Wagner Birgit, Hofmann Laura, Grafiadeli Raphaela
Medical School Berlin.
Psychiatr Prax. 2021 Jan;48(1):9-18. doi: 10.1055/a-1182-2821. Epub 2020 Jul 20.
Suicide bereavement is a significant risk factor for psychological and somatic disorders. However, to date there exists only a limited number of suicide bereavement interventions, and little is known about their efficacy.
A computerized search in databases such as PsychINFO, PubMed, Medline was conducted. Randomized controlled trials (RCTs) that compared an intervention for suicide bereaved to a control condition were included after a quality assessment of two independent researchers. In total, six studies with = 473 participants were included. Cohen's was used to calculate the effect sizes.
The results indicated small to medium effect sizes for within-group differences for the main outcomes in the intervention condition, while no significant between-group differences were revealed.
Interventions for suicide bereavement can reduce mental health symptoms, however the results do not appear robust between group comparisons. Thus, it could not be demonstrated that an intervention following the suicide of a close relative is more effective than no intervention or an unspecific intervention. Future research should focus on high-quality intervention studies.
自杀丧亲是心理和躯体疾病的一个重要风险因素。然而,迄今为止,针对自杀丧亲的干预措施数量有限,且对其效果知之甚少。
在PsychINFO、PubMed、Medline等数据库中进行计算机检索。在两名独立研究人员进行质量评估后,纳入了将针对自杀丧亲者的干预措施与对照条件进行比较的随机对照试验(RCT)。总共纳入了六项研究,涉及473名参与者。使用科恩d值来计算效应量。
结果表明,干预条件下主要结局的组内差异效应量为小到中等,而组间差异不显著。
针对自杀丧亲的干预措施可以减轻心理健康症状,但在组间比较中结果似乎并不稳健。因此,无法证明在近亲自杀后进行干预比不进行干预或进行非特异性干预更有效。未来的研究应侧重于高质量的干预研究。