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首页> 外文期刊>The British journal of psychiatry : >Letters, green cards, telephone calls and postcards: systematic and meta-analytic review of brief contact interventions for reducing self-harm, suicide attempts and suicide
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Letters, green cards, telephone calls and postcards: systematic and meta-analytic review of brief contact interventions for reducing self-harm, suicide attempts and suicide

机译：信件，绿卡，电话和明信片：对简短接触干预措施进行系统和荟萃分析，以减少自我伤害，自杀未遂和自杀

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Background There is growing interest in brief contact interventions for self-harm and suicide attempt. Aims To synthesise the evidence regarding the effectiveness of brief contact interventions for reducing self-harm, suicide attempt and suicide. Method A systematic review and random-effects meta-analyses were conducted of randomised controlled trials using brief contact interventions (telephone contacts; emergency or crisis cards; and postcard or letter contacts). Several sensitivity analyses were conducted to examine study quality and subgroup effects. Results We found 14 eligible studies overall, of which 12 were amenable to meta-analyses. For any subsequent episode of self-harm or suicide attempt, there was a non-significant reduction in the overall pooled odds ratio (OR) of 0.87 (95% CI 0.74a€“1.04, P = 0119) for intervention compared with control. The number of repetitions per person was significantly reduced in intervention v. control (incidence rate ratio IRR = 066, 95% CI 0.54a€“0.80, P 0001). There was no significant reduction in the odds of suicide in intervention compared with control (OR = 0.58, 95% CI 0.24a€“1.38). Conclusions A non-significant positive effect on repeated self-harm, suicide attempt and suicide and a significant effect on the number of episodes of repeated self-harm or suicide attempts per person (based on only three studies) means that brief contact interventions cannot yet be recommended for widespread clinical implementation. We recommend further assessment of possible benefits in well-designed trials in clinical populations.
机译：背景技术对于自残和自杀未遂的短暂接触干预越来越引起人们的兴趣。目的综合有关短暂接触干预措施对减少自残，自杀未遂和自杀的有效性的证据。方法采用简短的接触干预措施（电话接触;紧急或危机卡;明信片或信件接触），对随机对照试验进行了系统回顾和随机效应荟萃分析。进行了几项敏感性分析，以检查研究质量和亚组效应。结果我们发现总共有14项符合条件的研究，其中12项适合进行荟萃分析。对于随后发生的任何自残或自杀未遂事件，干预组的总合并优势比（OR）与对照组相比均无明显降低，为0.87（95％CI 0.74a？1.04，P = 0119）。干预与对照相比，每人的重复次数显着减少（发生率比率IRR = 066，95％CI 0.54a？0.80，P <0001）。与对照组相比，干预中自杀的几率没有显着降低（OR = 0.58，95％CI 0.24a-1.38）。结论对反复自我伤害，自杀未遂和自杀的非积极影响以及对每人反复自我伤害或自杀未遂的发作次数的显着影响（仅基于​​三项研究）意味着短暂的接触干预尚不能建议广泛用于临床。我们建议在设计良好的临床人群中进一步评估可能带来的益处。

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