TY - JOUR
PY - 2018//
TI - What works in youth suicide prevention? A systematic review and meta-analysis
JO - EClinicalMedicine
A1 - Robinson, Jo
A1 - Bailey, Eleanor
A1 - Witt, Katrina
A1 - Stefanac, Nina
A1 - Milner, Allison
A1 - Currier, Dianne
A1 - Pirkis, Jane
A1 - Condron, Patrick
A1 - Hetrick, Sarah
SP - 52
EP - 91
VL - 4-5
IS -
N2 - BACKGROUND: Young people require specific attention when it comes to suicide prevention, however efforts need to be based on robust evidence.
METHODS: We conducted a systematic review and meta-analysis of all studies examining the impact of interventions that were specifically designed to reduce suicide-related behavior in young people.
FINDINGS: Ninety-nine studies were identified, of which 52 were conducted in clinical settings, 31 in educational or workplace settings, and 15 in community settings. Around half were randomized controlled trials. Large scale interventions delivered in both clinical and educational settings appear to reduce self-harm and suicidal ideation post-intervention, and to a lesser extent at follow-up. In community settings, multi-faceted, place-based approaches seem to have an impact. Study quality was limited.
INTERPRETATION: Overall whilst the number and range of studies is encouraging, gaps exist. Few studies were conducted in low-middle income countries or with demographic populations known to be at increased risk. Similarly, there was a lack of studies conducted in primary care, universities and workplaces. However, we identified that specific youth suicide-prevention interventions can reduce self-harm and suicidal ideation; these types of intervention need testing in high-quality studies.
Language: en
LA - en SN - 2589-5370 UR - http://dx.doi.org/10.1016/j.eclinm.2018.10.004 ID - ref1 ER -