TY  - JOUR
PY  - 2017//
TI  - Strategies to prevent death by suicide: meta-analysis of randomised controlled trials
JO  - British journal of psychiatry
A1  - Riblet, Natalie B. V.
A1  - Shiner, Brian
A1  - Young-Xu, Yinong
A1  - Watts, Bradley Vince
SP  - 396
EP  - 402
VL  - 210
IS  - 6
N2  - BackgroundFew randomised controlled trials (RCTs) have shown decreases in suicide.AimsTo identify interventions for preventing suicide.<br><br>METHODWe searched EMBASE and Medline from inception until 31 December 2015. We included RCTs comparing prevention strategies with control. We pooled odds ratios (ORs) for suicide using the Peto method.<br><br>RESULTSAmong 8647 citations, 72 RCTs and 6 pooled analyses met inclusion criteria. Three RCTs (n = 2028) found that the World Health Organization (WHO) brief intervention and contact (BIC) was associated with significantly lower odds of suicide (OR = 0.20, 95% CI 0.09-0.42). Six RCTs (n = 1040) of cognitive-behavioural therapy (CBT) for suicide prevention and six RCTs of lithium (n = 619) yielded non-significant findings (OR = 0.34, 95% CI 0.12-1.03 and OR = 0.23, 95% CI 0.05-1.02, respectively).<br><br>CONCLUSIONSThe WHO BIC is a promising suicide prevention strategy. No other intervention showed a statistically significant effect in reducing suicide.<br><br>© The Royal College of Psychiatrists 2017.<p />  <p>Language: en</p>
LA  - en
SN  - 0007-1250
UR  - http://dx.doi.org/10.1192/bjp.bp.116.187799
ID  - ref1
ER  -