Graham Frances, Bartik Warren, Wayland Sarah, Maple Myfanwy
Arch Suicide Res. 2025 Jan-Mar;29(1):45-76. doi: 10.1080/13811118.2024.2351101. Epub 2024 May 20.
Identify interventions offered for children bereaved by parental suicide, investigate reported effectiveness and explore the acceptability of identified interventions.
Six electronic databases were systematically searched for primary studies investigating intervention effectiveness and acceptability, (August 2011 to June 2023). Eligibility required inclusion of participants bereaved by parental suicide during childhood among sample populations. Methodological quality was evaluated applying JBI critical appraisal tools. Narrative synthesis was conducted using parallel-results convergent design.
Of the 22 eligible reports, 19 articles reported on 12 manual-based supports provided during childhood; three papers described users' experiences of various specified intervention types offered following childhood loss. Twenty-one studies reported on interventions offered for heterogeneous participant groups that included children bereaved by parental suicide. Time from loss to intervention generally included both recent (1 < 30mths) and more distant loss, with just one intervention described as solely for recently bereaved children. Eight interventions ( = 12 studies) demonstrated significant positive effects (p < 0.05), for maladaptive grief, mental health, quality of life. Only one study investigated suicide-related outcomes. Qualitative findings (n = 8 studies) facilitated development of four acceptability themes: Perceived utility, Relationships, Components and Delivery.
Heterogeneity in causes of loss/trauma and relationships with the deceased limit specific conclusions regarding effectiveness/acceptability of reviewed interventions for children bereaved by parental suicide. Few sub-group analyses of effects were reported, and qualitative evidence specifically from children bereaved by parental suicide was limited. Further research is recommended regarding mixed-user interventions, specifically for children bereaved by parental suicide.
确定为父母自杀后成为孤儿的儿童提供的干预措施，调查报告的有效性，并探讨所确定干预措施的可接受性。
系统检索了六个电子数据库，以查找调查干预措施有效性和可接受性的原始研究（2011年8月至2023年6月）。纳入标准要求样本人群中包括童年时期因父母自杀而成为孤儿的参与者。使用JBI批判性评价工具评估方法学质量。采用平行结果收敛设计进行叙述性综合分析。
在22份符合条件的报告中，19篇文章报告了童年时期提供的12种基于手册的支持措施；三篇论文描述了儿童期丧亲后提供的各种特定干预类型的使用者体验。21项研究报告了为包括父母自杀后成为孤儿的儿童在内的异质参与者群体提供的干预措施。从丧亲到干预的时间一般包括近期（1＜30个月）和更久远的丧亲情况，只有一种干预措施被描述为仅针对近期丧亲的儿童。八项干预措施（n = 12项研究）对适应不良性悲伤、心理健康和生活质量显示出显著的积极影响（p＜0.05）。只有一项研究调查了与自杀相关的结果。定性研究结果（n = 8项研究）促进了四个可接受性主题的形成：感知效用、关系、组成部分和实施方式。
丧亲/创伤原因及与逝者关系的异质性限制了关于所审查的父母自杀后成为孤儿的儿童干预措施有效性/可接受性的具体结论。报告的效应亚组分析很少，特别是来自父母自杀后成为孤儿的儿童的定性证据有限。建议对混合使用者干预措施进行进一步研究，特别是针对父母自杀后成为孤儿的儿童。
