Suicide prevention in schizophrenia spectrum disorders and psychosis: a systematic review

Publikation: Beiträge in ZeitschriftenZeitschriftenaufsätzeForschungbegutachtet

Authors

  • Tara Donker
  • A. Calear
  • J. B. Grant
  • B. A. van Spijker
  • K. Fenton
  • K. K. Hehir
  • Pim Cuijpers
  • Helen M. Christensen
Background
The incidence of suicide is high among patients with schizophrenia spectrum disorders and psychosis. A systematic review was performed to investigate the effectiveness of psychosocial interventions in reducing suicidal behaviour among patients with schizophrenia spectrum disorders and psychosis.

Methods
Cochrane, PubMed and PsycINFO databases were searched to January 2012. Additional materials were obtained from reference lists. Randomised Controlled Trials describing psychosocial interventions for psychotic disorders with attention placebo, treatment as usual (TAU), no intervention or waitlist control groups were included.

Results
In total, 11,521 abstracts were identified. Of those, 10 papers describing 11 trials targeting psychosocial interventions for reducing suicidal behaviour in patients with schizophrenia spectrum disorders and psychosic symptoms or disorders met the inclusion criteria. Odds Ratios describing the likelihood of a reduction in suicidal behaviour or ideation ranged from 0.09 to 1.72 at post-test and 0.13 to 1.48 at follow-up.

Conclusions
Psychosocial interventions may be effective in reducing suicidal behaviour in patients with schizophrenia spectrum disorders and psychosis, although the additional benefit of these interventions above that contributed by a control condition or treatment-as-usual is not clear.
OriginalspracheEnglisch
Aufsatznummer6
ZeitschriftBMC psychology
Jahrgang1
Ausgabenummer1
Anzahl der Seiten10
ISSN2050-7283
DOIs
PublikationsstatusErschienen - 2013

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