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Best practice elements of multilevel suicide prevention strategies: a review of systematic reviews.

van der Feltz-Cornelis CM, Sarchiapone M, Postuvan V, Volker D, Roskar S, Grum AT, Carli V, McDaid D, O'Connor R, Maxwell M, Ibelshäuser A, Van Audenhove C, Scheerder G, Sisask M, Gusmão R, Hegerl U - Crisis (2011)

Bottom Line: Six relevant systematic reviews were found.Although no outcomes were reported for multilevel interventions or for synergistic effects of multiple interventions applied together, indirect support was found for possible synergies in particular combinations of interventions within multilevel strategies.Research is needed on the nature and extent of potential synergistic effects of various preventive activities within multilevel interventions.

View Article: PubMed Central - PubMed

Affiliation: Department of Developmental and Clinical Psychology, University of Tilburg, The Netherlands. C.M.vdrFeltz@uvt.nl

ABSTRACT

Background: Evidence-based best practices for incorporation into an optimal multilevel intervention for suicide prevention should be identifiable in the literature.

Aims: To identify effective interventions for the prevention of suicidal behavior.

Methods: Review of systematic reviews found in the Pubmed, Cochrane, and DARE databases. Steps include risk-of-bias assessment, data extraction, summarization of best practices, and identification of synergistic potentials of such practices in multilevel approaches.

Results: Six relevant systematic reviews were found. Best practices identified as effective were as follows: training general practitioners (GPs) to recognize and treat depression and suicidality, improving accessibility of care for at-risk people, and restricting access to means of suicide. Although no outcomes were reported for multilevel interventions or for synergistic effects of multiple interventions applied together, indirect support was found for possible synergies in particular combinations of interventions within multilevel strategies.

Conclusions: A number of evidence-based best practices for the prevention of suicide and suicide attempts were identified. Research is needed on the nature and extent of potential synergistic effects of various preventive activities within multilevel interventions.

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Related in: MedlinePlus

PRISMA 2010 flow diagram
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fig1: PRISMA 2010 flow diagram

Mentions: The search strategy yielded 2114 citations, 6 of which (Dumesnil, & Verger, 2009;Isaac et al.,2009; Leitner,Barr, & Hobby, 2008; Mann et al., 2005;Pignone et al.,2002; Tarrier,Taylor, & Gooding, 2008) were reviews satisfyingour PRISMA-based (Moher et al.,2009) inclusion criteria. This process is represented inFigure 1. The reviewers were consistent in theirdecision to include all the systematic reviews in the qualitative synthesis.Five systematic reviews were identified by the team of reviewers, and onesystematic review (Leitner et al.,2008) was added after consultation with the workinggroup and members of the OSPI Consortium. Also, for this additional review, allreviewers were consistent in the evaluation that the study met the eligibilitycriteria for inclusion.


Best practice elements of multilevel suicide prevention strategies: a review of systematic reviews.

van der Feltz-Cornelis CM, Sarchiapone M, Postuvan V, Volker D, Roskar S, Grum AT, Carli V, McDaid D, O'Connor R, Maxwell M, Ibelshäuser A, Van Audenhove C, Scheerder G, Sisask M, Gusmão R, Hegerl U - Crisis (2011)

PRISMA 2010 flow diagram
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3306243&req=5

fig1: PRISMA 2010 flow diagram
Mentions: The search strategy yielded 2114 citations, 6 of which (Dumesnil, & Verger, 2009;Isaac et al.,2009; Leitner,Barr, & Hobby, 2008; Mann et al., 2005;Pignone et al.,2002; Tarrier,Taylor, & Gooding, 2008) were reviews satisfyingour PRISMA-based (Moher et al.,2009) inclusion criteria. This process is represented inFigure 1. The reviewers were consistent in theirdecision to include all the systematic reviews in the qualitative synthesis.Five systematic reviews were identified by the team of reviewers, and onesystematic review (Leitner et al.,2008) was added after consultation with the workinggroup and members of the OSPI Consortium. Also, for this additional review, allreviewers were consistent in the evaluation that the study met the eligibilitycriteria for inclusion.

Bottom Line: Six relevant systematic reviews were found.Although no outcomes were reported for multilevel interventions or for synergistic effects of multiple interventions applied together, indirect support was found for possible synergies in particular combinations of interventions within multilevel strategies.Research is needed on the nature and extent of potential synergistic effects of various preventive activities within multilevel interventions.

View Article: PubMed Central - PubMed

Affiliation: Department of Developmental and Clinical Psychology, University of Tilburg, The Netherlands. C.M.vdrFeltz@uvt.nl

ABSTRACT

Background: Evidence-based best practices for incorporation into an optimal multilevel intervention for suicide prevention should be identifiable in the literature.

Aims: To identify effective interventions for the prevention of suicidal behavior.

Methods: Review of systematic reviews found in the Pubmed, Cochrane, and DARE databases. Steps include risk-of-bias assessment, data extraction, summarization of best practices, and identification of synergistic potentials of such practices in multilevel approaches.

Results: Six relevant systematic reviews were found. Best practices identified as effective were as follows: training general practitioners (GPs) to recognize and treat depression and suicidality, improving accessibility of care for at-risk people, and restricting access to means of suicide. Although no outcomes were reported for multilevel interventions or for synergistic effects of multiple interventions applied together, indirect support was found for possible synergies in particular combinations of interventions within multilevel strategies.

Conclusions: A number of evidence-based best practices for the prevention of suicide and suicide attempts were identified. Research is needed on the nature and extent of potential synergistic effects of various preventive activities within multilevel interventions.

Show MeSH
Related in: MedlinePlus