A Systematic Review of School-Based Interventions Aimed at Preventing, Treating, and Responding to Suicide- Related Behavior in Young People

Crisis - Tập 34 Số 3 - Trang 164-182 - 2013
Jo Robinson1,2,3, Georgina Cox1,2,3, Aisling Malone3, Michelle Williamson4,1, Gabriel Baldwin3, Karen Fletcher3, Matt O’Brien3
1Centre for Youth Mental Health, University of Melbourne, Australia
2Orygen Youth Health Research Centre, University of Melbourne, Australia
3headspace – Australia’s National Youth Mental Health Foundation, Melbourne, Australia
4Centre for Health Policy, Programs and Economics, University of Melbourne, Australia

Tóm tắt

Background: Suicide, in particular among young people, is a major public health problem, although little is known regarding effective interventions for managing and preventing suicide-related behavior. Aims: To review the empirical literature pertaining to suicide postvention, prevention, and early intervention, specifically in school settings. Method: MEDLINE, PsycINFO, and the Cochrane Central Register of Controlled Trials (CCRCT) as well as citation lists of relevant articles using terms related to suicide and schools were searched in July 2011. School-based programs targeting suicide, attempted suicide, suicidal ideation, and self-harm where intent is not specified were included. No exclusion was placed on trial design. All studies had to include a suicide-related outcome. Results: A total of 412 potentially relevant studies were identified, 43 of which met the inclusion criteria, as well as three secondary publications: 15 universal awareness programs, 23 selective interventions, 3 targeted interventions, and 2 postvention trials. Limitations: Overall, the evidence was limited and hampered by methodological concerns, particularly a lack of RCTs. Conclusions: The most promising interventions for schools appear to be gatekeeper training and screening programs. However, more research is needed.

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Crisis

Tập 34 Số 3

164-182

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