Technology-enhanced suicide prevention interventions: A systematic review

Kreuze, Elizabeth; Jenkins, Carolyn; Gregoski, Mathew J.; York, Janet; Mueller, Martina; Lamis, Dorian A.; Ruggiero, Kenneth J.

doi:10.1177/1357633x16657928

Cited by 66 publications

(51 citation statements)

References 19 publications

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“…Although the emphasis on integrating mental health services into primary care, in some cases in conjunction with specialty consultants has increased [38], specialty suicide prevention services in the community mental health care settings still play an important role for individuals with serious mental illness. Prior studies have documented the success of telepsychiatry in response to mental health provider shortages in underserved communities [27,[39][40][41]. However, the adoption of these systems has not been widespread [42].…”

Section: Discussionmentioning

confidence: 99%

Changes in community mental health services availability and suicide mortality in the US: a retrospective study

et al. 2020

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Background: Despite the fact that the overwhelming majority of mental health services are delivered in outpatient settings, the effect of changes in non-hospital-based mental health care on increased suicide rates is largely unknown. This study examines the association between changes in community mental health center (CMHC) supply and suicide mortality in the United States. Methods: Retrospective analysis was performed using data from National Mental Health Services Survey (N-MHSS) and the Centers for Disease Control and Prevention (CDC) Wide-Ranging Online Data for Epidemiologic Research (WONDER) (2014-2017). Population-weighted multiple linear regressions were used to examine within-state associations between CMHCs per capita and suicide mortality. Models controlled for state-level characteristics (i.e., number of hospital psychiatric units per capita, number of mental health professionals per capita, age, race, and percent low-income), year and state. Results: From 2014 to 2017, the number of CMHCs decreased by 14% nationally (from 3406 to 2920). Suicide increased by 9.7% (from 15.4 to 16.9 per 100,000) in the same time period. We find a small but negative association between the number of CMHCs and suicide deaths (− 0.52, 95% CI − 1.08 to 0.03; p = 0.066). Declines in the number of CMHCs from 2014 to 2017 may be associated with approximately 6% of the national increase in suicide, representing 263 additional suicide deaths. Conclusions: State governments should avoid the declining number of CMHCs and the services these facilities provide, which may be an important component of suicide prevention efforts.

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Section: Discussionmentioning

confidence: 99%

Changes in community mental health services availability and suicide mortality in the US: a retrospective study

et al. 2020

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“…There is some evidence for the effectiveness of technologyenhanced suicide preventive interventions 203 . Unguided digital self-management interventions have shown to reduce suicidal ideation and suicide-related symptoms in individuals with severe psychiatric difficulties 194 or self-harm 204 , while others showed reductions of suicidal ideation, but not of self-harm or attempted suicide, compared to wait-list controls or self-management interventions [205][206][207] . Technology-enhanced suicide preventive interventions may be more effective in younger people, due to their higher acceptance and affinity with technology 208 .…”

Section: Telemedicine During the Covid-19 Pandemicmentioning

confidence: 99%

Adaptation of evidence‐based suicide prevention strategies during and after theCOVID‐19 pandemic

et al. 2020

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Suicide is preventable. Nevertheless, each year 800,000 people die of suicide in the world. While there is evidence indicating that suicide rates de‐crease during times of crises, they are expected to increase once the immediate crisis has passed. The COVID‐19 pandemic affects risk and pro‐tective factors for suicide at each level of the socio‐ecological model. Economic downturn, augmented barriers to accessing health care, increased access to suicidal means, inappropriate media reporting at the societal level; deprioritization of mental health and preventive activities at the community level; interpersonal conflicts, neglect and violence at the relationship level; unemployment, poverty, loneliness and hopelessness at the individual level: all these variables contribute to an increase of depression, anxiety, post‐traumatic stress disorder, harmful use of alcohol, substance abuse, and ultimately suicide risk. Suicide should be prevented by strengthening universal strategies directed to the entire population, including mitigation of unemployment, poverty and inequalities; prioritization of access to mental health care; responsible media reporting, with information about available support; prevention of increased alcohol intake; and restriction of access to lethal means of suicide. Selective interventions should continue to target known vulnerable groups who are socio‐economically disadvantaged, but also new ones such as first responders and health care staff, and the bereaved by COVID‐19 who have been deprived of the final contact with loved ones and funerals. Indicated preventive strategies targeting individuals who display suicidal behaviour should focus on available pharmacological and psychological treatments of mental disorders, ensuring proper follow‐up and chain of care by increased use of telemedicine and other digital means. The scientific community, health care professionals, politicians and decision‐makers will find in this paper a systematic description of the effects of the pandemic on suicide risk at the society, community, family and individual levels, and an overview of how evidence‐based suicide preventive interventions should be adapted. Research is needed to investigate which adaptations are effective and in which con‐texts.

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“…Although the emphasis on integrating mental health services into primary care, in some cases in conjunction with specialty consultants has increased (37), specialty suicide prevention services in the community mental health care settings still play an important role for individuals with serious mental illness. Prior studies have documented the success of telepsychiatry in response to mental health provider shortages in underserved communities (26,(38)(39)(40). However, the adoption of these systems has not been widespread (41).…”

Section: Discussionmentioning

confidence: 99%

Changes in community mental health services availability and suicide mortality in the US: A retrospective study

Hung

Busch

Shih

et al. 2020

Preprint

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Background: Despite the fact that the overwhelming majority of mental health services are delivered in outpatient settings, the effect of changes in non-hospital-based mental health care on increased suicide rates is largely unknown. This study examines the association between changes in community mental health center (CMHC) supply and suicide mortality in the United States.Methods: Retrospective analysis was performed using data from National Mental Health Services Survey (N-MHSS) and the Centers for Disease Control and Prevention (CDC) Wide-Ranging Online Data for Epidemiologic Research (WONDER) (2014-2017). Population-weighted multiple linear regressions were used to examine within-state associations between CMHCs per capita and suicide mortality. Models controlled for state-level characteristics (i.e., number of hospital psychiatric units per capita, number of mental health professionals per capita, age, race, and percent low-income), year and state.Results: From 2014 to 2017, the number of CMHCs decreased by 14% nationally (from 3,406 to 2,920). Suicide increased by 9.7% (from 15.4 to 16.9 per 100,000) in the same time period. We find a small but negative association between the number of CMHCs and suicide deaths (-0.52, 95% CI -1.08 to 0.03; p=0.066). Declines in the number of CMHCs from 2014 to 2017 may be associated with approximately 6% of the national increase in suicide, representing 263 additional suicide deaths. Conclusions: State governments should avoid the declining number of CMHCs and the services these facilities provide, which may be an important component of suicide prevention efforts.

show abstract

Technology-enhanced suicide prevention interventions: A systematic review

Cited by 66 publications

References 19 publications

Changes in community mental health services availability and suicide mortality in the US: a retrospective study

Changes in community mental health services availability and suicide mortality in the US: a retrospective study

Adaptation of evidence‐based suicide prevention strategies during and after theCOVID‐19 pandemic

Changes in community mental health services availability and suicide mortality in the US: A retrospective study

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