Benson R, Rigby J, Brunsdon C, Corcoran P, Dodd P, Ryan M, Cassidy E, Colchester D, Hawton K, Lascelles K, de Leo D, Crompton D, Kõlves K, Leske S, Dwyer J, Pirkis J, Shave R, Fortune S, Arensman E
Arch Suicide Res. 2023 Oct-Dec;27(4):1312-1338. doi: 10.1080/13811118.2022.2131489. Epub 2022 Oct 13.
Some countries have implemented systems to monitor suicides in real-time. These systems differ because of the various ways in which suicides are identified and recorded. The main objective of this study was to conduct an international comparison of major real-time suicide mortality surveillance systems to identify joint strengths, challenges, and differences, and thereby inform best-practice criteria at local, national, and international levels.
Five major real-time suicide mortality surveillance systems of various coverage levels were identified and selected for review via an internet-based scoping exercise and prior knowledge of existing systems. Key information including the system components and practices was collated from those organizations that developed and operate each system using a structured template. The information was narratively and critically synthesized to determine similarities and differences between the systems.
The comparative review of the five established real-time suicide surveillance systems revealed more commonalities than differences overall. Commonalities included rapid, routine surveillance based on minimal, provisional data to facilitate timely intervention and postvention efforts. Identified differences include the timeliness of case submission and system infrastructure.
The recommended criteria could promote replicable components and practices in real-time suicide surveillance while offering flexibility in adapting to regional/local circumstances and resource availability.HIGHLIGHTSEvidence-informed recommendations for current best practice in real-time suicide surveillance.Proposed comprehensive framework can be adapted based on available resources and capacity.Real-time suicide mortality data facilitates rapid data-driven decision-making in suicide prevention.
一些国家已实施实时监测自杀情况的系统。由于自杀的识别和记录方式各不相同，这些系统也存在差异。本研究的主要目的是对主要的实时自杀死亡率监测系统进行国际比较，以确定共同的优势、挑战和差异，从而为地方、国家和国际层面的最佳实践标准提供参考。
通过基于互联网的范围界定活动以及对现有系统的先验了解，确定并选择了五个覆盖水平各异的主要实时自杀死亡率监测系统进行审查。使用结构化模板，从开发和运营每个系统的组织中整理出包括系统组件和实践在内的关键信息。对这些信息进行叙述性和批判性综合，以确定各系统之间的异同。
对五个既定的实时自杀监测系统的比较审查显示，总体上共性多于差异。共性包括基于最少的临时数据进行快速、常规监测，以促进及时的干预和事后预防工作。已确定的差异包括病例提交的及时性和系统基础设施。
推荐的标准可以促进实时自杀监测中可复制的组件和实践，同时在适应区域/当地情况和资源可用性方面提供灵活性。
亮点
关于实时自杀监测当前最佳实践的循证建议。
建议的综合框架可根据可用资源和能力进行调整。
实时自杀死亡率数据有助于在自杀预防中进行快速的数据驱动决策。
