SynthesisCanadian journal of psychiatry. Revue canadienne de psychiatrie2015
A Youth Suicide Prevention Plan for Canada: A Systematic Review of Reviews.
Synthesis in Canadian journal of psychiatry. Revue canadienne de psychiatrie, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 4 of them syntheses that pooled 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.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
41 citing papers in PubMed, 4 syntheses or guidelines pooled it, 89 citations in OpenAlex.
- Brief interventions for suicidal ideation in primary care: a systematic review.BMC primary care · 2025Pooled it
- Effectiveness of emergency department-based and initiated youth suicide prevention interventions: A systematic review.PloS one · 2023Pooled it
- How effects on health equity are assessed in systematic reviews of interventions.The Cochrane database of systematic reviews · 2022Pooled it
- Systematic review and narrative synthesis of suicide prevention in high-schools and universities: a research agenda for evidence-based practice.BMC public health · 2021Pooled it
- Examining the effectiveness of the PAX-GOOD BEHAVIOUR GAME in improving the mental health and academic outcomes of FIRST NATIONS children in Canada: a clustered randomized controlled trial using administrative data.Social psychiatry and psychiatric epidemiology · 2026Trial
- Recruitment of adolescents with suicidal ideation in the emergency department: lessons from a randomized controlled pilot trial of a youth suicide prevention intervention.BMC medical research methodology · 2020Trial
- Suicide among youth and young adults in Canada: bereaved parents' perspectives on the systems of care.International journal of mental health systems · 2025Article
- Contributions of injury deaths to changes in life expectancy and disparity: A comparative analysis of G7 countries over two decades.Population health metrics · 2025Article
- Review
- An emerging framework for digital mental health design with Indigenous young people: a scoping review of the involvement of Indigenous young people in the design and evaluation of digital mental health interventions.Systematic reviews · 2023Article
- Youth Perspectives on Barriers and Opportunities for the Development of a Peer Support Model to Promote Mental Health and Prevent Suicide.Western journal of nursing research · 2023Article
- Article
- Evaluating the strengths and challenges of PAX dream makers approach to mental health promotion: perspectives of youth and community members in indigenous communities in Manitoba, Canada.International journal of circumpolar health · 2022Article
- Scoping review of 30 years of suicide prevention in university students around the world: efficacy, effectiveness, and cost-effectiveness.Psicologia, reflexao e critica : revista semestral do Departamento de Psicologia da UFRGS · 2022Article
- Suicidal Risk and Adverse Social Outcomes in Adulthood Associated with Child and Adolescent Mental Disorders.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2022Article
- Transitional Pain Care in Quebec: Did We Forget Our Youths? A Brief Research Report.Frontiers in pain research (Lausanne, Switzerland) · 2022Article
- Problems with Suicidal Behavior Prevention in Adolescents: a Narrative Literature Review.Consortium psychiatricum · 2022Review
- Article
- School-Based Suicide Risk Assessment Using eHealth for Youth: Systematic Scoping Review.JMIR mental health · 2021Article
- Developmental trajectories of childhood symptoms of hyperactivity/inattention and suicidal behavior during adolescence.European child & adolescent psychiatry · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
18 authors at 14 institutions in 3 countries.
Funding
Abstract
objectiveWe conducted an expedited knowledge synthesis (EKS) to facilitate evidence-informed decision making concerning youth suicide prevention, specifically school-based strategies and nonschool-based interventions designed to prevent repeat attempts.
methodsSystematic review of review methods were applied. Inclusion criteria were as follows: systematic review or meta-analysis; prevention in youth 0 to 24 years; peer-reviewed English literature. Review quality was determined with AMSTAR (a measurement tool to assess systematic reviews). Nominal group methods quantified consensus on recommendations derived from the findings.
resultsNo included review addressing school-based prevention (n = 7) reported decreased suicide death rates based on randomized controlled trials (RCTs) or controlled cohort studies (CCSs), but reduced suicide attempts, suicidal ideation, and proxy measures of suicide risk were reported (based on RCTs and CCSs). Included reviews addressing prevention of repeat suicide attempts (n = 14) found the following: emergency department transition programs may reduce suicide deaths, hospitalizations, and treatment nonadherence (based on RCTs and CCSs); training primary care providers in depression treatment may reduce repeated attempts (based on one RCT); antidepressants may increase short-term suicide risk in some patients (based on RCTs and meta-analyses); this increase is offset by overall population-based reductions in suicide associated with antidepressant treatment of youth depression (based on observational studies); and prevention with psychosocial interventions requires further evaluation. No review addressed sex or gender differences systematically, Aboriginal youth as a special population, harm, or cost-effectiveness. Consensus on 6 recommendations ranged from 73% to 100%.
conclusionsOur EKS facilitates decision maker access to what is known about effective youth suicide prevention interventions. A national research-to-practice network that links researchers and decision makers is recommended to implement and evaluate promising interventions; to eliminate the use of ineffective or harmful interventions; and to clarify prevention intervention effects on death by suicide, suicide attempts, and suicidal ideation. Such a network could position Canada as a leader in youth suicide prevention.
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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.