Katye Stevens1, Vivetha Thambinathan2, Elisa Hollenberg3, Fiona Inglis4,5, Andrew Johnson3, Andrea Levinson6,7, Soha Salman8, Leah Cardinale9, Brian Lo3,10,11, Jenny Shi3, David Wiljer3,6,10,12,13, Daphne J Korczak6,8, Kristin Cleverley14,15,16. 1. The Margaret and Wallace McCain Centre for Child, Youth and Family Mental Health, Centre for Addiction and Mental Health, Toronto, Ontario, Canada. 2. The Western Centre for Public Health and Family Medicine, Western University, London, Ontario, Canada. 3. Office of Education, Centre for Addiction and Mental Health, Toronto, Ontario, Canada. 4. Library Services, Centre for Addiction and Mental Health, Toronto, Ontario, Canada. 5. Humber Libraries, Humber College, Toronto, Ontario, Canada. 6. Department of Psychiatry, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada. 7. Department of Psychiatry, Centre for Addiction and Mental Health, Toronto, Ontario, Canada. 8. Department of Psychiatry, Hospital for Sick Children, Toronto, Ontario, Canada. 9. Lawrence S. Bloomberg Faculty of Nursing and Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada. 10. Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada. 11. Information Management Group, Centre for Addiction and Mental Health, Toronto, Ontario, Canada. 12. Centre for Excellence in Economic Analysis Research, St. Michael's Hospital, Toronto, Ontario, Canada. 13. Education, Technology and Innovation, UHN Digital, University Health Network, Toronto, Ontario, Canada. 14. The Margaret and Wallace McCain Centre for Child, Youth and Family Mental Health, Centre for Addiction and Mental Health, Toronto, Ontario, Canada. k.cleverley@utoronto.ca. 15. Department of Psychiatry, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada. k.cleverley@utoronto.ca. 16. Lawrence S. Bloomberg Faculty of Nursing and Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada. k.cleverley@utoronto.ca.
Abstract
BACKGROUND: Suicide and risk management protocols in mental health research aim to ensure patient safety, provide vital information on how to assess suicidal ideation, manage risk, and respond to unexpected and expected situations. However, there is a lack of literature that identifies specific components and strategies to include in suicide and risk management protocols (SRMPs) for mental health research. The goal of this scoping review was to review academic and grey literature to determine core components and associated strategies, which can be used to inform SRMPs in mental health research. METHODS AND ANALYSIS: The methodological framework outlined by Arksey and O'Malley was used for this scoping review. The search strategy, conducted by a medical librarian, was multidisciplinary and included seven databases. Two reviewers independently assessed eligibility criteria in each document and used a standardized charting form to extract relevant data. The extracted data were then examined using qualitative content analysis. Specifically, summative content analysis was used to identify the core components and strategies used in SRMPs. The data synthesis process was iterative. RESULTS: This review included 36 documents, specifically 22 peer-reviewed articles and 14 documents from the grey literature. Five core components of SRMPs emerged from the reviewed literature including: training; educational resources for research staff; educational resources for research participants; risk assessment and management strategies; and clinical and research oversight. Potentials strategies for risk mitigation within each of the core components are outlined. CONCLUSIONS: The five core components and associated strategies for inclusion in SRMPs will assist mental health researchers in conducting research safely and rigorously. Findings can inform the development of SRMPs and how to tailor them across various research contexts.
BACKGROUND: Suicide and risk management protocols in mental health research aim to ensure patient safety, provide vital information on how to assess suicidal ideation, manage risk, and respond to unexpected and expected situations. However, there is a lack of literature that identifies specific components and strategies to include in suicide and risk management protocols (SRMPs) for mental health research. The goal of this scoping review was to review academic and grey literature to determine core components and associated strategies, which can be used to inform SRMPs in mental health research. METHODS AND ANALYSIS: The methodological framework outlined by Arksey and O'Malley was used for this scoping review. The search strategy, conducted by a medical librarian, was multidisciplinary and included seven databases. Two reviewers independently assessed eligibility criteria in each document and used a standardized charting form to extract relevant data. The extracted data were then examined using qualitative content analysis. Specifically, summative content analysis was used to identify the core components and strategies used in SRMPs. The data synthesis process was iterative. RESULTS: This review included 36 documents, specifically 22 peer-reviewed articles and 14 documents from the grey literature. Five core components of SRMPs emerged from the reviewed literature including: training; educational resources for research staff; educational resources for research participants; risk assessment and management strategies; and clinical and research oversight. Potentials strategies for risk mitigation within each of the core components are outlined. CONCLUSIONS: The five core components and associated strategies for inclusion in SRMPs will assist mental health researchers in conducting research safely and rigorously. Findings can inform the development of SRMPs and how to tailor them across various research contexts.
Entities:
Keywords:
Mental health research; Scoping review; Suicide and risk management protocol
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