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首页> 外文期刊>Journal of medical Internet research >Caught in the Web: A Review of Web-Based Suicide Prevention
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Caught in the Web: A Review of Web-Based Suicide Prevention

机译：陷入网络：基于网络的自杀预防综述

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Background: Suicide is a serious and increasing problem worldwide. The emergence of the digital world has had a tremendous impact on people’s lives, both negative and positive, including an impact on suicidal behaviors.Objective: Our aim was to perform a review of the published literature on Web-based suicide prevention strategies, focusing on their efficacy, benefits, and challenges.Methods: The EBSCOhost (Medline, PsycINFO, CINAHL), OvidSP, the Cochrane Library, and ScienceDirect databases were searched for literature regarding Web-based suicide prevention strategies from 1997 to 2013 according to the modified PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) statement. The selected articles were subjected to quality rating and data extraction.Results: Good quality literature was surprisingly sparse, with only 15 fulfilling criteria for inclusion in the review, and most were rated as being medium to low quality. Internet-based cognitive behavior therapy (iCBT) reduced suicidal ideation in the general population in two randomized controlled trial (effect sizes, d=0.04-0.45) and in a clinical audit of depressed primary care patients. Descriptive studies reported improved accessibility and reduced barriers to treatment with Internet among students. Besides automated iCBT, preventive strategies were mainly interactive (email communication, online individual or supervised group support) or information-based (website postings). The benefits and potential challenges of accessibility, anonymity, and text-based communication as key components for Web-based suicide prevention strategies were emphasized.Conclusions: There is preliminary evidence that suggests the probable benefit of Web-based strategies in suicide prevention. Future larger systematic research is needed to confirm the effectiveness and risk benefit ratio of such strategies.
机译：背景：自杀是世界范围内日益严重的严重问题。数字世界的出现对人们的生活产生了巨大的影响，无论是消极的还是积极的，包括对自杀行为的影响。目的：我们的目的是对基于网络的自杀预防策略的已发表文献进行回顾，重点是方法：根据经修改的PRISMA（1997年至2013年），在EBSCOhost（Medline，PsycINFO，CINAHL），OvidSP，Cochrane图书馆和ScienceDirect数据库中搜索有关基于网络的自杀预防策略的文献。系统评价和荟萃分析的首选报告项目）声明。结果：高质量的文献稀少，只有15个满足审查标准的文献被收录，大多数被评为中低质量。基于互联网的认知行为疗法（iCBT）在两项随机对照试验（效果量，d = 0.04-0.45）和抑郁的初级保健患者的临床审计中降低了一般人群的自杀意念。描述性研究报告称，学生可访问性得到改善，互联网治疗障碍减少。除了自动化的iCBT，预防策略还主要是交互式的（电子邮件通信，在线个人或受监督的团体支持）或基于信息的（网站发布）。强调了可访问性，匿名性和基于文本的通信作为基于Web的自杀预防策略的关键组成部分的好处和潜在挑战。结论：有初步证据表明基于Web的策略在自杀预防中的潜在好处。需要进一步的系统研究来确认此类策略的有效性和风险收益率。

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