School of Social Work, Rutgers, The State University of New Jersey, New Brunswick, NJ, United States.
The Brown School, Washington University in St Louis, Saint Louis, MO, United States.
J Med Internet Res. 2020 Oct 9;22(10):e18672. doi: 10.2196/18672.
Youth suicide is a global public health issue, and using technology is one strategy to increase participation in preventive interventions. However, there is minimal knowledge on how technology-enhanced interventions for youth correspond to the stages of care, from illness or risk recognition to treatment follow-up.
This systematic review aims to examine the efficacy of technology-enhanced youth suicide prevention and interventions across the continuum of care.
Four electronic databases were searched up to spring 2019 for youth suicide preventive interventions that used technology. The review was not restricted by study design and eligible studies could report outcomes on suicidality or related behaviors, such as formal treatment initiation. An adapted version of the Methodological Quality Ratings Scale was used to assess study quality.
A total of 26 studies were identified. The findings support the emerging efficacy of technology-enhanced interventions, including a decline in suicidality and an increase in proactive behaviors. However, evidence suggests that there are gaps in the continuum of care and recent study samples do not represent the diverse identities of vulnerable youth.
The majority of identified studies were conducted in school settings and were universal interventions that aligned with the illness and risk recognition and help-seeking stages of the continuum of care. This field could be strengthened by having future studies target the stages of assessment and treatment initiation, include diverse youth demographics, and examine the varying roles of providers and technological components in emerging interventions.
青年自杀是一个全球性的公共卫生问题，利用技术是增加参与预防干预措施的一种策略。然而，对于技术增强型干预措施如何对应从疾病或风险识别到治疗随访的护理连续体，知之甚少。
本系统评价旨在检查跨越护理连续体的技术增强型青年自杀预防和干预措施的疗效。
截至 2019 年春季，在四个电子数据库中搜索使用技术的青年自杀预防干预措施。该综述不受研究设计的限制，合格的研究可以报告自杀倾向或相关行为（如正式治疗开始）的结果。使用经过改编的方法学质量评分量表来评估研究质量。
共确定了 26 项研究。研究结果支持技术增强型干预措施的疗效不断增强，包括自杀率下降和积极行为增加。然而，有证据表明，护理连续体存在差距，并且最近的研究样本不能代表弱势青年的多样化身份。
大多数确定的研究都是在学校环境中进行的，是与护理连续体的疾病和风险识别以及寻求帮助阶段一致的普遍性干预措施。通过未来的研究针对评估和治疗开始阶段、包括不同青年人群体以及检查提供者和技术组件在新兴干预措施中的不同作用，可以加强这一领域。
