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非洲青年预防自杀的咨询干预措施严重缺失:基于空范围审查的行动呼吁。

A profound absence of counseling interventions for suicide prevention among youth in Africa: A call to action based on an empty scoping review.

机构信息

Duke University School of Nursing, Durham, North Carolina, USA.

Duke Global Health Institute, Duke University, Durham, North Carolina, USA.

出版信息

Suicide Life Threat Behav. 2024 Apr;54(2):296-301. doi: 10.1111/sltb.13041. Epub 2024 Jan 12.

Abstract

OBJECTIVE

One-third of all global suicide deaths occur among adolescents and young adults, making suicide the second leading cause of death among young people. Nearly 80% of suicide deaths occur in low- and middle-income countries, and many African nations have higher rates of suicide than global averages. However, interventions are scarce. We conducted a scoping review of counseling interventions for suicide prevention among youth in Africa.

METHOD

We performed structured searches of the Medline, Embase, PyscINFO, African Index Medicus, Global Heath Database, and Proquest Dissertations and Theses Global databases. Studies were eligible for inclusion if they described a counseling intervention conducted in Africa, focused on participants under age 22, and included a suicide-related outcome.

RESULTS

After removal of duplicates, 1808 titles and abstracts were screened and 10 studies were identified for full-text review. Of these, six included adult participants and did not disaggregate results for youth, two did not describe an intervention, and two did not include a relevant outcome. Thus, no studies were eligible for inclusion.

CONCLUSIONS

This empty review highlights the striking absence of published research on a life-threatening public health challenge, representing a distinct call to action for improved efforts in adolescent suicide prevention in Africa.

摘要

目的

全球三分之一的自杀死亡发生在青少年和青年中,使自杀成为年轻人的第二大死因。近 80%的自杀死亡发生在中低收入国家,许多非洲国家的自杀率高于全球平均水平。然而,干预措施却很少。我们对非洲青年预防自杀的咨询干预措施进行了范围界定审查。

方法

我们对 Medline、Embase、PyscINFO、African Index Medicus、Global Heath Database 和 Proquest Dissertations and Theses Global 数据库进行了结构化搜索。如果研究描述了在非洲进行的咨询干预措施,关注年龄在 22 岁以下的参与者,并包括与自杀相关的结果,则符合纳入标准。

结果

去除重复项后,筛选了 1808 篇标题和摘要,并确定了 10 项进行全文审查的研究。其中,6 项研究纳入了成年参与者,并未对青年参与者的结果进行细分,2 项研究未描述干预措施,2 项研究未包括相关结果。因此,没有研究符合纳入标准。

结论

这项空的审查突出表明,在一个危及生命的公共卫生挑战方面,发表的研究明显缺乏,这代表着在非洲青少年自杀预防方面需要加强努力。

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