Shoib Sheikh, Shaheen Nour, Anwar Almoatazbellah, Saad Abdelrahman M, Mohamed Akr Laila, I Saud Alaa, Kundu Mrinmoy, Nahidi Mahsa, Chandradasa Miyuru, Swed Sarya, Saeed Fahimeh
Department of Health Services, Srinagar, India.
Sharda University, Greater Noida, India (SSh).
Int J Soc Psychiatry. 2024 May;70(3):415-423. doi: 10.1177/00207640231206059. Epub 2023 Nov 23.
Suicidal attempt is a significant risk factor for future attempts, with the highest risk during the first-year post-suicide. Telepsychiatry has shown promise by providing easy access to evidence-based interventions during mental health crises.
investigation the effectiveness of telehealth interventions in suicide prevention.
Four electronic databases (PubMed, Scopus, Web of Science, and Ovid) were systematically searched for studies on patients undergoing telepsychiatry intervention (TPI) up to June 2022. Following PRISMA guidelines, a systematic review and meta-analysis were conducted to investigate the effectiveness of telehealth interventions in suicide prevention. Continuous data were pooled as standardised mean difference (SMD), and dichotomous data were pooled as risk ratio using the random effects model with the corresponding 95% confidence intervals (CI).
Sixteen studies were included in the review. Most studies were case-control and randomised controlled trials conducted in Europe and North America. The findings of the studies generally showed that TPIs are effective in reducing suicide rates (odds ratio = 0.68; 95% CI [-0.47, 0.98], = .04) and suicidal reattempts. The interventions were also found to be well-accepted, with high retention rates.
Our results suggest that TPIs are well-accepted and effective in reducing suicide rates and reattempts. It is recommended to maintain telephone follow-ups for at least 12 months. Further research is needed to understand the potential of telepsychiatry in suicide prevention fully.
自杀未遂是未来自杀行为的一个重要风险因素，在自杀后的第一年风险最高。远程精神病学已显示出前景，因为它能在心理健康危机期间方便地提供循证干预措施。
调查远程医疗干预在预防自杀方面的有效性。
系统检索了四个电子数据库（PubMed、Scopus、科学网和Ovid），以查找截至2022年6月接受远程精神病学干预（TPI）患者的研究。按照PRISMA指南，进行了一项系统评价和荟萃分析，以调查远程医疗干预在预防自杀方面的有效性。连续数据合并为标准化均数差（SMD），二分数据合并为风险比，采用随机效应模型及相应的95%置信区间（CI）。
该评价纳入了16项研究。大多数研究是在欧洲和北美进行的病例对照研究和随机对照试验。研究结果总体表明，远程精神病学干预在降低自杀率（优势比=0.68；95%CI[-0.47,0.98]，P=.04）和自杀再未遂方面有效。还发现这些干预措施很受欢迎，保留率很高。
我们的结果表明，远程精神病学干预很受欢迎，在降低自杀率和自杀再未遂方面有效。建议至少进行12个月的电话随访。需要进一步研究以充分了解远程精神病学在预防自杀方面的潜力。
