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

Forfatter(e)
Robinson, J. Cox, G. Malone, A. Williamson, M. Baldwin, G. Fletcher, K. O' Brien, M.
År
2013
DOI
10.1027/0227-5910/a000168
Tidsskrift
Crisis-the Journal of Crisis Intervention and Suicide Prevention
Sider
164-182
Kategori(er)
Selvskading/selvmord
Tiltakstype(r)
Skole/barnehagebaserte tiltak
Abstract

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.