Oxford Health NHS Foundation Trust, Warneford Hospital, Oxford, UK.
Centre for Suicide Research, Department of Psychiatry, University of Oxford, Oxford, UK.
J Adv Nurs. 2024 Jun;80(6):2202-2213. doi: 10.1111/jan.15982. Epub 2023 Nov 27.
To synthesize research investigating suicide, suicide attempts, self-harm and suicide ideation in nursing and midwifery students, a group of interest due to high rates of suicide among qualified nurses. Specific areas of interest for this review included prevalence, factors which may contribute to or mitigate risk and suicide prevention interventions.
A systematic review was conducted, and Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines were followed.
Three electronic databases were searched, and additional articles identified using hand-searching. Studies were included if they examined suicide, suicide attempts, self-harm or suicide ideation in nursing or midwifery students.
Studies were deduplicated and assessed for inclusion. Data from included studies were extracted, quality of studies assessed and data synthesized, informed by study focus, design and assessed quality.
About 46 studies of largely moderate to low quality were identified. A high-quality study demonstrated increased risk of suicide in Swedish female nursing students, and increased risk of self-harm in nursing students of both sexes. Prevalence of suicide ideation did not appear to differ across course year, or between nursing students and students on other programmes. Psychiatric conditions, particularly depression, were associated with suicide ideation. Three studies related to suicide prevention interventions were identified. Integration of wellness initiatives into the curriculum and peer support were preferred interventions among nursing students and teaching staff.
To understand the extent of suicide and self-harm among nursing and midwifery students there is a need for further epidemiological research stratified by programme of study. To develop prevention interventions and initiatives for nursing students, high-quality longitudinal studies should examine characteristics associated with suicide and self-harm.
Current findings suggest interventions could include support for students experiencing mental health difficulties, foster peer support, and help develop wellness. No patient or public contribution.
综合研究护理和助产学学生中的自杀、自杀未遂、自伤和自杀意念，这是一组由于合格护士自杀率高而引起关注的群体。本综述的具体关注领域包括流行率、可能导致或减轻风险的因素以及自杀预防干预措施。
进行了系统评价，并遵循了系统评价和荟萃分析的首选报告项目 (PRISMA) 指南。
搜索了三个电子数据库，并通过手工搜索确定了其他文章。如果研究检查了护理或助产学学生中的自杀、自杀未遂、自伤或自杀意念，则纳入研究。
对研究进行重复并评估纳入情况。提取纳入研究的数据，评估研究质量并合成数据，以研究重点、设计和评估质量为依据。
确定了大约 46 项研究，其中大部分为中等至低质量。一项高质量的研究表明，瑞典女护理学生自杀的风险增加，两性护理学生的自伤风险增加。自杀意念的流行率似乎不随课程年级而不同，也不随护理学生与其他专业的学生而不同。精神疾病，特别是抑郁症，与自杀意念有关。确定了三项与自杀预防干预措施相关的研究。将健康计划融入课程和同伴支持是护理学生和教学人员首选的干预措施。
为了了解护理和助产学学生中自杀和自伤的程度，需要进一步按学习计划对其进行流行病学研究。为了为护理学生制定预防干预措施和计划，应进行高质量的纵向研究，以检查与自杀和自伤相关的特征。
无患者或公众贡献。
