远程医疗干预在预防自杀方面的有效性:系统性审查和元分析
Sheikh Shoib1,2,3,4, Nour Shaheen5, Almoatazbellah Anwar6
1Department of Health Services, Srinagar, India.
The International journal of social psychiatry
|November 23, 2023
概括
远程精神病学干预 (TPI) 有效地降低了自杀率和重复尝试,提供了可访问的心理健康支持. 建议至少持续12个月的电话随访,以获得最佳的自杀预防结果.
科学领域:
- 心理健康 心理健康
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 自杀企图是未来企图的重要预测因素,特别是在第一年内.
- 电脑精神病学在心理健康危机期间提供了可访问的,基于证据的干预措施.
研究的目的:
- 调查远程医疗干预在预防自杀方面的有效性.
- 评估远程精神病学干预措施 (TPI),以减少自杀率和重复尝试.
主要方法:
- 按照PRISMA指南,对16项研究进行系统审查和元分析,截至2022年6月.
- 在四个电子数据库中进行了搜索:PubMed,Scopus,科学网和Ovid.
- 采用随机效应模型将集成的连续数据作为标准化平均差异 (SMD) 和二分法数据作为风险比率.
主要成果:
- 发现远程精神病学干预措施 (TPI) 在降低自杀率方面是有效的 (几率比=0.68;95% CI [-0.47,0.98],p=.04).
- 此外,TPI还在减少自杀的重复尝试方面表现出有效性.
- 这些干预措施在患者中显示出高的接受率和保留率.
结论:
- 电脑精神病学干预措施得到了很好的接受,并且在减少自杀率和重复尝试方面是有效的.
- 电话随访应持续至少12个月,以确保持续的影响.
- 需要进一步的研究,以充分阐明远程精神病学在全面的自杀预防策略中的潜力.
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