Evidence map›Paper›PMID 30918000›Full record

SynthesisEvidence-based mental health2019

Effectiveness of universal programmes for the prevention of suicidal ideation, behaviour and mental ill health in medical students: a systematic review and meta-analysis.

Katrina Witt, Alexandra Boland, Michelle Lamblin, Patrick D McGorry, Benjamin Veness, Andrea Cipriani, Keith Hawton, Samuel Harvey, Helen Christensen, Jo Robinson

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Evidence-based mental health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 5 pooled it
11.2field-weighted citation impact, top 2% 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.

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

28 citing papers in PubMed, 5 syntheses or guidelines pooled it, 48 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Article
  7. Article
  8. Help-seeking behavior among college students with suicidal ideation: barriers, facilitators, and social actors.Psicologia, reflexao e critica : revista semestral do Departamento de Psicologia da UFRGS · 2026
    Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. 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 · 2022
    Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Article
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

10 authors at 4 institutions in 2 countries.

Katrina WittTurning Point, Eastern Health Clinical School, Monash University, Richmond, Victoria, Australia.ORCID 0000-0002-1489-4573
Alexandra BolandOrygen, The National Centre for Excellence in Youth Mental Health, University of Melbourne, Melbourne, Victoria, Australia.
Michelle LamblinOrygen, The National Centre for Excellence in Youth Mental Health, University of Melbourne, Melbourne, Victoria, Australia.
Patrick D McGorryOrygen, The National Centre for Excellence in Youth Mental Health, University of Melbourne, Melbourne, Victoria, Australia.
Benjamin VenessAlfred Health, Melbourne, Victoria, Australia.
Andrea CiprianiDepartment of Psychiatry, University of Oxford, Oxford, UK.ORCID 0000-0001-5179-8321
Keith HawtonDepartment of Psychiatry, University of Oxford, Oxford, UK.
Samuel HarveyBlack Dog Institute, Sydney, New South Wales, Australia.
Helen ChristensenBlack Dog Institute, Sydney, New South Wales, Australia.
Jo RobinsonOrygen, The National Centre for Excellence in Youth Mental Health, University of Melbourne, Melbourne, Victoria, Australia.
The University of Melbourne · AUBlack Dog Institute · AUUniversity of Oxford · GBAlfred Health · AU

Funding

Department of Health
6 · The paper itself

Abstract

questionA growing body of work suggests that medical students may be particularly at risk of mental ill health, suicidal ideation and behaviour, resulting in recent calls to develop interventions to prevent these outcomes. However, few reviews have synthesised the current evidence base regarding the effectiveness of these interventions and provided guidance to improve future intervention efforts. STUDY SELECTION AND ANALYSIS: The authors conducted a systematic review to identify studies of any design reporting the effectiveness of any universal intervention to address these outcomes in medical students. Embase, MEDLINE and PsycINFO databases were searched from their respective start dates until 1 December 2017.

findingsData from 39 studies were included. Most investigated the effectiveness of relatively brief interventions designed to reduce stress; most commonly using mindfulness-based or guided meditation approaches. Only one implemented an intervention specifically designed to address suicidal ideation; none investigated the effectiveness of an intervention specifically designed to address suicidal behaviour. Five investigated the effects of curriculum-level changes. Overall, there was limited evidence of an effect for these programmes at both the postintervention and longest follow-up assessment on depression, anxiety and stress.

conclusionsRelatively brief, individually focused, mindfulness-based interventions may be effective in reducing levels of anxiety, depression and stress in medical students in the short term. Effects on suicidal ideation and behaviour, however, remain to be determined. There has been a significant lack of attention on organisational-level stressors associated with medical education and training.

Indexed as

Outcome and Process Assessment, Health CarePrimary PreventionProgram EvaluationStudents, MedicalSuicidal IdeationSuicide PreventionAdolescentAdultFemaleHumansMaleMental DisordersYoung Adultsuicide & self-harm

Identifiers

PMID30918000
PMCPMC10270399
OpenAlexW2925912107

What OpenQuestion holds

Textmetadata
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.