Evidence map›Paper›PMID 21945840›Full record

ReviewCrisis2011

Best practice elements of multilevel suicide prevention strategies: a review of systematic reviews.

Christina M van der Feltz-Cornelis, Marco Sarchiapone, Vita Postuvan, Daniëlle Volker, Saska Roskar, Alenka Tančič Grum, Vladimir Carli, David McDaid, Rory O'Connor, Margaret Maxwell and 6 more

Registry-linked trialOpen access · greenAbstract readReview
In one paragraph

Review in Crisis, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05657119 (Family Safety Net), which is not on this map. Cited by 103 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
103citing papers in PubMed, 6 pooled it
18.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05657119 nacompletednot on this mapstarted 2022, after this paper: background citation

Family Safety Net: Developing an Upstream Suicide Prevention Approach to Encourage Safe Firearm Storage in Rural and Remote

TypeinterventionalSponsorUniversity of MichiganRan2022 to 2025Enrolled58ConditionsSuicide, Accidental Injuries, Firearm InjuryArmsMI FSN - Lethal Means Reduction, Scripted FSN - Lethal Means Reduction, General Firearm Safety Intervention - General Firearm Safety, General Firearm Comparison - General Firearm Safety
3 · Its place in the literature

Who cites it

103 citing papers in PubMed, 6 syntheses or guidelines pooled it, 290 citations in OpenAlex.

  1. Pooled it
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  5. The Epidemiology of Suicide in Young Men in Greenland: A Systematic Review.International journal of environmental research and public health · 2018
    Pooled it
  6. Pooled it
  7. Trial
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  14. Article
  15. Role of law enforcement agencies in suicide prevention: A scoping review.Global mental health (Cambridge, England) · 2026
    Review
  16. Article
  17. A Qualitative Analysis of Stakeholders and Workers' Views of the Impact of a Suicide Prevention Program for the Australian Construction Industry.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2025
    Article
  18. Effectiveness of a communal, multilevel, interdisciplinary suicide prevention program.European psychiatry : the journal of the Association of European Psychiatrists · 2025
    Article
  19. Review
  20. Article

43 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 11 institutions in 9 countries.

Christina M van der Feltz-CornelisDepartment of Developmental and Clinical Psychology, University of Tilburg, The Netherlands. C.M.vdrFeltz@uvt.nl
Marco Sarchiapone
Vita Postuvan
Daniëlle Volker
Saska Roskar
Alenka Tančič Grum
Vladimir Carli
David McDaid
Rory O'Connor
Margaret Maxwell
Angela Ibelshäuser
Chantal Van Audenhove
Gert Scheerder
Merike Sisask
Ricardo Gusmão
Ulrich Hegerl
KU Leuven · BEUniversity of Molise · ITUniversity of Stirling · GBEstonian-Swedish Mental Health and Suicidology Institute · EEGGz Breburg · NLKarolinska Institutet · SELeipzig University · DELondon School of Economics and Political Science · GBTrimbos Institute · NLUniversidade Nova de Lisboa · PTUniversity of Primorska · SI

Funding

Chief Scientist Office NMAHP1
6 · The paper itself

Abstract

backgroundEvidence-based best practices for incorporation into an optimal multilevel intervention for suicide prevention should be identifiable in the literature.

aimsTo identify effective interventions for the prevention of suicidal behavior.

methodsReview of systematic reviews found in the Pubmed, Cochrane, and DARE databases. Steps include risk-of-bias assessment, data extraction, summarization of best practices, and identification of synergistic potentials of such practices in multilevel approaches.

resultsSix relevant systematic reviews were found. Best practices identified as effective were as follows: training general practitioners (GPs) to recognize and treat depression and suicidality, improving accessibility of care for at-risk people, and restricting access to means of suicide. Although no outcomes were reported for multilevel interventions or for synergistic effects of multiple interventions applied together, indirect support was found for possible synergies in particular combinations of interventions within multilevel strategies.

conclusionsA number of evidence-based best practices for the prevention of suicide and suicide attempts were identified. Research is needed on the nature and extent of potential synergistic effects of various preventive activities within multilevel interventions.

Indexed as

BenchmarkingSuicide PreventionSystematic Reviews as TopicAdolescentAgedChildDepressionHumansPrimary Health CareRisk FactorsSuicide, Attempted

Identifiers

PMID21945840
PMCPMC3306243
OpenAlexW2151118265

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.