Evidence map›Paper›PMID 40888378›Full record

SynthesisThe International journal of social psychiatry2025

What works where and why? A systematic review and meta-analysis of digital interventions addressing suicide-related outcomes in community, education and clinical settings.

Natasha Josifovski, Sylvia Eugene Dit Rochesson, Quincy Jj Wong, Jin Han, Mark E Larsen, Michelle Torok

Abstract readSystematic ReviewMeta-Analysis
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in The International journal of social psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

6 authors.

Natasha JosifovskiBlack Dog Institute, University of New South Wales, Sydney, Australia.ORCID 0000-0002-9692-0682
Sylvia Eugene Dit RochessonBlack Dog Institute, University of New South Wales, Sydney, Australia.
Quincy Jj WongBlack Dog Institute, University of New South Wales, Sydney, Australia.ORCID 0000-0001-9393-4301
Jin HanBlack Dog Institute, University of New South Wales, Sydney, Australia.ORCID 0000-0001-7624-9468
Mark E LarsenBlack Dog Institute, University of New South Wales, Sydney, Australia.ORCID 0000-0002-0272-2053
Michelle TorokBlack Dog Institute, University of New South Wales, Sydney, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDigital suicide prevention interventions have previously been shown to be effective, however the field has rapidly developed.

aimsTo undertake a contemporary review of the evidence and understanding where interventions may work best.

methodA meta-analysis following the PRISMA guidelines was conducted. PubMed/Medline, PsycINFO and Cochrane Central were searched for randomised controlled trials up to February 2024. Interventions were categorised according to their delivery setting, and as direct (directly targeting suicidality) or indirect (targeting depression), and effects on suicidal ideation and behaviours (plans, self-harm, attempts and suicide death) were calculated using Hedge's

resultsForty-six papers reporting 48 unique trials were included. The majority of studies examined direct interventions (

conclusionsThe results show that digital interventions to reduce suicide ideation are effective when delivered in community and clinical settings. Fewer studies have been conducted in, and the evidence does not yet support the effectiveness in, education settings. Furthermore, there does not appear to be any evidence supporting the effectiveness of digital interventions in reducing suicidal behaviours. Design features (such as treatment modality) may account for less variance in effectiveness than previously thought.

Indexed as

Suicide PreventionHumansRandomized Controlled Trials as TopicSuicidal IdeationSuicideDigital interventionmeta-analysissettingssuicidal behavioursuicidal ideation

Identifiers

PMID40888378
PMCPMC12634886

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.