BACKGROUND: With almost a million people dying by suicide worldwide each year, reducing the rate of suicidal behaviour is a priority in many countries. AIMS: To examine whether additional psychosocial interventions following an episode of self-harm reduce the likelihood of subsequent suicide. METHOD: We conducted a systematic review and meta-analysis of data from randomised controlled trials of interventions for people following self-harm. Likelihood of suicide was compared by calculating the pooled root difference in suicide rate with 95% confidence intervals. RESULTS: We obtained suicide data from 18 studies with a total population of 3918. Eighteen suicides occurred among people offered active treatment and 19 among those offered standard care (pooled root difference in suicide rate 0.0,95% CI -0.03 to 0.03). The overall rate of suicide among people participating in trials was similar to that reported in observational studies of people who self-harm. CONCLUSIONS: Results of this meta-analysis do not provide evidence that additional psychosocial interventions following self-harm have a marked effect on the likelihood of subsequent suicide.
BACKGROUND: With almost a million people dying by suicide worldwide each year, reducing the rate of suicidal behaviour is a priority in many countries. AIMS: To examine whether additional psychosocial interventions following an episode of self-harm reduce the likelihood of subsequent suicide. METHOD: We conducted a systematic review and meta-analysis of data from randomised controlled trials of interventions for people following self-harm. Likelihood of suicide was compared by calculating the pooled root difference in suicide rate with 95% confidence intervals. RESULTS: We obtained suicide data from 18 studies with a total population of 3918. Eighteen suicides occurred among people offered active treatment and 19 among those offered standard care (pooled root difference in suicide rate 0.0,95% CI -0.03 to 0.03). The overall rate of suicide among people participating in trials was similar to that reported in observational studies of people who self-harm. CONCLUSIONS: Results of this meta-analysis do not provide evidence that additional psychosocial interventions following self-harm have a marked effect on the likelihood of subsequent suicide.
Authors: Julia M A Sinclair; Alastair Gray; Oliver Rivero-Arias; Kate E A Saunders; Keith Hawton Journal: Soc Psychiatry Psychiatr Epidemiol Date: 2010-02-21 Impact factor: 4.328
Authors: Patricio Molero; Michael F Grunebaum; Hanga C Galfalvy; Mary A Bongiovi; David Lowenthal; M Goretti Almeida; Ainsley K Burke; Ellen Stevenson; J John Mann; Maria A Oquendo Journal: Arch Suicide Res Date: 2014
Authors: Kathryn Bennett; Anne E Rhodes; Stephanie Duda; Amy H Cheung; Katharina Manassis; Paul Links; Christopher Mushquash; Peter Braunberger; Amanda S Newton; Stanley Kutcher; Jeffrey A Bridge; Robert G Santos; Ian G Manion; John D Mclennan; Alexa Bagnell; Ellen Lipman; Maureen Rice; Peter Szatmari Journal: Can J Psychiatry Date: 2015-06 Impact factor: 4.356
Authors: Matthew K Nock; Guilherme Borges; Evelyn J Bromet; Jordi Alonso; Matthias Angermeyer; Annette Beautrais; Ronny Bruffaerts; Wai Tat Chiu; Giovanni de Girolamo; Semyon Gluzman; Ron de Graaf; Oye Gureje; Josep Maria Haro; Yueqin Huang; Elie Karam; Ronald C Kessler; Jean Pierre Lepine; Daphna Levinson; Maria Elena Medina-Mora; Yutaka Ono; José Posada-Villa; David Williams Journal: Br J Psychiatry Date: 2008-02 Impact factor: 9.319