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自杀预防的研究重点:对2007 - 2011年澳大利亚研究的审视

Research priorities in suicide prevention: an examination of Australian-based research 2007-11.

作者信息

Robinson Jo, Pirkis Jane

机构信息

Orygen Youth Health Research Centre, Centre for Youth Mental Health, University of Melbourne, Parkville, Vic. 3052, Australia.

Jane Pirkis, Centre for Health Policy, Programs and Economics, Melbourne School of Population and Global Health, University of Melbourne, Parkville, Vic. 3052, Australia.

出版信息

Aust Health Rev. 2014 Feb;38(1):18-24. doi: 10.1071/AH13058.

Abstract

OBJECTIVE

Suicide prevention, including among youth, has been a national priority in Australia for some time. Yet despite this, rates of suicide, and related behaviour, remain high. The aim of this study was to review all suicide-prevention research that had been conducted in Australia between January 2007 and December 2011, with a specific emphasis on studies relating to young people, in order to determine whether or not we are prioritising the sort of research that can adequately inform policy development and guide 'best practice'.

METHODS

Data were collected from two sources. First, several electronic databases were searched in October 2012 in order to identify published journal articles relating to suicide, written by Australian authors. Second, summary data obtained from the National Health and Medical Research Council, the Australian Rotary Health Research Fund and the Australian Research Council were examined in order to identify currently funded studies that relate to suicide. Studies were then classified according to whether or not they had a focus on youth, and according to research type, type of suicide-related behaviour under investigation and method of suicide.

RESULTS

There were 224 articles published and 12 grants funded that specifically focussed on suicide-related behaviour over the period January 2007 to December 2011. Of these, 47 articles (21%) and five funded grants (42%) focussed on young people. Youth studies, in particular those reported in the published articles, tended to be epidemiological in nature and only six of the published articles (13%) and two of the funded grants related to intervention studies.

CONCLUSIONS

Although the focus on youth is welcome, the lack of intervention studies is disappointing. Given that rates of suicide and related behaviour remain high, there is a clear need for a stronger body of intervention research that can inform national policy, if we are to successfully develop effective approaches to reducing suicide risk. WHAT IS KNOWN ABOUT THE TOPIC? Although the prevention of youth suicide has been a national priority for some time, rates of suicide and suicide-related behaviour remain high among young Australians. Much is known about the epidemiology of suicide; however, relatively little is known about which interventions may be effective in reducing this risk. Previous research suggests that although youth receive a reasonable amount of research attention in Australia, the majority of studies focus on epidemiological as opposed to intervention research. WHAT DOES THIS PAPER ADD? This paper reviews all suicide research that has been conducted in Australia between 2007 and 2011 in order to examine how much attention is currently given to studies relating to youth, and the relative priority given to intervention and epidemiological studies. Our findings support those reported previously, which suggest that although a significant proportion of suicide research focuses on youth, relatively little attention continues to be given to intervention studies. WHAT ARE THE IMPLICATIONS FOR PRACTITIONERS? This paper argues that further intervention research is needed if we are to build a sufficiently strong evidence base that can effectively inform policy development and guide best practice when it comes to preventing youth suicide in Australia.

摘要

目的

一段时间以来,预防自杀,包括预防青少年自杀,一直是澳大利亚的一项国家优先事项。然而尽管如此,自杀率及相关行为的发生率仍然很高。本研究的目的是回顾2007年1月至2011年12月期间在澳大利亚开展的所有自杀预防研究,特别侧重于与年轻人相关的研究,以确定我们是否将重点放在了能够为政策制定提供充分信息并指导“最佳实践”的研究类型上。

方法

数据从两个来源收集。第一,2012年10月搜索了几个电子数据库,以识别澳大利亚作者撰写的与自杀相关的已发表期刊文章。第二,审查了从澳大利亚国家卫生与医学研究委员会、澳大利亚扶轮健康研究基金和澳大利亚研究理事会获得的汇总数据,以识别当前资助的与自杀相关的研究。然后根据研究是否以青少年为重点、研究类型、所调查的自杀相关行为类型以及自杀方法对研究进行分类。

结果

在2007年1月至2011年12月期间,共发表了224篇文章,资助了12项专门关注自杀相关行为的研究项目。其中,47篇文章(21%)和5项资助研究项目(42%)以年轻人为重点。青少年研究,特别是已发表文章中报道的那些研究,往往属于流行病学性质,已发表文章中只有6篇(13%)以及资助研究项目中有2项与干预研究相关。

结论

虽然对青少年的关注是值得欢迎的,但缺乏干预研究令人失望。鉴于自杀率及相关行为的发生率仍然很高,如果我们要成功制定有效的方法来降低自杀风险,显然需要有更强大的干预研究体系来为国家政策提供信息。关于该主题已知的情况是什么?虽然预防青少年自杀在一段时间以来一直是国家优先事项,但澳大利亚年轻人中的自杀率及与自杀相关的行为发生率仍然很高。关于自杀的流行病学我们了解很多;然而,对于哪些干预措施可能有效降低这种风险,我们了解得相对较少。先前的研究表明,虽然在澳大利亚青少年受到了一定程度的研究关注,但大多数研究集中在流行病学方面,而非干预研究。本文补充了什么内容?本文回顾了2007年至2011年期间在澳大利亚开展的所有自杀研究,以考察目前对与青少年相关研究的关注程度,以及对干预研究和流行病学研究的相对重视程度。我们的研究结果支持先前报道的结果,即虽然相当一部分自杀研究以青少年为重点,但对干预研究的关注仍然相对较少。对从业者有什么启示?本文认为,如果我们要建立一个足够强大的证据基础,以便在预防澳大利亚青少年自杀方面有效地为政策制定提供信息并指导最佳实践,就需要进一步开展干预研究。

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