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首页> 外文期刊>The British journal of psychiatry : >Safety planning-type interventions for suicide prevention: meta-analysis
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Safety planning-type interventions for suicide prevention: meta-analysis

机译：预防自杀的安全计划型干预措施：荟萃分析

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Background Safety planning-type interventions (SPTIs) for patients at risk of suicide are often used in clinical practice, but it is unclear whether these interventions are effective. Aims This article reports on a meta-analysis of studies that have evaluated the effectiveness of SPTIs in reducing suicidal behaviour and ideation. Method We searched Medline, EMBASE, PsycINFO, Web of Science and Scopus from their inception to 9 December 2019, for studies that compared an SPTI with a control condition and had suicidal behaviour or ideation as outcomes. Two researchers independently extracted the data. To assess suicidal behaviour, we used a random-effects model of relative risk based on a pooled measure of suicidal behaviour. For suicidal ideation, we calculated effect sizes with Hedges' g. The study was registered at PROSPERO (registration number CRD42020129185). Results Of 1816 unique abstracts screened, 6 studies with 3536 participants were eligible for analysis. The relative risk of suicidal behaviour among patients who received an SPTI compared with control was 0.570 (95 CI 0.408-0.795, P = 0.001; number needed to treat, 16). No significant effect was found for suicidal ideation. Conclusions To our knowledge, this is the first study to report a meta-analysis on SPTIs for suicide prevention. Results support the use of SPTIs to help preventing suicidal behaviour and the inclusion of SPTIs in clinical guidelines for suicide prevention. We found no evidence for an effect of SPTIs on suicidal ideation, and other interventions may be needed for this purpose.
机译：背景 临床实践中经常使用针对有自杀风险患者的安全计划型干预措施 （SPTI），但尚不清楚这些干预措施是否有效。本文报告了对评估 SPTI 在减少自杀行为和意念方面的有效性的研究的荟萃分析。方法 我们检索了Medline、EMBASE、PsycINFO、Web of Science和Scopus从建库到2019年12月9日，以查找将SPTI与对照组进行比较且以自杀行为或意念为结局的研究。两名研究人员独立提取了数据。为了评估自杀行为，我们使用了基于自杀行为汇总测量的相对风险随机效应模型。对于自杀意念，我们用Hedges的g计算了效应量。该研究已在PROSPERO注册（注册号CRD42020129185）。结果 在筛选出的1816篇独特摘要中，6项研究涉及3536名受试者符合分析条件。与对照组相比，接受SPTI的患者发生自杀行为的相对风险为0.570（95%CI 0.408-0.795，P=0.001;需要治疗的人数，16）。未发现对自杀意念有显著影响。结论 据我们所知，这是第一项报告SPTIs预防自杀的荟萃分析的研究。结果支持使用 SPTI 来帮助预防自杀行为，并将 SPTI 纳入预防自杀的临床指南。我们没有发现SPTIs对自杀意念有影响的证据，为此可能需要其他干预措施。

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