Interventions of choice for the prevention and treatment of suicidal behaviours: An umbrella review

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Abstract

Aim

This umbrella review aims to determine which interventions can be considered as effective in the prevention and treatment of suicidal behaviour.

Design

Umbrella review.

Methods

A systematic search was conducted of works indexed in the PubMed, CINAHL, Cochrane Database of Systematic Reviews, Scopus, ISI Web of Knowledge and Joanna Institute Briggs databases. The search covered works published from 2011 to 2020.

Results

The scientific literature shows that, in addition to being the most prevalent interventions in use, dialectical and cognitive behavioural therapies are the most effective in the treatment and management of suicide attempts and suicidal ideation. It is shown that the prevention and treatment of suicidal behaviour requires multidisciplinary and comprehensive management. Among the interventions that stand out the most are the promotion of providing coping tools, work based on thought and behaviour, and behavioural, psychoanalytic and psychodynamic therapies for the management of emotions.

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Most cited references 35

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Summarizing systematic reviews: methodological development, conduct and reporting of an umbrella review approach.

Edoardo Aromataris, Ritin Fernandez, Christina M Godfrey … (2015)

With the increase in the number of systematic reviews available, a logical next step to provide decision makers in healthcare with the evidence they require has been the conduct of reviews of existing systematic reviews. Syntheses of existing systematic reviews are referred to by many different names, one of which is an umbrella review. An umbrella review allows the findings of reviews relevant to a review question to be compared and contrasted. An umbrella review's most characteristic feature is that this type of evidence synthesis only considers for inclusion the highest level of evidence, namely other systematic reviews and meta-analyses. A methodology working group was formed by the Joanna Briggs Institute to develop methodological guidance for the conduct of an umbrella review, including diverse types of evidence, both quantitative and qualitative. The aim of this study is to describe the development and guidance for the conduct of an umbrella review.

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A Systematic Assessment of Smartphone Tools for Suicide Prevention

Mark Erik Larsen, Jennifer M. Nicholas, Helen Christensen (2016)

Background Suicide is a leading cause of death globally, and there has been a rapid growth in the use of new technologies such as mobile health applications (apps) to help identify and support those at risk. However, it is not known whether these apps are evidence-based, or indeed contain potentially harmful content. This review examines the concordance of features in publicly available apps with current scientific evidence of effective suicide prevention strategies. Methods Apps referring to suicide or deliberate self-harm (DSH) were identified on the Android and iOS app stores. Systematic review methodology was employed to screen and review app content. App features were labelled using a coding scheme that reflected the broad range of evidence-based medical and population-based suicide prevention interventions. Best-practice for suicide prevention was based upon a World Health Organization report and supplemented by other reviews of the literature. Results One hundred and twenty-three apps referring to suicide were identified and downloaded for full review, 49 of which were found to contain at least one interactive suicide prevention feature. Most apps focused on obtaining support from friends and family (n = 27) and safety planning (n = 14). Of the different suicide prevention strategies contained within the apps, the strongest evidence in the literature was found for facilitating access to crisis support (n = 13). All reviewed apps contained at least one strategy that was broadly consistent with the evidence base or best-practice guidelines. Apps tended to focus on a single suicide prevention strategy (mean = 1.1), although safety plan apps provided the opportunity to provide a greater number of techniques (mean = 3.9). Potentially harmful content, such as listing lethal access to means or encouraging risky behaviour in a crisis, was also identified. Discussion Many suicide prevention apps are available, some of which provide elements of best practice, but none that provide comprehensive evidence-based support. Apps with potentially harmful content were also identified. Despite the number of apps available, and their varied purposes, there is a clear need to develop useful, pragmatic, and multifaceted mobile resources for this population. Clinicians should be wary in recommending apps, especially as potentially harmful content can be presented as helpful. Currently safety plan apps are the most comprehensive and evidence-informed, for example, “Safety Net” and “MoodTools—Depression Aid”.

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Social media and suicide prevention: a systematic review.

Jo Robinson, Georgina Cox, Eleanor BAILEY … (2016)

Social media platforms are commonly used for the expression of suicidal thoughts and feelings, particularly by young people. Despite this, little is known about the ways in which social media can be used for suicide prevention. The aim of this study was to conduct a systematic review to identify current evidence pertaining to the ways in which social media are currently used as a tool for suicide prevention.

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Author and article information

Contributors

Iván Santolalla‐Arnedo:

ORCID: https://orcid.org/0000-0001-6705-7122

ivsantol@unirioja.es

Journal

Journal ID (nlm-ta): Nurs Open

Journal ID (iso-abbrev): Nurs Open

Journal ID (doi): 10.1002/(ISSN)2054-1058

Journal ID (publisher-id): NOP2

Title: Nursing Open

Publisher: John Wiley and Sons Inc. (Hoboken )

ISSN (Electronic): 2054-1058

Publication date (Electronic): 22 May 2023

Publication date Collection: August 2023

Volume: 10

Issue: 8 ( doiID: 10.1002/nop2.v10.8 )

Pages: 4959-4970

Affiliations

[ ¹ ] Reserch Unit on Integrated Health Care (INCUiSA), Biomedical Research Center of La Rioja (CIBIR) Logroño Spain

[ ² ] Department of Nursing, GRUPAC University of La Rioja Logroño La Rioja Spain

[ ³ ] Rioja Health Service, Coordinator Saint Peter's Hospital Logroño La Rioja Spain

[ ⁴ ] Rioja Health Service, Primary Care Coordination Logroño La Rioja Spain

[ ⁵ ] Department of Nursing and Physiotherapy. Faculty of Nursing and Physiotherapy University of Lleida. Healthcare Group (GRECS) Lleida Spain

[ ⁶ ] Institute of Biomedical Research in Lleida (IRBLleida) Lleida Spain

[ ⁷ ] Group for the Study of Society Health Education and Culture (GESEC) Lleida Spain

[ ⁸ ] Faculty of Nursing and Physiotherapy University of Lleida Lleida Spain

[ ⁹ ] Health Care Research Group (GRECS) Biomedical Research Institute of Lleida, IRBLleida Lleida Spain

[ ¹⁰ ] Faculty of Education, Psychology and Social Work University of Lleida Spain

[ ¹¹ ] Group for the Study of Society, Health, Education and Culture (GESEC) University of Lleida Lleida Spain

[ ¹² ] Research Institute in Social and Territorial Development (INDEST) University of Lleida Lleida Spain

Author notes

[*] [* ] Correspondence

Iván Santolalla‐Arnedo, Research Unit on Health System Sustainability (GISSOS), Biomedical Research Center of La Rioja (CIBIR) Logroño, Spain., Avenida de la Paz n° 88. 26004. Logroño, La Rioja. Spain.

Email: ivsantol@ 123456unirioja.es

Author information

Teresa Sufrate‐Sorzano https://orcid.org/0000-0003-3756-9914

Iván Santolalla‐Arnedo https://orcid.org/0000-0001-6705-7122

María Elena Garrote‐Cámara https://orcid.org/0000-0002-7504-4070

Beatriz Angulo‐Nalda https://orcid.org/0000-0003-0739-1342

Ruth Cotelo‐Sáenz https://orcid.org/0000-0003-3350-3678

Roland Pastells‐Peiró https://orcid.org/0000-0002-9561-9038

Filip Bellon https://orcid.org/0000-0003-4880-9207

Joan Blanco‐Blanco https://orcid.org/0000-0002-4868-2974

Raúl Juárez‐Vela https://orcid.org/0000-0003-3597-2048

Fidel Molina‐Luque https://orcid.org/0000-0001-5278-2794

Article

Publisher ID: NOP21820 Other ID: NOP-2022-Mar-0439.R3

DOI: 10.1002/nop2.1820

PMC ID: 10333855

PubMed ID: 37218123

SO-VID: e35cffd3-be89-4b6f-8e5b-90f437d91140

License:

This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.

History

Date revision received : 25 February 2023

Date received : 15 March 2022

Date accepted : 05 May 2023

Page count

Figures: 1, Tables: 2, Pages: 12, Words: 6427

Custom metadata

source-schema-version-number 2.0

cover-date August 2023

details-of-publishers-convertor Converter:WILEY_ML3GV2_TO_JATSPMC version:6.3.1 mode:remove_FC converted:11.07.2023

Keywords: attempted suicide,risk factors,risk reduction behaviour,suicidal ideation,suicide

Data availability:

Keywords: attempted suicide, risk factors, risk reduction behaviour, suicidal ideation, suicide

Interventions of choice for the prevention and treatment of suicidal behaviours: An umbrella review

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Cardiovascular Innovations and Applications

Most cited references 35

Summarizing systematic reviews: methodological development, conduct and reporting of an umbrella review approach.

A Systematic Assessment of Smartphone Tools for Suicide Prevention

Social media and suicide prevention: a systematic review.

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