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Suicide clusters in young people: evidence for the effectiveness of postvention strategies
Georgina R Cox1, Jo Robinson, Michelle Williamson
1Orygen Youth Health Research Centre, Centre for Youth Mental Health, University of Melbourne, Australia. gcox@unimelb.edu.au
Background:
Suicide clusters have commonly been documented in adolescents and young people.
Aims:
The current review conducts a literature search in order to identify and evaluate postvention strategies that have been employed in response to suicide clusters in young people.
Methods:
Online databases, gray literature, and Google were searched for relevant articles relating to postvention interventions following a suicide cluster in young people.
Results:
Few studies have formally documented response strategies to a suicide cluster in young people, and at present only one has been longitudinally evaluated. However, a number of strategies show promise, including: developing a community response plan; educational/psychological debriefings; providing both individual and group counseling to affected peers; screening high risk individuals; responsible media reporting of suicide clusters; and promotion of health recovery within the community to prevent further suicides.
Conclusions:
There is a gap in formal evidence-based guidelines detailing appropriate postvention response strategies to suicide clusters in young people. The low-frequency nature of suicide clusters means that long-term systematic evaluation of response strategies is problematic. However, some broader suicide prevention strategies could help to inform future suicide cluster postvention responses.
Insights
Suicide clusters in young people require effective postvention strategies. This review identifies promising interventions, though evidence-based guidelines are lacking, highlighting the need for broader suicide prevention approaches.
Area of Science:
- Psychiatry
- Public Health
- Epidemiology
Background:
- Suicide clusters are a recognized phenomenon in adolescent and young populations.
- Understanding and addressing these clusters is crucial for public health initiatives.
Purpose of the Study:
- To systematically review and evaluate postvention strategies implemented in response to suicide clusters among young people.
- To identify effective interventions for managing and mitigating the impact of suicide clusters.
Main Methods:
- A comprehensive literature search was conducted across online databases, gray literature, and Google.
- The search focused on identifying postvention interventions following suicide clusters in young individuals.
Main Results:
- Few studies have formally documented response strategies for youth suicide clusters; only one has undergone longitudinal evaluation.
- Promising strategies include community response plans, educational/psychological debriefings, counseling, high-risk screening, responsible media reporting, and community recovery promotion.
Conclusions:
- A significant gap exists in evidence-based guidelines for postvention strategies targeting youth suicide clusters.
- The infrequent nature of suicide clusters complicates long-term evaluation of interventions.
- Broader suicide prevention strategies may inform future postvention efforts.
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