Fusar-Poli Laura, Figini Camilla, Moioli Francesca, Marchesi Caterina, Kovic Ana, Politi Pierluigi, Brondino Natascia
Department of Brain and Behavioral Sciences, University of Pavia, Via Bassi 21, 27100 Pavia, Italy.
Department of Mental Health and Addiction, Azienda Socio-Sanitaria Territoriale (ASST) Pavia, 27100 Pavia, Italy.
Behav Sci (Basel). 2025 Jul 23;15(8):1005. doi: 10.3390/bs15081005.
(1) Background: Suicide is a worldwide leading cause of death among people with mental disorders. Psychoeducation is an integral component of mental health care that may offer patients valuable tools to understand their conditions, develop coping strategies, and engage more effectively in the treatment process. In the present scoping review, we aimed to summarize the evidence on the implementation of psychoeducational interventions in inpatient settings after suicide attempts. (2) Methods: In August 2024, we searched the Web of Knowledge (all databases), PsycINFO, and CINAHL databases following the PRISMA-ScR guidelines. We included original articles evaluating the effects of psychoeducational interventions for patients hospitalized in psychiatric settings after a suicide attempt. We provided a narrative synthesis of the study characteristics and the main findings of the included studies. (3) Results: We included five papers reporting the results of six studies, of which two were randomized controlled trials. Participants were diagnosed with diverse mental disorders, and interventions were generally short in the hospitalization phase, with follow-ups in the short or long term. Outcomes were focused on suicidal ideation, depressive symptoms, and general functioning, along with feasibility and acceptability of the intervention. Psychoeducational interventions were generally well accepted, but more evidence is needed to determine their efficacy. (4) Conclusions: Psychoeducational intervention in an inpatient psychiatric setting may be important for the prevention of future suicide attempts. Nevertheless, research on the topic is still scarce. Methodologically sound randomized controlled trials evaluating the long-term efficacy of psychoeducational interventions on suicide prevention are needed. Future research should also investigate the utility of psychoeducation in non-psychiatric inpatient settings.
(1) 背景:自杀是全球精神障碍患者的主要死因之一。心理教育是精神卫生保健的一个重要组成部分,可为患者提供了解自身状况、制定应对策略以及更有效地参与治疗过程的宝贵工具。在本次范围综述中,我们旨在总结自杀未遂后在住院环境中实施心理教育干预措施的证据。(2) 方法:2024年8月,我们按照PRISMA-ScR指南检索了Web of Knowledge(所有数据库)、PsycINFO和CINAHL数据库。我们纳入了评估自杀未遂后在精神科住院患者心理教育干预效果的原始文章。我们对纳入研究的特征和主要结果进行了叙述性综合分析。(3) 结果:我们纳入了五篇报告六项研究结果的论文,其中两项为随机对照试验。参与者被诊断患有多种精神障碍,干预措施在住院阶段通常较短,随访为短期或长期。结果集中在自杀意念、抑郁症状和总体功能,以及干预措施的可行性和可接受性。心理教育干预措施总体上被广泛接受,但需要更多证据来确定其疗效。(4) 结论:在住院精神科环境中进行心理教育干预对于预防未来自杀未遂可能很重要。然而,关于该主题的研究仍然很少。需要进行方法严谨的随机对照试验来评估心理教育干预对预防自杀的长期疗效。未来的研究还应调查心理教育在非精神科住院环境中的效用。