Evidence map›Paper›PMID 30700267›Full record

SynthesisBMC psychiatry2019

Effectiveness of interventions for people bereaved through suicide: a systematic review of controlled studies of grief, psychosocial and suicide-related outcomes.

Karl Andriessen, Karolina Krysinska, Nicole T M Hill, Lennart Reifels, Jo Robinson, Nicola Reavley, Jane Pirkis

Abstract readSystematic Review
In one paragraph

Synthesis in BMC psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed, 11 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

65 citing papers in PubMed, 11 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Pooled it
  9. Pooled it
  10. Pooled it
  11. Are we Using the Right Evidence to Inform Suicide Prevention in Low- and Middle-Income Countries? An Umbrella Review.Archives of suicide research : official journal of the International Academy for Suicide Research
    Pooled it
  12. Trial
  13. Trial
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

5 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

7 authors.

Karl AndriessenCentre for Mental Health, Melbourne School of Population and Global Health, The University of Melbourne, 207 Bouverie St, Melbourne, VIC, 3010, Australia.ORCID 0000-0002-3107-1114
Karolina KrysinskaCentre for Mental Health, Melbourne School of Population and Global Health, The University of Melbourne, 207 Bouverie St, Melbourne, VIC, 3010, Australia.ORCID 0000-0002-7033-6904
Nicole T M HillOrygen, The National Centre of Excellence in Youth Mental Health, The University of Melbourne, 35 Poplar Road, Parkville, VIC, 3052, Australia.ORCID 0000-0003-1987-5299
Lennart ReifelsCentre for Mental Health, Melbourne School of Population and Global Health, The University of Melbourne, 207 Bouverie St, Melbourne, VIC, 3010, Australia.ORCID 0000-0001-7844-5163
Jo RobinsonOrygen, The National Centre of Excellence in Youth Mental Health, The University of Melbourne, 35 Poplar Road, Parkville, VIC, 3052, Australia.ORCID 0000-0001-5652-918X
Nicola ReavleyCentre for Mental Health, Melbourne School of Population and Global Health, The University of Melbourne, 207 Bouverie St, Melbourne, VIC, 3010, Australia.ORCID 0000-0001-5513-8291
Jane PirkisCentre for Mental Health, Melbourne School of Population and Global Health, The University of Melbourne, 207 Bouverie St, Melbourne, VIC, 3010, Australia. j.pirkis@unimelb.edu.au.ORCID 0000-0002-2538-4472

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSuicide bereavement is a risk factor for adverse outcomes related to grief, social functioning, mental health and suicidal behaviour. Consequently, suicide bereavement support (i.e., postvention) has been identified as an important suicide prevention strategy. However, little is known about its effectiveness. To redress this gap, this review aimed to assess the evidence of effectiveness of interventions for people bereaved by suicide, and appraise the quality of the research in this field.

methodsWe conducted a systematic review according to PRISMA guidelines. Searches of peer-reviewed literature in Medline, PsycINFO, Embase and EBM Reviews identified 12 papers reporting on 11 relevant studies conducted between 1984 and 2018.

resultsAcross studies, there was a wide variety of intervention modalities, study populations, control groups, and grief, psychosocial and suicide-related outcome measures. Overall, the quality of studies was weak. While there was some evidence of the effectiveness of interventions for uncomplicated grief, evidence of the effectiveness of complicated grief interventions was lacking. Based on this scant evidence, interventions which seem to show promise include supportive, therapeutic and educational approaches, involve the social environment of the bereaved, and comprise a series of sessions led by trained facilitators.

conclusionsThere is a clear need for additional methodologically sound studies in this area. Specifically, selection procedures, sample sizes, randomization, and the use of appropriate measures are crucial. As people bereaved by suicide are at-risk of adverse grief, mental ill-health and suicidal behaviour, further research across the life-span is essential to prevent grief and mental health ramifications.

Indexed as

BereavementGriefEarly Medical InterventionFemaleHumansMaleRisk FactorsSuicidal IdeationSuicideTreatment OutcomeBereavementEffectivenessGriefInterventionsPostventionSuicideSystematic review

Identifiers

PMID30700267
PMCPMC6354344

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.