Research Unit on Health System Sustainability (GISSOS), Biomedical Research Center of La Rioja (CIBIR) Logroño, Logroño, Spain.
Department of Nursing, GRUPAC, University of La Rioja, Logroño, La Rioja, Spain.
Int J Nurs Knowl. 2023 Jul;34(3):204-215. doi: 10.1111/2047-3095.12392. Epub 2022 Aug 23.
The aim of this umbrella review was to determine the most effective nursing interventions for the prevention and management of suicidal behavior. In order to do so, the review identifies interventions from the Nursing Interventions Classifications taxonomy with evidence to this end.
A systematic search was conducted for systematic reviews included in the PubMed, CINAHL, Cochrane, Scopus, Web of Knowledge, and Joanna Briggs Institute databases between January 1, 2011 and May 1, 2020.
The review is made up of 21 systematic reviews. In order to carefully analyze the interventions described, these were coded into categories, grouping the interventions into those based on psychological therapy, interventions related to pharmacotherapy, interventions related to the professional relationship between health professional and patient, and interventions aimed at the general public.
Nursing interventions for suicide risk management are prevalent in the scientific literature and are shown to be effective for patients with suicidal ideation or suicide attempts. Prevention and treatment of suicidal behavior require the provision of coping tools, behavioral interventions that directly address suicidal thoughts and behaviors, and support through therapeutic partnerships, among others.
This paper synthesizes the most current evidence on the most effective Nursing Interventions Classifications interventions for the treatment and prevention of suicidal behavior. It provides nursing practitioners with a comprehensive review of the therapeutic interventions with the best evidence and is useful for the development of clinical guidelines and protocols, as well as for the development of health policies and plans.
本综述旨在确定预防和管理自杀行为最有效的护理干预措施。为此,本综述从护理干预分类学中确定了有证据支持的干预措施。
对 PubMed、CINAHL、Cochrane、Scopus、Web of Knowledge 和 Joanna Briggs 研究所数据库中 2011 年 1 月 1 日至 2020 年 5 月 1 日收录的系统评价进行了系统检索。
综述共纳入 21 项系统评价。为了仔细分析所描述的干预措施,将其编码为不同类别,将干预措施分为基于心理治疗的干预措施、与药物治疗相关的干预措施、与卫生专业人员与患者之间专业关系相关的干预措施以及针对公众的干预措施。
针对自杀风险的护理干预措施在科学文献中较为常见,对有自杀意念或自杀未遂的患者有效。预防和治疗自杀行为需要提供应对工具、直接针对自杀念头和行为的行为干预措施以及通过治疗伙伴关系提供支持等。
本文综合了针对治疗和预防自杀行为最有效的护理干预分类干预措施的最新证据。它为护理从业人员提供了最有证据支持的治疗干预措施的综合回顾,有助于制定临床指南和方案,以及制定卫生政策和计划。