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Article: Suicide prevention strategies: A systematic review

TitleSuicide prevention strategies: A systematic review
Authors
Issue Date2005
PublisherAmerican Medical Association. The Journal's web site is located at http://jama.ama-assn.org/index.dtl
Citation
Journal Of The American Medical Association, 2005, v. 294 n. 16, p. 2064-2074 How to Cite?
AbstractContext: In 2002, an estimated 877 000 lives were lost worldwide through suicide. Some developed nations have implemented national suicide prevention plans. Although these plans generally propose multiple interventions, their effectiveness is rarely evaluated. Objectives: To examine evidence for the effectiveness of specific suicide-preventive interventions and to make recommendations for future prevention programs and research. Data Sources and Study Selection: Relevant publications were identified via electronic searches of MEDLINE, the Cochrane Library, and PsychINFO databases using multiple search terms related to suicide prevention. Studies, published between 1966 and June 2005, included those that evaluated preventative interventions in major domains; education and awareness for the general public and for professionals; screening tools for at-risk individuals; treatment of psychiatric disorders; restricting access to lethal means; and responsible media reporting of suicide. Data Extraction: Data were extracted on primary outcomes of interest: suicidal behavior (completion, attempt, ideation), intermediary or secondary outcomes (treatment seeking, identification of at-risk individuals, antidepressant prescription/use rates, referrals), or both. Experts from 15 countries reviewed all studies. Included articles were those that reported on completed and attempted suicide and suicidal ideation; or, where applicable, intermediate outcomes, including help-seeking behavior, identification of at-risk individuals, entry into treatment, and antidepressant prescription rates. We included 3 major types of studies for which the research question was clearly defined: systematic reviews and meta-analyses (n=10); quantitative studies, either randomized controlled trials (n=18) or cohort studies (n=24); and ecological, or population-based studies (n=41). Heterogeneity of study populations and methodology did not permit formal meta-analysis; thus, a narrative synthesis is presented. Data Synthesis: Education of physicians and restricting access to lethal means were found to prevent suicide. Other methods including public education, screening programs, and media education need more testing. Conclusions: Physician education in depression recognition and treatment and restricting access to lethal methods reduce suicide rates. Other interventions need more evidence of efficacy. Ascertaining which components of suicide prevention programs are effective in reducing rates of suicide and suicide attempt is essential in order to optimize use of limited resources. ©2005 American Medical Association. All rights reserved.
Persistent Identifierhttp://hdl.handle.net/10722/87806
ISSN
2015 Impact Factor: 37.684
2015 SCImago Journal Rankings: 6.440
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorMann, JJen_HK
dc.contributor.authorApter, Aen_HK
dc.contributor.authorBertolote, Jen_HK
dc.contributor.authorBeautrais, Aen_HK
dc.contributor.authorCurrier, Den_HK
dc.contributor.authorHaas, Aen_HK
dc.contributor.authorHegerl, Uen_HK
dc.contributor.authorLonnqvist, Jen_HK
dc.contributor.authorMalone, Ken_HK
dc.contributor.authorMarusic, Aen_HK
dc.contributor.authorMehlum, Len_HK
dc.contributor.authorPatton, Gen_HK
dc.contributor.authorPhillips, Men_HK
dc.contributor.authorRutz, Wen_HK
dc.contributor.authorRihmer, Zen_HK
dc.contributor.authorSchmidtke, Aen_HK
dc.contributor.authorShaffer, Den_HK
dc.contributor.authorSilverman, Men_HK
dc.contributor.authorTakahashi, Yen_HK
dc.contributor.authorVarnik, Aen_HK
dc.contributor.authorWasserman, Den_HK
dc.contributor.authorYip, Pen_HK
dc.contributor.authorHendin, Hen_HK
dc.date.accessioned2010-09-06T09:34:40Z-
dc.date.available2010-09-06T09:34:40Z-
dc.date.issued2005en_HK
dc.identifier.citationJournal Of The American Medical Association, 2005, v. 294 n. 16, p. 2064-2074en_HK
dc.identifier.issn0098-7484en_HK
dc.identifier.urihttp://hdl.handle.net/10722/87806-
dc.description.abstractContext: In 2002, an estimated 877 000 lives were lost worldwide through suicide. Some developed nations have implemented national suicide prevention plans. Although these plans generally propose multiple interventions, their effectiveness is rarely evaluated. Objectives: To examine evidence for the effectiveness of specific suicide-preventive interventions and to make recommendations for future prevention programs and research. Data Sources and Study Selection: Relevant publications were identified via electronic searches of MEDLINE, the Cochrane Library, and PsychINFO databases using multiple search terms related to suicide prevention. Studies, published between 1966 and June 2005, included those that evaluated preventative interventions in major domains; education and awareness for the general public and for professionals; screening tools for at-risk individuals; treatment of psychiatric disorders; restricting access to lethal means; and responsible media reporting of suicide. Data Extraction: Data were extracted on primary outcomes of interest: suicidal behavior (completion, attempt, ideation), intermediary or secondary outcomes (treatment seeking, identification of at-risk individuals, antidepressant prescription/use rates, referrals), or both. Experts from 15 countries reviewed all studies. Included articles were those that reported on completed and attempted suicide and suicidal ideation; or, where applicable, intermediate outcomes, including help-seeking behavior, identification of at-risk individuals, entry into treatment, and antidepressant prescription rates. We included 3 major types of studies for which the research question was clearly defined: systematic reviews and meta-analyses (n=10); quantitative studies, either randomized controlled trials (n=18) or cohort studies (n=24); and ecological, or population-based studies (n=41). Heterogeneity of study populations and methodology did not permit formal meta-analysis; thus, a narrative synthesis is presented. Data Synthesis: Education of physicians and restricting access to lethal means were found to prevent suicide. Other methods including public education, screening programs, and media education need more testing. Conclusions: Physician education in depression recognition and treatment and restricting access to lethal methods reduce suicide rates. Other interventions need more evidence of efficacy. Ascertaining which components of suicide prevention programs are effective in reducing rates of suicide and suicide attempt is essential in order to optimize use of limited resources. ©2005 American Medical Association. All rights reserved.en_HK
dc.languageengen_HK
dc.publisherAmerican Medical Association. The Journal's web site is located at http://jama.ama-assn.org/index.dtlen_HK
dc.relation.ispartofJournal of the American Medical Associationen_HK
dc.titleSuicide prevention strategies: A systematic reviewen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0098-7484&volume=294&issue=16&spage=2064&epage=2074&date=2005&atitle=Suicide+prevention+strategies:+A+systematic+review.en_HK
dc.identifier.emailYip, P: sfpyip@hku.hken_HK
dc.identifier.authorityYip, P=rp00596en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1001/jama.294.16.2064en_HK
dc.identifier.pmid16249421-
dc.identifier.scopuseid_2-s2.0-27244440103en_HK
dc.identifier.hkuros124399en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-27244440103&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume294en_HK
dc.identifier.issue16en_HK
dc.identifier.spage2064en_HK
dc.identifier.epage2074en_HK
dc.identifier.isiWOS:000232778900027-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridMann, JJ=36043141000en_HK
dc.identifier.scopusauthoridApter, A=7102158285en_HK
dc.identifier.scopusauthoridBertolote, J=7004338136en_HK
dc.identifier.scopusauthoridBeautrais, A=7003613492en_HK
dc.identifier.scopusauthoridCurrier, D=8988948100en_HK
dc.identifier.scopusauthoridHaas, A=7201553229en_HK
dc.identifier.scopusauthoridHegerl, U=7005991260en_HK
dc.identifier.scopusauthoridLonnqvist, J=35234007300en_HK
dc.identifier.scopusauthoridMalone, K=7102975214en_HK
dc.identifier.scopusauthoridMarusic, A=7004393823en_HK
dc.identifier.scopusauthoridMehlum, L=7004367862en_HK
dc.identifier.scopusauthoridPatton, G=7102184358en_HK
dc.identifier.scopusauthoridPhillips, M=7402769470en_HK
dc.identifier.scopusauthoridRutz, W=7005401341en_HK
dc.identifier.scopusauthoridRihmer, Z=7004422064en_HK
dc.identifier.scopusauthoridSchmidtke, A=7006404305en_HK
dc.identifier.scopusauthoridShaffer, D=7103303155en_HK
dc.identifier.scopusauthoridSilverman, M=7403299033en_HK
dc.identifier.scopusauthoridTakahashi, Y=7408217840en_HK
dc.identifier.scopusauthoridVarnik, A=6701674760en_HK
dc.identifier.scopusauthoridWasserman, D=7102056672en_HK
dc.identifier.scopusauthoridYip, P=7102503720en_HK
dc.identifier.scopusauthoridHendin, H=7006547729en_HK
dc.identifier.citeulike6388980-

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