Epstein Sophie, Roberts Emmert, Sedgwick Rosemary, Finning Katie, Ford Tamsin, Dutta Rina, Downs Johnny
NIHR Maudsley Biomedical Research Centre, South London and Maudsley NHS Foundation Trust, London, UK.
Department of Child and Adolescent Psychiatry, King's College London, London, UK.
BMJ Open. 2018 Dec 14;8(12):e023953. doi: 10.1136/bmjopen-2018-023953.
Schools have an important role in recognising and preventing self-harm and suicidal behaviour in their students, however little is known about which educational factors are associated with heightened risk. We will systematically review the existing evidence on two key educational performance indicators that are routinely collected by school administrative systems: school attendance and exclusion. We will investigate their association with self-harm and suicidal behaviour in school-age children and adolescents. Knowledge of this association could help inform suicide prevention strategies at clinical, school and population levels.
We will conduct a systematic search of Medline, EMBASE, PsycINFO, British Education Index and Education Resources Information Centre (ERIC) from 1 January 1990, and conduct a manual search for additional references. We aim to identify studies that explore the association between poor school attendance or exclusion and self-harm or suicidal behaviours in school-age children and adolescents. Two independent reviewers will screen titles, abstracts and full-text documents and independently extract relevant data for analysis. Study quality will be assessed using a modified Newcastle-Ottawa Scale. A descriptive analysis will be performed, and where appropriate, results will be combined in meta-analyses.
This is a systematic review of published literature, and therefore ethical approval will not be sought. We will publish reports in health and education journals, present our work at conferences focused on school mental health and communicate our findings to practitioners and managers in public health, education and child mental health.
CRD42018088608.
学校在识别和预防学生的自我伤害及自杀行为方面发挥着重要作用，然而对于哪些教育因素与风险增加相关却知之甚少。我们将系统回顾学校行政系统常规收集的两个关键教育绩效指标的现有证据：出勤率和开除率。我们将调查它们与学龄儿童和青少年的自我伤害及自杀行为之间的关联。了解这种关联有助于为临床、学校和人群层面的自杀预防策略提供信息。
我们将对1990年1月1日以来的Medline、EMBASE、PsycINFO、英国教育索引和教育资源信息中心（ERIC）进行系统检索，并进行手动检索以获取其他参考文献。我们旨在识别探讨学龄儿童和青少年出勤率低或被开除与自我伤害或自杀行为之间关联的研究。两名独立评审员将筛选标题、摘要和全文文档，并独立提取相关数据进行分析。研究质量将使用改良的纽卡斯尔-渥太华量表进行评估。将进行描述性分析，并在适当情况下将结果合并进行荟萃分析。
这是对已发表文献的系统回顾，因此无需寻求伦理批准。我们将在健康和教育期刊上发表报告，在关注学校心理健康的会议上展示我们的工作，并将我们的研究结果传达给公共卫生、教育和儿童心理健康领域的从业者和管理人员。
PROSPERO注册号：CRD42018088608。
