-0366(16)30030-X</a>
Alternative languages
Result language
angličtina
Original language name
Suicide prevention strategies revisited: 10-year systematic review
Original language description
We present updated evidence for the effectiveness of suicide prevention interventions since 2005. We searched PubMed and the Cochrane Library using multiple terms related to suicide prevention for studies published 2005-2014: public and physician education, media strategies, screening, restricting access to suicide means, treatments, and internet or hotline support. 18 suicide prevention experts from 13 European countries reviewed all articles and rated the strength of evidence using the Oxford criteria. Because the heterogeneity of populations and methodology did not permit formal meta-analysis, we present a narrative analysis. We identified 1797 studies, including 23 systematic reviews, 12 meta-analyses, 40 randomised controlled trials, 67 cohort trials, and 22 ecological or population-based investigations. Evidence for restricting access to lethal means in prevention of suicide has strengthened since 2005, especially with regard to control of analgesics, and hot-spots for suicide by jumping. School-based awareness programmes have been shown to reduce suicide attempts and suicidal ideation. The anti-suicidal effects of clozapine and lithium have been substantiated, but might be less specific than previously thought. Effective pharmacological and psychological treatments of depression are important in prevention. Insufficient evidence exists to assess the possible benefits for suicide prevention of screening in primary care, in general public education and media guidelines. Other approaches that need further investigation include gatekeeper training, education of physicians, and internet and helpline support. The paucity of RCTs is a major limitation in the evaluation of preventive interventions. In the quest for effective suicide prevention initiatives, no single strategy clearly stands above the others. Combinations of evidence-based strategies at the individual level and the population level should be assessed with robust research designs.
Czech name
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Czech description
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Classification
Type
J<sub>x</sub> - Unclassified - Peer-reviewed scientific article (Jimp, Jsc and Jost)
CEP classification
FL - Psychiatry, sexology
OECD FORD branch
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Result continuities
Project
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Continuities
V - Vyzkumna aktivita podporovana z jinych verejnych zdroju
Others
Publication year
2016
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
Lancet Psychiatry
ISSN
2215-0374
e-ISSN
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Volume of the periodical
3
Issue of the periodical within the volume
7
Country of publishing house
GB - UNITED KINGDOM
Number of pages
14
Pages from-to
646-659
UT code for WoS article
000382269300027
EID of the result in the Scopus database
2-s2.0-84991691577