Fakhari Ali, Azizi Hosein, Farahbakhsh Mostafa, Esmaeili Elham Davtalab
Research Center of Psychiatry and Behaviors Sciences, Tabriz University of Medical Sciences, Tabriz, Iran.
Research Centre for Evidence-Based Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
Int J Prev Med. 2022 Mar 12;13:39. doi: 10.4103/ijpvm.IJPVM_454_20. eCollection 2022.
Health managers often do not have adequate information for decision making on what strategy makes an effective impact on suicide prevention. Despite the availability of global Suicide Prevention Programs (SPP), no previous investigation has developed combinations of a review study with expert opinions. This study was aimed to identify effective programs for suicide prevention.
We used two methods for selecting the effective SPP. (1) review of systematic reviews: we systematically searched to find relevant review studies through Medline, Cochrane Library, PsycINFO, and gray literatures. (2) Expert panel opinions: effective programs identified from the previous step were combined with expert views via the Hanlon method.
A total of 27 since some of them were reports met the inclusion criteria. After full-text screening 9 records included. We found the following 12 SPP for prioritizing and rating the most effective interventions by an expert panel: (1) case management of Suicide Attempters (SAs), (2) identification and treatment of depression, (3) registry for suicide, (4) identifying local determinants of Suicidal behavior (SB), (5) public awareness campaigns, (6) gatekeepers' training, (7) conducting research, (8) school-based training, (9) improving knowledge and attitudes, (10) restricting access to means, (11) at-risk people screening, (12) mass media.
Seven effective SPP identified after combined 12 included interventions with expert panel opinion: (1) Case management of SAs, (2) Identification and treatment of depression, (3) Improving a registry for suicide, (4) Identifying local determinants of SB, (5) Public awareness campaigns, (6) Training gatekeepers, and (7) Conducting research.
卫生管理人员在决策何种策略能对预防自杀产生有效影响时，往往缺乏足够的信息。尽管有全球预防自杀计划（SPP），但此前尚无研究将综述研究与专家意见相结合。本研究旨在确定有效的预防自杀计划。
我们采用两种方法来选择有效的SPP。（1）系统综述回顾：我们通过Medline、Cochrane图书馆、PsycINFO和灰色文献系统检索，以找到相关的综述研究。（2）专家小组意见：通过汉隆方法，将上一步确定的有效计划与专家意见相结合。
共有27项（其中一些为报告）符合纳入标准。经过全文筛选，纳入9项记录。我们找出了以下12项SPP，由专家小组对最有效的干预措施进行排序和评级：（1）自杀未遂者（SA）的个案管理，（2）抑郁症的识别与治疗，（3）自杀登记，（4）识别自杀行为（SB）的当地决定因素，（5）公众意识宣传活动，（6）守门人培训，（7）开展研究，（8）学校培训，（9）提高知识和态度，（10）限制手段获取，（11）高危人群筛查，（12）大众媒体。
将12项纳入的干预措施与专家小组意见相结合后，确定了7项有效的SPP：（1）SA的个案管理，（2）抑郁症的识别与治疗，（3）完善自杀登记，（4）识别SB的当地决定因素，（5）公众意识宣传活动，（6）培训守门人，（7）开展研究。
