Nursing, Midwifery and Allied Health Professions Research Unit, University of Stirling, Stirling, UK
Nursing, Midwifery and Allied Health Professions Research Unit, University of Stirling, Stirling, UK.
BMJ Open. 2019 Oct 28;9(10):e030699. doi: 10.1136/bmjopen-2019-030699.
To map key policy documents worldwide and establish how they address the treatment and care needs of children and young people (CYP) who are suicidal.
We conducted a scoping review to systematically identify relevant key policy documents following a pre-established published protocol.
Four databases (CINAHL; Medline; PsycINFO; The Cochrane Database of Systematic reviews) and the websites of key government, statutory and non-statutory agencies were searched. Google and Google Scholar were used to identify other policy documents and relevant grey literature. Leading experts were consulted by email.
Policies, policy guidance, strategies, codes of conduct, national service frameworks, national practice guidance, white and green papers, and reviews of policy-concerned with indicated suicide prevention approaches for children up to 18 years old. Limited by English language and published after 2000.
Data were extracted using a predetermined template. Second reviewers independently extracted 25%. Documents were categorised as international guidance, national policy and national guidance, and presented in a table providing a brief description of the policy, alongside how it specifically addresses suicidal CYP. Findings were further expressed using narrative synthesis.
35 policy documents were included in the review. Although many recognise CYP as being a high-risk or priority population, most do not explicitly address suicidal CYP. In general, national guidance documents were found to convey that suicidal children should be assessed by a child and adolescent mental health practitioner but offer no clear recommendations beyond this.
The lack of specific reference within policy documents to the treatment and care of needs of children who are suicidal highlights a potential gap in policy that could lead to the needs of suicidal children being overlooked, and varying interpretations of appropriate responses and service provision.
绘制全球关键政策文件图，并确定它们如何满足有自杀倾向的儿童和青少年（CYP）的治疗和护理需求。
我们按照预先制定的发表方案进行了范围界定审查，以系统地确定相关的关键政策文件。
四个数据库（CINAHL；Medline；PsycINFO；The Cochrane Database of Systematic reviews）和主要政府、法定和非法定机构的网站进行了搜索。谷歌和谷歌学术用于识别其他政策文件和相关灰色文献。通过电子邮件向领先的专家进行了咨询。
政策、政策指南、战略、行为准则、国家服务框架、国家实践指南、白皮书和绿皮书，以及与儿童自杀预防方法相关的政策审查，适用于 18 岁以下的儿童。受限于英语语言和 2000 年后发表。
使用预定模板提取数据。第二审查员独立提取了 25%。文件分为国际指南、国家政策和国家指南，并以表格形式呈现，提供了政策的简要说明，以及它如何专门针对有自杀倾向的 CYP。结果使用叙述性综合进一步表达。
本综述共纳入 35 项政策文件。尽管许多人认为 CYP 是高风险或优先人群，但大多数文件并未明确针对有自杀倾向的 CYP。一般来说，国家指导文件表明，有自杀倾向的儿童应由儿童和青少年心理健康从业者进行评估，但除此之外没有明确的建议。
政策文件中缺乏对有自杀倾向的儿童的治疗和护理需求的具体参考，这突显了政策方面的潜在差距，可能导致自杀儿童的需求被忽视，以及对适当反应和服务提供的不同解释。
