Evidence map›Paper›PMID 31193651›Full record

ArticleEClinicalMedicine

What Works in Youth Suicide Prevention? A Systematic Review and Meta-Analysis.

Jo Robinson, Eleanor Bailey, Katrina Witt, Nina Stefanac, Allison Milner, Dianne Currier, Jane Pirkis, Patrick Condron, Sarah Hetrick

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in EClinicalMedicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 111 papers, 20 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
111citing papers in PubMed, 20 pooled it
22.5field-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.

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

111 citing papers in PubMed, 20 syntheses or guidelines pooled it, 241 citations in OpenAlex.

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  15. Interventions for self-harm in children and adolescents.The Cochrane database of systematic reviews · 2021
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  20. 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
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51 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

9 authors at 4 institutions in 2 countries.

Jo RobinsonOrygen, The National Centre of Excellence in Youth Mental Health, 35 Poplar Road, Vic 3052, Australia.
Eleanor BaileyOrygen, The National Centre of Excellence in Youth Mental Health, 35 Poplar Road, Vic 3052, Australia.
Katrina WittTurning Point, Eastern Health Clinical School, Monash University, 110 Church Street, Richmond, VIC 3121, Australia.
Nina StefanacOrygen, The National Centre of Excellence in Youth Mental Health, 35 Poplar Road, Vic 3052, Australia.
Allison MilnerCentre for Health Equity, Melbourne School of Population and Global Health, The University of Melbourne, 235 Bouverie Street, Vic 3010, Australia.
Dianne CurrierCentre for Mental Health, Melbourne School of Population and Global Health, The University of Melbourne, 235 Bouverie Street, Vic 3010, Australia.
Jane PirkisCentre for Mental Health, Melbourne School of Population and Global Health, The University of Melbourne, 235 Bouverie Street, Vic 3010, Australia.
Patrick CondronUniversity Library, The University of Melbourne, Parkville, Vic 3010, Australia.
Sarah HetrickOrygen, The National Centre of Excellence in Youth Mental Health, 35 Poplar Road, Vic 3052, Australia.
The University of Melbourne · AUOrygen Youth Health · AUEastern Health · AUUniversity of Auckland · NZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundYoung people require specific attention when it comes to suicide prevention, however efforts need to be based on robust evidence.

methodsWe conducted a systematic review and meta-analysis of all studies examining the impact of interventions that were specifically designed to reduce suicide-related behavior in young people.

findingsNinety-nine studies were identified, of which 52 were conducted in clinical settings, 31 in educational or workplace settings, and 15 in community settings. Around half were randomized controlled trials. Large scale interventions delivered in both clinical and educational settings appear to reduce self-harm and suicidal ideation post-intervention, and to a lesser extent at follow-up. In community settings, multi-faceted, place-based approaches seem to have an impact. Study quality was limited.

interpretationOverall whilst the number and range of studies is encouraging, gaps exist. Few studies were conducted in low-middle income countries or with demographic populations known to be at increased risk. Similarly, there was a lack of studies conducted in primary care, universities and workplaces. However, we identified that specific youth suicide-prevention interventions can reduce self-harm and suicidal ideation; these types of intervention need testing in high-quality studies.

Indexed as

Meta-analysisSelf-harmSuicide preventionSystematic reviewYoung people

Identifiers

PMID31193651
PMCPMC6537558
OpenAlexW2898483613

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.