Literature DB >> 23505253

The effectiveness of structural interventions at suicide hotspots: a meta-analysis.

Jane Pirkis1, Matthew J Spittal, Georgina Cox, Jo Robinson, Yee Tak Derek Cheung, David Studdert.   

Abstract

BACKGROUND: Certain sites have gained notoriety as 'hotspots' for suicide by jumping. Structural interventions (e.g. barriers and safety nets) have been installed at some of these sites. Individual studies examining the effectiveness of these interventions have been underpowered.
METHOD: We conducted a meta-analysis, pooling data from nine studies.
RESULTS: Following the interventions, there was an 86% reduction in jumping suicides per year at the sites in question (95% CI 79% to 91%). There was a 44% increase in jumping suicides per year at nearby sites (95% CI 15% to 81%), but the net gain was a 28% reduction in all jumping suicides per year in the study cities (95% CI 13% to 40%).
CONCLUSIONS: Structural interventions at 'hotspots' avert suicide at these sites. Some increases in suicide are evident at neighbouring sites, but there is an overall gain in terms of a reduction in all suicides by jumping.

Mesh:

Year:  2013        PMID: 23505253     DOI: 10.1093/ije/dyt021

Source DB:  PubMed          Journal:  Int J Epidemiol        ISSN: 0300-5771            Impact factor:   7.196


  26 in total

Review 1.  Recent Advances in Means Safety as a Suicide Prevention Strategy.

Authors:  Hyejin M Jin; Lauren R Khazem; Michael D Anestis
Journal:  Curr Psychiatry Rep       Date:  2016-10       Impact factor: 5.285

2.  Suicidality in Childhood and Adolescence.

Authors:  Merle Becker; Christoph U Correll
Journal:  Dtsch Arztebl Int       Date:  2020-04-10       Impact factor: 5.594

3.  Counseling on Access to Lethal Means (CALM): An Evaluation of a Suicide Prevention Means Restriction Training Program for Mental Health Providers.

Authors:  Elizabeth Sale; Michelle Hendricks; Virginia Weil; Collin Miller; Scott Perkins; Suzanne McCudden
Journal:  Community Ment Health J       Date:  2017-11-28

4.  Suicides by jumping from a height in Hong Kong: a review of coroner court files.

Authors:  Paul W C Wong; Eric D Caine; Carmen K M Lee; Annette Beautrais; Paul S F Yip
Journal:  Soc Psychiatry Psychiatr Epidemiol       Date:  2013-07-24       Impact factor: 4.328

5.  An Observational Study of Suicide Death in Homeless and Precariously Housed People in Toronto.

Authors:  Mark Sinyor; Nicole Kozloff; Catherine Reis; Ayal Schaffer
Journal:  Can J Psychiatry       Date:  2017-05-19       Impact factor: 4.356

Review 6.  [Suicide prevention in the context of assisted suicide].

Authors:  Ute Lewitzka
Journal:  Nervenarzt       Date:  2022-09-19       Impact factor: 1.297

7.  Improving Suicide Prevention Through Evidence-Based Strategies: A Systematic Review.

Authors:  J John Mann; Christina A Michel; Randy P Auerbach
Journal:  Am J Psychiatry       Date:  2021-02-18       Impact factor: 19.242

8.  Means restriction for the prevention of suicide by jumping.

Authors:  Chukwudi Okolie; Suzanne Wood; Keith Hawton; Udai Kandalama; Alexander C Glendenning; Michael Dennis; Sian F Price; Keith Lloyd; Ann John
Journal:  Cochrane Database Syst Rev       Date:  2020-02-25

9.  Meta-analysis of incidence rate data in the presence of zero events.

Authors:  Matthew J Spittal; Jane Pirkis; Lyle C Gurrin
Journal:  BMC Med Res Methodol       Date:  2015-04-30       Impact factor: 4.615

Review 10.  Interventions to reduce suicides at suicide hotspots: a systematic review.

Authors:  Georgina R Cox; Christabel Owens; Jo Robinson; Angela Nicholas; Anne Lockley; Michelle Williamson; Yee Tak Derek Cheung; Jane Pirkis
Journal:  BMC Public Health       Date:  2013-03-09       Impact factor: 3.295

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