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Suicide prevention in schizophrenia spectrum disorders and psychosis: a systematic review

Donker, Tara; Calear, Alison; Grant, Janie; van Spijker, Bregje; Fenton, Katherine; Hehir, Kanupriya Kalia; Cuijpers, Pim; Christensen, Helen

Description

BACKGROUND The incidence of suicide is high among patients with schizophrenia spectrum disorders and psychosis. A systematic review was performed to investigate the effectiveness of psychosocial interventions in reducing suicidal behaviour among patients with schizophrenia spectrum disorders and psychosis. METHODS Cochrane, PubMed and PsycINFO databases were searched to January 2012. Additional materials were obtained from reference lists. Randomised Controlled Trials describing psychosocial...[Show more]

dc.contributor.authorDonker, Tara
dc.contributor.authorCalear, Alison
dc.contributor.authorGrant, Janie
dc.contributor.authorvan Spijker, Bregje
dc.contributor.authorFenton, Katherine
dc.contributor.authorHehir, Kanupriya Kalia
dc.contributor.authorCuijpers, Pim
dc.contributor.authorChristensen, Helen
dc.date.accessioned2015-12-14T23:51:40Z
dc.date.available2015-12-14T23:51:40Z
dc.identifier.issn2050-7283
dc.identifier.urihttp://hdl.handle.net/1885/95018
dc.description.abstractBACKGROUND The incidence of suicide is high among patients with schizophrenia spectrum disorders and psychosis. A systematic review was performed to investigate the effectiveness of psychosocial interventions in reducing suicidal behaviour among patients with schizophrenia spectrum disorders and psychosis. METHODS Cochrane, PubMed and PsycINFO databases were searched to January 2012. Additional materials were obtained from reference lists. Randomised Controlled Trials describing psychosocial interventions for psychotic disorders with attention placebo, treatment as usual (TAU), no intervention or waitlist control groups were included. RESULTS In total, 11,521 abstracts were identified. Of those, 10 papers describing 11 trials targeting psychosocial interventions for reducing suicidal behaviour in patients with schizophrenia spectrum disorders and psychosic symptoms or disorders met the inclusion criteria. Odds Ratios describing the likelihood of a reduction in suicidal behaviour or ideation ranged from 0.09 to 1.72 at post-test and 0.13 to 1.48 at follow-up. CONCLUSIONS Psychosocial interventions may be effective in reducing suicidal behaviour in patients with schizophrenia spectrum disorders and psychosis, although the additional benefit of these interventions above that contributed by a control condition or treatment-as-usual is not clear.
dc.description.sponsorshipThis study is funded by the Centre for Mental Health Research, Australian National University, Canberra, Australia. AC is supported by National Health and Medical Research Council (NHMRC) Fellowship 1013199, HC is supported by NHMRC Fellowship 525411.
dc.format10 pages
dc.publisherBioMed Central
dc.rights© 2013 Donker et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium. provided the original work is properly cited.
dc.sourceBMC Psychology
dc.subjectprevention
dc.subjectpsychosocial treatments
dc.subjectpsychotic disorders
dc.subjectsuicidal behaviour
dc.subjectsuicide
dc.titleSuicide prevention in schizophrenia spectrum disorders and psychosis: a systematic review
dc.typeJournal article
local.description.notesImported from ARIES.
local.identifier.citationvolume1
dcterms.dateAccepted2013-04-04
dc.date.issued2013
local.identifier.absfor111714
local.identifier.ariespublicationu4146231xPUB266
local.publisher.urlhttp://www.biomedcentral.com/
local.type.statusPublished Version
local.contributor.affiliationDonker, Tara, The Black Dog Institute, Australia
local.contributor.affiliationCalear (previously Neil), Alison, College of Medicine, Biology and Environment, CMBE Research School of Population Health, National Institute for Mental Health Research, The Australian National University
local.contributor.affiliationBusby Grant, Janie, University of Canberra, Australia
local.contributor.affiliationvan Spijker, Bregje, College of Medicine, Biology and Environment, CMBE Research School of Population Health, National Institute for Mental Health Research, The Australian National University
local.contributor.affiliationFenton, Kate, College of Medicine, Biology and Environment, CMBE Research School of Psychology, School of Psychology, The Australian National University
local.contributor.affiliationKalia , Kanupriya, College of Medicine, Biology and Environment, CMBE Research School of Population Health, National Institute for Mental Health Research, The Australian National University
local.contributor.affiliationCuijpers, Pim, VU University, Netherlands
local.contributor.affiliationChristensen, Helen, Black Dog Institute, Australia
dc.relationhttp://purl.org/au-research/grants/nhmrc/1013199
dc.relationhttp://purl.org/au-research/grants/nhmrc/525411
local.identifier.essn2050-7283
local.bibliographicCitation.issue6
local.identifier.doi10.1186/2050-7283-1-6
local.identifier.absseo920209
CollectionsANU Research Publications

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