Are digital interventions effective in reducing suicidal ideation and self-harm? A systematic review.
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| Title: | Are digital interventions effective in reducing suicidal ideation and self-harm? A systematic review. |
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| Authors: | Stefanopoulou, Evgenia, Hogarth, Harry, Taylor, Matthew, Russell-Haines, Karen, Lewis, David, Larkin, Jan |
| Source: | Journal of Mental Health. Apr2020, Vol. 29 Issue 2, p207-216. 10p. 1 Diagram, 2 Charts. |
| Subjects: | Prevention of mental depression, Cognitive therapy, Health services accessibility, Information storage & retrieval systems, Medical databases, Psychology information storage & retrieval systems, MEDLINE, Online information services, Psychotherapy, Self-injurious behavior, Systematic reviews, Dialectical behavior therapy, Treatment effectiveness, Suicidal ideation, Telepsychiatry, Mindfulness |
| Abstract: | Background: There is a significant lack of outcomes research examining the effectiveness of digital interventions for reducing suicidal ideation and self-harm. Aims: To systematically review the effectiveness of digital interventions for reducing suicidal ideation and self-harm in adult populations. The possible mediating effects of depression are also discussed. Methods: The databases Pubmed, Medline, PsycInfo, Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, IEEEXplore, ACM and CRESP were searched. Only randomised controlled trials (RCTs) were included. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were used. Studies were assessed for methodological quality and risk of bias using standard assessment criteria. Results: Fourteen RCTs were reviewed, reporting data on 3455 participants. Although findings were more consistent for the effectiveness of online Cognitive Behavioural Therapy (CBT), Mindfulness-Based CBT and Dialectical Behavioural Therapy, there was insufficient research to consider any as evidence-based treatments for suicidal ideation and self-harm. Conclusions: Digital interventions for suicidal ideation and self-harm can be a safe and acceptable option for individuals unwilling or unable to access face-to-face interventions. However, further research is needed to understand the types of interventions that could support people and the risk-benefit ratio of digital interventions for these individuals. [ABSTRACT FROM AUTHOR] |
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| Database: | Psychology and Behavioral Sciences Collection |
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