Collaborative Evaluation Unit, School of Health, Federation University Australia, Churchill, Victoria, Australia.
Int J Ment Health Nurs. 2021 Jun;30(3):610-623. doi: 10.1111/inm.12872. Epub 2021 Apr 15.
Mental health and suicide prevention are national health priorities in Australia, with research currently focussed towards the ZERO Suicide (ZS) initiative. The aim of this review was to evaluate the impact of suicide prevention programmes, in particular the ZS prevention initiative. A systematic review using the PRISMA guidelines was conducted using six EBSCO Host databases; Academic Search Complete, Australian/New Zealand Reference Centre, CINAHL Complete, MEDLINE, APA PsycINFO, and APA Psyc Articles. The data extracted from the eligible papers were analysed using a thematic approach. The final data set consisted of fourteen (n = 14) peer-reviewed articles meeting the eligibility criteria, which included quantitative (n = 10), mixed methods (n = 2), and qualitative studies (n = 2). Results indicated variances between suicide prevention programmes with some papers examining single workshops and others assessing multimodal, organizational interventions. Five major themes were produced from this review including measuring the success of suicide prevention programmes, improvements to the delivery of suicide prevention programmes, barriers to implementing changes, cultural considerations, and further research required for suicide prevention programmes. This review concludes that further long-term research is required to evaluate the implementation and efficacy of suicide prevention programmes in health care. Cultural awareness in suicide prevention training is another area that may benefit from further research. A growing body of evidence establishes the need for multimodal and organizational approaches for suicide prevention initiatives.
心理健康和自杀预防是澳大利亚的国家卫生重点，目前的研究集中在 ZERO Suicide（ZS）计划上。本研究旨在评估自杀预防计划的效果，特别是 ZS 预防计划。使用 PRISMA 指南进行了系统综述，使用了六个 EBSCO 主机数据库：学术搜索完整、澳大利亚/新西兰参考中心、CINAHL 完整、MEDLINE、APA PsycINFO 和 APA Psyc 文章。从合格论文中提取的数据使用主题方法进行分析。最终数据集由符合资格标准的十四篇（n=14）同行评审文章组成，包括定量研究（n=10）、混合方法研究（n=2）和定性研究（n=2）。结果表明，自杀预防计划之间存在差异，一些论文研究单一研讨会，另一些论文评估多模式、组织干预。从本次综述中产生了五个主要主题，包括衡量自杀预防计划的成功、改善自杀预防计划的实施、实施变革的障碍、文化考虑因素以及自杀预防计划所需的进一步研究。本综述得出结论，需要进一步进行长期研究，以评估卫生保健中自杀预防计划的实施和效果。在自杀预防培训中提高文化意识也是可能受益于进一步研究的一个领域。越来越多的证据表明，需要采取多模式和组织方法来实施自杀预防计划。
