Systematic Review and Meta-Analysis: Effectiveness of Stand-Alone Digital Suicide Preventive Interventions for the Self-Management of Suicidality

• DOI: 10.1007/s41347-023-00374-7
• Publication Date: 2023-12-30T14:02:01Z
• Authors: Sara Sutori; Gergö Hadlaczky; Emma Eliasson; Danuta Wasserman; Vladimir Carli
• Keywords: Grey Literature

Abstract Suicide is a global issue accounting for more than 700,000 deaths annually, with low- and middle-income countries being disproportionally affected. Technology-enhanced interventions have been suggested as preventive method various benefits—e.g., increased scalability sustainability, making them relevant developed especially developing nations. However, despite the increasing number of such interventions, their effectiveness seldom appropriately evaluated. The current review aims to tackle this need by synthetizing evidence goal answering whether these can be recommended self-management suicidality. A systematic was carried out across multiple databases (PubMed/Medline, Global Index Medicus, PsychINFO, Cochrane Central Register Controlled Trials, Database Systematic Reviews, Cumulative Nursing Allied Health Literature), identifying 4520 individual reports up November 2021. Ten were deemed sufficient inform evaluation, but only four included in meta-analyses. Quality assessment via GRADE reveals some concerns, primarily regarding selection reported results. Results suggest negligible effect on outcomes suicide, suicide attempts, small suicidal ideation—favoring digital over no intervention. Conclusively, there not enough allow recommendation stand-alone care, they are promising if grounds evidence-based practices. also highlights challenges discussing excessive safety procedures considering parallelly ongoing treatment. Additionally, involve emphasized currently regions underrepresented, even though high potential benefiting from interventions.