An Intervention and Follow-Up Study Following a Suicide Attempt in the Emergency Departments of Four General Hospitals in Shenyang, China

Wei, Shengnan; Liu, Lei; Bi, Bo; Li, Haiyan; Hou, Jinglin; Tan, Sonny; Chen, Xiaoming; Chen, Wenxue; Jia, Xiaoju; Dong, Guang‐Hui; Qin, Xiaoxia; Liu, Yunbo

doi:10.1027/0227-5910/a000181

Cited by 42 publications

(75 citation statements)

References 33 publications

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“…For information on the effectiveness of the remaining interventions not covered in this report the reader is instead referred to our review in the Cochrane Library. 13 A total of 29 trials were therefore included in the present review (Figure 1; Supplementary Document SD3), comprising 18 trials of cognitive behavioural-based psychotherapy (CBT), [18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35] three trials of dialectical behaviour therapy (DBT), [36][37][38] and four trials each of case management [39][40][41][42] and postcards. [43][44][45][46] (Insert Figure 1 about here)…”

Section: Resultsmentioning

confidence: 99%

“…[18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35] Data on the proportion of patients repeating self-harm by the end of treatment was only available for one trial, 27 in which there was no apparent effect (23/171 vs. 27/142, OR 0·66, 95% CI 0·36 to 1·21, N=313). However, CBT-based therapy was associated with fewer participants repeating self-harm at the six month (OR 0·54, 95% CI 0·34 to 0·85, N=1,317; Figure 2) and 12 month follow-up assessments (OR 0·80, 95% CI 0·65 to 0·98, N=2,232; Figure 2).…”

Section: Cognitive Behavioural-based Psychotherapy Versus Treatment Amentioning

confidence: 99%

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Psychosocial interventions following self-harm in adults: a systematic review and meta-analysis

Hawton

Witt

Salisbury

et al. 2016

The Lancet Psychiatry

186

161

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Section: Resultsmentioning

confidence: 99%

Section: Cognitive Behavioural-based Psychotherapy Versus Treatment Amentioning

confidence: 99%

Psychosocial interventions following self-harm in adults: a systematic review and meta-analysis

Hawton

Witt

Salisbury

et al. 2016

The Lancet Psychiatry

186

161

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“…4,5,10 Seven trials had a loss to follow-up between 0% and 14%, [5][6][7][8][9]22,23 one had 29%, 4 and two had more than 50%. 10,11 The basic characteristics of the eight trials we included based on the Cochrane review are also described in this review, 1 as is one of the new trials we included 22 (in the table of ongoing studies). The other new trial included military personnel with a suicide attempt within the past month or suicidal ideation with intent to die during the past week.…”

Section: Resultsmentioning

confidence: 99%

“…These eight trials were included in our review. [4][5][6][7][8][9][10][11] Our PubMed search yielded 263 records, of which 249 were clearly irrelevant and two described the protocols for planned trials. We assessed the remaining 12 records for eligibility.…”

Section: Resultsmentioning

confidence: 99%

“…Randomisation was based on a computer in five trials, 4,7,8,11,23 envelopes in three trials, 6,9,22 draws from a container in one trial, 10 and an unknown method in one trial. 5 Blinding of outcome assessment (a new suicide attempt) was used in four trials; [6][7][8]23 in three trials, this was unclear; 9,11,22 and in three, there was no blinding. 4,5,10 Seven trials had a loss to follow-up between 0% and 14%, [5][6][7][8][9]22,23 one had 29%, 4 and two had more than 50%.…”

Section: Resultsmentioning

confidence: 99%

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Cognitive behavioural therapy halves the risk of repeated suicide attempts: systematic review

Gøtzsche

2017

J R Soc Med

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Objective: To study whether cognitive behavioural therapy decreases suicide attempts in people with previous suicide attempts. Design: Systematic review and meta-analysis. Setting: Randomised trials that compare cognitive behavioural therapy with treatment as usual. Participants: Patients who had engaged in any type of suicide attempt in the six months prior to trial entry resulting in presentation to clinical services. Main outcome measure: Suicide attempt. Results: We included ten trials, eight from Cochrane reviews and two from our updated searches (1241 patients, 219 of whom had at least one new suicide attempt). Cognitive behavioural therapy compared to treatment as usual reduced the risk of a new suicide attempt; risk ratio 0.47; 95% confidence interval 0.30-0.73; p ¼ 0.0009; I 2 ¼ 57%. Only seven suicides were reported (3 versus 4). One trial had an unusually large effect; if this trial is excluded, the risk ratio becomes 0.61 (0.46-0.80) and the heterogeneity in the results disappears (I 2 ¼ 0%). Conclusions: Cognitive behavioural therapy reduces not only repeated self-harm but also repeated suicide attempts. It should be the preferred treatment for all patients with depression.

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Primary-level worker interventions for the care of people living with mental disorders and distress in low- and middle-income countries

Ginneken

Chin

Lim

et al. 2021

Cochrane Database of Systematic Reviews

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Background Community‐based primary‐level workers (PWs) are an important strategy for addressing gaps in mental health service delivery in low‐ and middle‐income countries. Objectives To evaluate the effectiveness of PW‐led treatments for persons with mental health symptoms in LMICs, compared to usual care. Search methods MEDLINE, Embase, CENTRAL, ClinicalTrials.gov, ICTRP, reference lists (to 20 June 2019). Selection criteria Randomised trials of PW‐led or collaborative‐care interventions treating people with mental health symptoms or their carers in LMICs. PWs included: primary health professionals (PHPs), lay health workers (LHWs), community non‐health professionals (CPs). Data collection and analysis Seven conditions were identified apriori and analysed by disorder and PW examining recovery, prevalence, symptom change, quality‐of‐life (QOL), functioning, service use (SU), and adverse events (AEs). Risk ratios (RRs) were used for dichotomous outcomes; mean difference (MDs), standardised mean differences (SMDs), or mean change differences (MCDs) for continuous outcomes. For SMDs, 0.20 to 0.49 represented small, 0.50 to 0.79 moderate, and ≥0.80 large clinical effects. Analysis timepoints: T1 (<1 month), T2 (1‐6 months), T3 ( >6 months) post‐intervention. Main results Description of studies 95 trials (72 new since 2013) from 30 LMICs (25 trials from 13 LICs). Risk of bias Most common: detection bias, attrition bias (efficacy), insufficient protection against contamination. Intervention effects *Unless indicated, comparisons were usual care at T2. “Probably”, “may”, or “uncertain” indicates "moderate", "low," or "very low" certainty evidence. Adults with common mental disorders (CMDs) LHW‐led interventions a. may increase recovery (2 trials, 308 participants; RR 1.29, 95%CI 1.06 to 1.56); b. may reduce prevalence (2 trials, 479 participants; RR 0.42, 95%CI 0.18 to 0.96); c. may reduce symptoms (4 trials, 798 participants; SMD ‐0.59, 95%CI ‐1.01 to ‐0.16); d. may improve QOL (1 trial, 521 participants; SMD 0.51, 95%CI 0.34 to 0.69); e. may slightly reduce functional impairment (3 trials, 1399 participants; SMD ‐0.47, 95%CI ‐0.8 to ‐0.15); f. may reduce AEs (risk of suicide ideation/attempts); g. may have uncertain effects on SU. Collaborative‐care a. may increase recovery (5 trials, 804 participants; RR 2.26, 95%CI 1.50 to 3.43); b. may reduce prevalence although the actual effect range indicates it may have little‐or‐no effect (2 trials, 2820 participants; RR 0.57, 95%CI 0.32 to 1.01); c. may slightly red...

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An Intervention and Follow-Up Study Following a Suicide Attempt in the Emergency Departments of Four General Hospitals in Shenyang, China

Cited by 42 publications

References 33 publications

Psychosocial interventions following self-harm in adults: a systematic review and meta-analysis

Psychosocial interventions following self-harm in adults: a systematic review and meta-analysis

Cognitive behavioural therapy halves the risk of repeated suicide attempts: systematic review

Primary-level worker interventions for the care of people living with mental disorders and distress in low- and middle-income countries

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