Tarrier Nicholas, Taylor Katherine, Gooding Patricia
Division of Clinical Psychology, School of Psychological Sciences,University of Manchester, Manchester, United Kingdom.
Behav Modif. 2008 Jan;32(1):77-108. doi: 10.1177/0145445507304728.
Suicide behavior is a serious clinical problem worldwide, and understanding ways of reducing it is a priority. A systematic review and meta-analysis were carried out to investigate whether Cognitive-behavioral therapies (CBTs) would reduce suicide behavior. From 123 potential articles, 28 studies met the entry criteria. Overall, there was a highly significant effect for CBT in reducing suicide behavior. Subgroup analysis indicates a significant treatment effect for adult samples (but not adolescent), for individual treatments (but not group), and for CBT when compared to minimal treatment or treatment as usual (but not when compared to another active treatment). There was evidence for treatment effects, albeit reduced, over the medium term. Although these results appear optimistic in advocating the use of CBT in ameliorating suicidal thoughts, plans, and behaviors, evidence of a publication bias tempers such optimism.
自杀行为是一个全球性的严重临床问题，了解减少自杀行为的方法是当务之急。开展了一项系统评价和荟萃分析，以调查认知行为疗法（CBT）是否能减少自杀行为。从123篇潜在文章中，有28项研究符合纳入标准。总体而言，CBT在减少自杀行为方面有非常显著的效果。亚组分析表明，对于成人样本（而非青少年）、个体治疗（而非团体治疗）以及与最小治疗或常规治疗相比时（而非与另一种积极治疗相比时）的CBT，有显著的治疗效果。有证据表明，在中期存在治疗效果，尽管有所降低。尽管这些结果在倡导使用CBT改善自杀念头、计划和行为方面看起来很乐观，但发表偏倚的证据使这种乐观情绪有所缓和。
