Are digital interventions effective in reducing suicidal ideation and self-harm? A systematic review

Autor:	Evgenia Stefanopoulou, Matthew Taylor, Karen Russell-Haines, David Lewis, Harry Hogarth, Jan Larkin
Rok vydání:	2020
Předmět:	medicine.medical_specialty Psychological intervention MEDLINE Poison control PsycINFO Suicide prevention Suicidal Ideation 03 medical and health sciences 0302 clinical medicine medicine Humans 030212 general & internal medicine Psychiatry Suicidal ideation Randomized Controlled Trials as Topic Cognitive Behavioral Therapy business.industry General Medicine Mobile Applications Telemedicine 030227 psychiatry Psychiatry and Mental health Systematic review Treatment Outcome medicine.symptom Outcomes research business Mindfulness Self-Injurious Behavior
Zdroj:	Journal of mental health (Abingdon, England). 29(2)
ISSN:	1360-0567
Popis:	Background: There is a significant lack of outcomes research examining the effectiveness of digital interventions for reducing suicidal ideation and self-harm.Aims: To systematically review the effectiveness of digital interventions for reducing suicidal ideation and self-harm in adult populations. The possible mediating effects of depression are also discussed.Methods: The databases Pubmed, Medline, PsycInfo, Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, IEEEXplore, ACM and CRESP were searched. Only randomised controlled trials (RCTs) were included. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were used. Studies were assessed for methodological quality and risk of bias using standard assessment criteria.Results: Fourteen RCTs were reviewed, reporting data on 3455 participants. Although findings were more consistent for the effectiveness of online Cognitive Behavioural Therapy (CBT), Mindfulness-Based CBT and Dialectical Behavioural Therapy, there was insufficient research to consider any as evidence-based treatments for suicidal ideation and self-harm.Conclusions: Digital interventions for suicidal ideation and self-harm can be a safe and acceptable option for individuals unwilling or unable to access face-to-face interventions. However, further research is needed to understand the types of interventions that could support people and the risk-benefit ratio of digital interventions for these individuals.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::b645dce7620b59e4354d5b76bb4efded https://pubmed.ncbi.nlm.nih.gov/31989852 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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