TY - JOUR

T1 - Suicide prevention in schizophrenia spectrum disorders and psychosis

T2 - a systematic review

AU - Donker, Tara

AU - Calear, A.

AU - Grant, J. B.

AU - van Spijker, B. A.

AU - Fenton, K.

AU - Hehir, K. K.

AU - Cuijpers, Pim

AU - Christensen, Helen M.

PY - 2013

Y1 - 2013

N2 - BackgroundThe 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.MethodsCochrane, 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.ResultsIn 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.ConclusionsPsychosocial 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.

AB - BackgroundThe 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.MethodsCochrane, 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.ResultsIn 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.ConclusionsPsychosocial 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.

KW - Health sciences

KW - Psychology

UR - https://www.mendeley.com/catalogue/11246c83-cbed-369b-9516-a04bae4df6dd/

U2 - 10.1186/2050-7283-1-6

DO - 10.1186/2050-7283-1-6

M3 - Journal articles

C2 - 25566358

VL - 1

JO - BMC psychology

JF - BMC psychology

SN - 2050-7283

IS - 1

M1 - 6

ER -