Suicide prevention in Psychotic Disorders: A systematic review

Tara Donker, Alison Calear, Janie BUSBY GRANT, Bregje van Spijker, Katherine Fenton, Kanupriya Hehir, Pim Cuijpers, Helen Christensen

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    17 Citations (Scopus)
    66 Downloads (Pure)

    Abstract

    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
    Original languageEnglish
    Pages (from-to)1-10
    Number of pages10
    JournalBMC Psychology
    Volume1
    Issue number1
    DOIs
    Publication statusPublished - 2013

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