Efficient Suicide Prevention Intervention: Meta-Analysis

Hyunjoo Park; Jeongyee Bae

doi:10.12934/jkpmhn.2013.22.4.273

Journal List > J Korean Acad Psychiatr Ment Health Nurs > v.22(4) > 1057983

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Park and Bae: Efficient Suicide Prevention Intervention: Meta-Analysis

Original Article

Journal of Korean Academy of Psychiatric and Mental Health Nursing 2013; 22(4): 273-284.

Published online: 31 December 2013

DOI: https://doi.org/10.12934/jkpmhn.2013.22.4.273

Efficient Suicide Prevention Intervention: Meta-Analysis

Hyunjoo Park¹, Jeongyee Bae²

¹Department of Nursing, Busan Womens College, Busan, Korea.

²Department of Nursing · Institute for Health Research, Inje University; International Safe Community Research Center of Busan Metropolitan, Busan, Korea.

Corresponding author: Bae, Jeongyee. Department of Nursing, College of Medicine, Inje University, 633-165 Kaegum-dong, Busanjin-gu, Busan 614-735, Korea. Tel: +82-51-890-6823, Fax: +82-51-897-6823, jibai@inje.ac.kr

Received 10 August 2013 Revised 9 December 2013 Accepted 23 December 2013

(open-access):

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

The purpose of this study was to evaluate the suicide ideation effects of suicide prevention program.

Methods

Using several databases, studies were collected from March, 2012 to August, 2012. For the purpose of a systematic literature review, in this study analysis was done of pretested-posttested research among non-randomized studies utilizing suicide prevention program, and having set the intervention as the independent variable suicidal idea as a dependent variable.

Results

The result of interventions on suicide prevention showed a moderate effect at -0.72 (96% CI: -0.96, 0.48). For intervention types, reality therapy was most effective overall, while the life cycle was found to be most effective for young people (d=-1.57, 95% CI: -2.70, -0.43). The periods for the intervention on suicide prevention was shown to be most effective when it was repeated over 20 times (d=-1.55, 95% CI:-2.75, -0.35), and also it worked better for the risk group than a general group (d=-0.89, 95% CI: -1.26, 0.52).

Conclusion

The findings of this study support basic data for interventions to prevent future suicide and the need for further development of prevention programs.

Keywords: Suicide, Prevention, Intervention, Meta-analysis

Figures and Tables

Figure 1

Flow diagram.

Figure 2

Forest plot.

Figure 3

Funnel plot.

Table 1

Characteristics of Studies Included in Meta-analysis

Exp.=experimental group; Cont.=control group; NS=number of session; QA=quality assessment; DD=doctor's dissertation; MT=master's thesis; PA=published Article; CBT=cognitive Behavioral Therapy; LREP=life-respect education program; RT=reality therapy; AT=activity therapy; CBT=cognitive behavioral therapy; LREP=life-respect education program; RT=reality therapy; AT=art therapy; SST=social skill training; GGC=gestalt group counseling; SAP=self-assertion programs; MSPP=multidimensional suicide prevention program; NP=nurse presence; PIAML=program improving adjustment to military life; PT=play therapy; AA=animation audition; SI=suicidal ideation; HRG=high risk group, GG=general group.

Table 2

Characteristics of Variables Included in Meta-analysis

Table 3

Effect Size of Suicide Prevention Program

CI=confidence interval; CBT=Cognitive behavioral therapy; LEP=life-respect education program.

References

1. Chan SS, Leung VP, Tsoh J, Li SW, Yu CS, Yu GK, et al. Outcomes of a two-tiered multifaceted elderly suicide prevention program in a Hong Kong chinese community. Am J Geriatr Psychiatry. 2011; 19:185–196.

2. Conwell Y. Suicide in later life: a review and recommendation for prevention. Suicide Life Threat Behav. 2001; 31:Suppl. 32–47.

3. Corcoran J, Dattalo P, Crowley M, Brown E, Grindle L. A systematic review of psychosocial interventions for suicidal adolescents. Child Youth Serv Rev. 2011; 33:2112–2118.

4. Crosby AE, Han B, Ortega AG, Parks SE, Gfroerer J. Suicidal thoughts and behaviors among adults aged ≥18 years--United States, 2008-2009. MMWR Surveill Summ. 2011; 60(13):1–22.

5. De Leo D, Scocco P. Treatment and prevention of suicidal behavior in the elderly. In : Hawton K, van Heeringen K, editors. The international handbook of suicide and attempted suicide. NJ: John Wiley & Song. Ltd;2000. p. 555–570.

6. Fairweather AK, Anstey KJ, Rodgers B, Butterworth P. Factors distinguishing suicide attempters from suicide ideation in a community sample: Social issues and physicalhealth problems. Psychol Med. 2006; 36:1235–1245.

7. Glass GV. Meta-analysis: An approach to the synthesis of research results. J Res Sci Teach. 1982; 19:93–112.

8. Health & Welfare Committee. Law for suicide prevention and the composition of life-respect culture. Seoul: Author;2011.

9. Hedges H, Olkin I. Statistical methods for meta-analysis. Orlando, FL: Academic Press;1985.

10. Hooven C, Herting JR, Snedker KA. Long-term outcomes for the promoting CARE suicide prevention program. Am J Health Behav. 2010; 34:721–736.

11. James RK, Gilliland BE. Crisis intervention strategies. 4th ed. Singapore: Thomson;2001.

12. Kim JI, Yoon HS, Han SO. Effects of the program improving adjustment to military life, on stress, depression, idea of suicide, self-esteem, and adjustment to military living in auxiliary police. J Korean Acad Fundam Nurs. 2008; 15:387–394.

13. Kim MS. Meta-analysis for intervention effect of suicide prevention program. Korean J Soc Welf Res. 2012; 30:27–56.

14. Kim YS. The effect of a group counseling program on depression and suicidal prevention in high school students. J Korean Acad Community Health Nurs. 2009; 20:343–350.

15. Korea Institute for Health and Social Affairs. Policy issues and directions for a rapid increase in suicides in Korea. Seoul: Author;2012.

16. Lee SY, Choi WG, Kim CK. Effectiveness of a reality therapy-based group counseling program on the reduction of adolescent depression and suicidal ideation. Korean J Youth Stud. 2005; 12:141–186.

17. Lester D. Psychotherapy for suicidal clients. Death Stud. 1994; 18:361–374.

18. Lim KS, Kim HS. Effect of life respect programs for the elderly on depression and suicidal ideation of elderly. J Welf Aged. 2012; 55:201–222.

19. Maltsberger JT. The prevention of suicide in adults. In : Leenaars AA, editor. Life span perspectives of suicide. New York: Plenum Press;1991. p. 295–307.

20. Maris RW. Pathways to suicide: A survey of self-destructive behaviors. Baltimore: Jones Horkins University Press;1981.

21. Ministry of Health & Welfare. OECD Health Data 2011. Seoul: Author;2012.

22. Moon DK. A meta-regression analysis on related variables of adolescents' suicidal ideation. Cheongju: Chungbuk National University;2011. Unpublished doctoral dissertation.

23. Ougrin D, Latif S. Specific psychological treatment versus treatment as usual in adolescents with self-harm: Systematic review and meta-analysis. Crisis. 2011; 32:74–80.

24. Robinson J, Hetrick SE, Martin C. Preventing suicide in young people: Systematic review. Aust N Z J Psychiatry. 2011; 45:3–26.

25. Rosenthal R. Meta-analytic procedures for social research. Newbury Park, CA: Sage Publications;1991.

26. Scottish Intercollegiate Guideline Network (SIGN). SIGN 50: A guideline developer's handbook. Edinburgh: Author;2012. 01.

27. Shirk SR, Gudmundsen G, Kaplinski HC, McMakin DL. Alliance and outcome in cognitive-behavioral therapy for adolescent depression. J Clin Child Adolesc Psychol. 2008; 37:631–639.

28. Sohn JN. The effects of the peer suicide prevention gatekeeper program for middle school students. J Korean Acad Psychiatr Ment Health Nurs. 2011; 20:111–119.

29. Stein BD, Kataoka SH, Hamilton AB, Schultz D, Ryan G, Vona P, et al. School personnel perspectives on their school's implementation of a school-based suicide prevention program. J Behav Health Serv Res. 2009; 37:338–349.

30. Tarrier N, Taylor K, Gooding P. Cognitive-behavioral interventions to reduce suicide behavior-A systematic review and meta-analysis. Behav Modif. 2008; 01. 32:77–108.

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