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国家自杀管理指南:以家庭为干预措施和自杀死亡率:系统评价方案。

National suicide management guidelines with family as an interv'ention and suicide mortality rates: a systematic review protocol.

机构信息

Health Sciences, McMaster University, Hamilton, Ontario, Canada.

McMaster University Michael G DeGroote School of Medicine, Hamilton, Ontario, Canada.

出版信息

BMJ Open. 2020 Jul 20;10(7):e034694. doi: 10.1136/bmjopen-2019-034694.

DOI:10.1136/bmjopen-2019-034694
PMID:32690736
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7375499/
Abstract

INTRODUCTION

Suicidal behaviour remains a major public health challenge worldwide. Several countries have developed national suicide guidelines aimed at raising awareness of and preventing deaths by suicide. One of the interventions often mentioned in these national guidelines is the involvement of family members as a protective factor in suicide prevention. However, the level or type of family involvement required to reduce suicidal behaviour is not well understood. Thus, in this systematic review, we seek to determine the effectiveness of family-based interventions as a suicide prevention tool, by comparing suicide mortality rates between countries whose national suicide prevention guidelines include family-based interventions and those whose do not.

METHODS AND ANALYSIS

MEDLINE, EMBASE, PsycINFO, Web of Science and WHO MiNDbank databases as well as grey literature such as National Guideline Clearinghouse will be searched. National guidelines for suicide prevention published within the last 20 years (between 1999 and 2019) will be included. Results will be analysed using thematic and qualitative analyses.

ETHICS AND DISSEMINATION

The findings of the study will help improve the efficacy of national suicide prevention strategies. Findings will be disseminated using easily accessible summary reports and resources to primary end users.

PROSPERO REGISTRATION NUMBER

This protocol has been registered on PROSPERO (CRD42019130195).

摘要

简介

自杀行为仍然是全球范围内的一个主要公共卫生挑战。许多国家都制定了国家自杀指南,旨在提高对自杀的认识并预防自杀死亡。这些国家指南中经常提到的干预措施之一是让家庭成员参与进来,作为预防自杀的一个保护因素。然而,减少自杀行为所需的家庭参与程度或类型尚不清楚。因此,在这项系统评价中,我们通过比较那些将家庭干预纳入国家自杀预防指南的国家和那些没有将家庭干预纳入国家自杀预防指南的国家的自杀死亡率,来确定以家庭为基础的干预措施作为预防自杀的工具的有效性。

方法和分析

将检索 MEDLINE、EMBASE、PsycINFO、Web of Science 和世界卫生组织 MiNDbank 数据库以及国家指南清理中心等灰色文献中的资料。将纳入在过去 20 年内(1999 年至 2019 年)发布的最新的国家自杀预防指南。结果将使用主题和定性分析进行分析。

伦理和传播

该研究的结果将有助于提高国家自杀预防策略的效果。将使用易于获取的总结报告和资源向主要最终用户传播研究结果。

前瞻性注册号

本方案已在 PROSPERO(CRD42019130195)上注册。

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