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首页> 外文期刊>JMIR Research Protocols >The Effectiveness of Internet-Based Self-Help Interventions to Reduce Suicidal Ideation: Protocol for a Systematic Review and Meta-Analysis
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The Effectiveness of Internet-Based Self-Help Interventions to Reduce Suicidal Ideation: Protocol for a Systematic Review and Meta-Analysis

机译：基于Internet的自助干预减少自杀念头的有效性：用于系统审查和元分析的协议

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Background Suicidal ideation is a highly prevalent condition. There are several barriers for individuals to seek treatment that may be addressed by providing internet-based self-help interventions (ISIs). Current evidence suggests that ISIs for mental disorders may only be effective in reducing suicidal ideation if they specifically target suicidal thoughts or behaviors. Objective The aim of this systematic review and meta-analysis is to investigate the effectiveness of ISIs that directly target suicidal thoughts or behaviors. Methods We will conduct a sensitive systematic literature search in PsycINFO, MEDLINE, the Cochrane Central Register of Controlled Trials, and the Centre for Research Excellence of Suicide Prevention databases. Only randomized controlled trials evaluating the effectiveness of ISIs for suicide prevention will be included. Interventions must be delivered primarily in a Web-based setting; mobile-based interventions and interventions targeting gatekeepers will be excluded. Suicide ideation will be the primary outcome; secondary outcomes will be completed suicides, suicide attempts, depressiveness, anxiety, and hopelessness. Study quality will be assessed using the Cochrane Risk of Bias tool. We will provide a narrative synthesis of included studies. If studies are sufficiently homogenous, we will conduct a meta-analysis of the effectiveness on suicide ideation and, if possible, we will evaluate publication bias using funnel plots. We will evaluate the cumulative evidence in accordance with the Grading of Recommendations Assessment, Development and Evaluation framework. Results This review is in progress, with findings expected by August 2019. Conclusions This systematic review and meta-analysis focuses on the effectiveness of ISIs for suicidal thoughts and behaviors. It will provide guidance to clinical practice and encourage further research by synthesizing the best available evidence.
机译：背景技术自杀意念是一种非常普遍的状况。个人寻求治疗存在一些障碍，可以通过提供基于互联网的自助干预措施（ISI）来解决。当前证据表明，针对精神障碍的ISI如果仅针对自杀念头或行为，则可能仅能有效减少自杀念头。目的本系统综述和荟萃分析的目的是研究直接针对自杀念头或行为的ISI的有效性。方法我们将在PsycINFO，MEDLINE，Cochrane对照试验中心登记册和自杀预防卓越研究中心数据库中进行敏感的系统文献检索。仅包括评估ISI预防自杀有效性的随机对照试验。干预必须主要在基于Web的环境中进行;基于移动的干预措施和针对网守的干预措施将不包括在内。自杀意念将是主要结果;次要结局将是自杀，自杀企图，抑郁，焦虑和绝望。研究质量将使用Cochrane偏倚风险工具进行评估。我们将提供纳入研究的叙述性综合。如果研究足够同质，我们将对自杀意念的有效性进行荟萃分析，并在可能的情况下，使用漏斗图评估出版偏倚。我们将根据“建议书评估，制定和评估框架”对累积证据进行评估。结果这项综述正在进行中，预计将于2019年8月得出结论。结论这项系统的综述和荟萃分析着重于ISI对自杀性思想和行为的有效性。它将为临床实践提供指导，并通过综合现有的最佳证据鼓励进一步的研究。

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