Effectiveness of emergency department-based and initiated youth suicide prevention interventions: A systematic review

This systematic review examined the effectiveness of Emergency Department-based and initiated youth suicide prevention interventions for suicide attempts, suicidal ideation, hospitalization, family system functioning, and other mental health symptoms. We searched five databases for randomized contro...

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Published in:PloS one 2023-12, Vol.18 (12), p.e0289035-e0289035
Main Authors: Balasa, Rebecca, Lightfoot, Sophie, Cleverley, Kristin, Stremler, Robyn, Szatmari, Peter, Alidina, Zenita, Korczak, Daphne
Format: Article
Language:English
Subjects:
Adolescent
Analysis
Bias
Child
Children
COVID-19
Effectiveness
Emergency medical care
Emergency medical services
Emergency service
Emergency Service, Hospital
Empowerment
Health aspects
Heterogeneity
Hospitalization
Hospitals
Humans
Intervention
Medicine and Health Sciences
Mental depression
Mental Disorders
Mental health
Meta-analysis
Pandemics
Pediatrics
Physical Sciences
Population studies
Prevention
Psychological aspects
Research and Analysis Methods
Reviews
Suicidal behavior
Suicidal Ideation
Suicide
Suicide Prevention
Suicide, Attempted - prevention & control
Suicides & suicide attempts
Synthesis
Systematic review
Teenagers
Youth
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container_issue 12
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container_title PloS one
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creator Balasa, Rebecca
Lightfoot, Sophie
Cleverley, Kristin
Stremler, Robyn
Szatmari, Peter
Alidina, Zenita
Korczak, Daphne
description This systematic review examined the effectiveness of Emergency Department-based and initiated youth suicide prevention interventions for suicide attempts, suicidal ideation, hospitalization, family system functioning, and other mental health symptoms. We searched five databases for randomized controlled trial (RCT) studies that examined Emergency Department-based and initiated suicide prevention interventions among youth aged 10 to 18 years old between May 2020 to June 2022. Using Cohen's d and 95% confidence interval as our standardised metrics, we followed the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) and Synthesis Without Meta-Analysis in Systematic Reviews (SWiM) guidelines when synthesizing, interpreting, and reporting the findings of this review. Five studies were included in this review. Findings were first synthesized according to the targeted population of the study intervention and this review's outcomes. Two interventions were effective for decreasing depressive symptoms, hospitalization recidivism, and/or increasing family empowerment. There were no interventions that reduced subsequent suicide attempts. A meta-analysis was not conducted due to the heterogeneity of the data. A need exists to develop and evaluate Emergency Department-based and initiated youth suicide prevention interventions that can be successfully and sustainably implemented in practice. Future research should focus on evaluating the components of interventions that effectively mitigate suicide risk among high-risk youth.
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source PubMed (Medline); Access via ProQuest (Open Access); Coronavirus Research Database
subjects Adolescent
Analysis
Bias
Child
Children
COVID-19
Effectiveness
Emergency medical care
Emergency medical services
Emergency service
Emergency Service, Hospital
Empowerment
Health aspects
Heterogeneity
Hospitalization
Hospitals
Humans
Intervention
Medicine and Health Sciences
Mental depression
Mental Disorders
Mental health
Meta-analysis
Pandemics
Pediatrics
Physical Sciences
Population studies
Prevention
Psychological aspects
Research and Analysis Methods
Reviews
Suicidal behavior
Suicidal Ideation
Suicide
Suicide Prevention
Suicide, Attempted - prevention & control
Suicides & suicide attempts
Synthesis
Systematic review
Teenagers
Youth
title Effectiveness of emergency department-based and initiated youth suicide prevention interventions: A systematic review
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