Centre for Mental Health, Melbourne School of Population and Global Health, The University of Melbourne, Parkville, VIC, Australia.
Mental Health at Work, Melbourne, VIC, Australia.
Crisis. 2022 May;43(3):245-260. doi: 10.1027/0227-5910/a000776. Epub 2021 May 4.
Individuals recovering from a suicide attempt may benefit from support provided by informal carers, that is, family members and other support persons, who may require support themselves. This systematic review aims to identify and synthesize available literature on the effectiveness of psychosocial interventions for this carer population. A search of peer-reviewed literature in five databases was carried out. Studies using any design were eligible and results were synthesized using a narrative review. Eight articles reporting on seven quantitative studies met the eligibility criteria. This included three studies on interventions designed specifically for informal carers and four studies on interventions designed for persons who have made a suicide attempt, and which involved their informal carers. Overall, informal carers were satisfied with support and psychosocial interventions they received. Interventions were related to some improvements in carers' mental health outcomes, lowered burden, and improved ability to provide care. There were mixed results regarding family functioning and quality of life. No studies from lower- and middle-income countries were identified and the small number of heterogeneous studies precluded conducting a meta-analysis. Given the low number of studies and their overall poor quality, this review can only draw preliminary conclusions. More high-quality intervention studies are needed to formulate recommendations for effective psychosocial support for family members and other informal support persons after a suicide attempt.
从自杀未遂中恢复的个体可能会受益于非正式照顾者（即家庭成员和其他支持人员）提供的支持，而这些照顾者本身可能也需要支持。本系统评价旨在确定和综合现有文献，以了解针对这一照顾者群体的心理社会干预措施的效果。在五个数据库中对同行评审文献进行了检索。任何设计的研究都符合入选标准，研究结果采用叙述性综述进行综合。有八篇文章报道了七项定量研究符合入选标准。其中包括三项专门针对非正式照顾者的干预措施研究，以及四项针对有过自杀行为者的干预措施研究，这些研究涉及他们的非正式照顾者。总体而言，非正式照顾者对他们所获得的支持和心理社会干预措施感到满意。干预措施与照顾者心理健康结果的某些改善、负担减轻以及提供照顾能力的提高有关。但在家庭功能和生活质量方面的结果存在差异。没有来自中低收入国家的研究被确定，而且少数异质性研究也排除了进行荟萃分析的可能性。鉴于研究数量较少且总体质量较差，本综述只能得出初步结论。需要更多高质量的干预研究，以便为自杀未遂后家庭成员和其他非正式支持人员提供有效的心理社会支持制定建议。
