Suicide prevention using self-guided digital interventions: a systematic review and meta-analysis of randomised controlled trials

The Lancet Digital Health

Volumn 2, Issue 1, 2020, Pages e25-e36

  Torok, Michelle ^a   Han, Jin ^a   Baker, Simon ^a   Werner Seidler, Aliza ^a   Wong, Iana ^a   Larsen, Mark E ^a   Christensen, Helen ^a  

^a UNIVERSITY OF NEW SOUTH WALES   (Australia)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; COGNITIVE BEHAVIORAL THERAPY; DEPRESSION; HUMAN; INTERNET; MENTAL HEALTH CARE; META ANALYSIS; OUTCOME ASSESSMENT; SELF GUIDED DIGITAL INTERVENTION; SUICIDAL BEHAVIOR; SUICIDAL IDEATION; SUICIDE; SYSTEMATIC REVIEW; TELEMEDICINE; PROCEDURES; RANDOMIZED CONTROLLED TRIAL (TOPIC); SELF CARE;

DIGITAL TECHNOLOGY; HUMANS; RANDOMIZED CONTROLLED TRIALS AS TOPIC; SELF CARE; SUICIDE;

EID: 85076703987     PISSN: None     EISSN: 25897500     Source Type: Journal    
DOI: 10.1016/S2589-7500(19)30199-2     Document Type: Article

References (48)

1. WHO. Preventing suicide: a global imperative. 2014, World Health Organization, Geneva.
2. Hom, MA, Stanley, IH, Joiner, TE Jr, Evaluating factors and interventions that influence help-seeking and mental health service utilization among suicidal individuals: a review of the literature. Clin Psychol Rev 40 (2015), 28–39.
3. Rowe, SL, French, RS, Henderson, C, Ougrin, D, Slade, M, Moran, P, Help-seeking behaviour and adolescent self-harm: a systematic review. Aust NZJ Psychiatry 48 (2014), 1083–1095.
4. Mitchell, C, McMillan, B, Hagan, T, Mental health help-seeking behaviours in young adults. Br J Gen Pract 67 (2017), 8–9.
5. Werner-Seidler, A, Perry, Y, Calear, AL, Newby, JM, Christensen, H, School-based depression and anxiety prevention programs for young people: a systematic review and meta-analysis. Clin Psychol Rev 51 (2017), 30–47.
6. Fairburn, CG, Patel, V, The impact of digital technology on psychological treatments and their dissemination. Behav Res Ther 88 (2017), 19–25.
7. Witt, K, Spittal, MJ, Carter, G, et al. Effectiveness of online and mobile telephone applications (‘apps') for the self-management of suicidal ideation and self-harm: a systematic review and meta-analysis. BMC Psychiatry, 17, 2017, 297.
8. Hawton, K, Casañas, I, Comabella, C, Haw, C, Saunders, K, Risk factors for suicide in individuals with depression: a systematic review. J Affect Disord 147 (2013), 17–28.
9. Batterham, PJ, van Spijker, BAJ, Mackinnon, AJ, Calear, AL, Wong, Q, Christensen, H, Consistency of trajectories of suicidal ideation and depression symptoms: evidence from a randomized controlled trial. Depress Anxiety 36 (2019), 321–329.
10. Grunebaum, MF, Galfalvy, HC, Choo, TH, et al. Ketamine for rapid reduction of suicidal thoughts in major depression: a midazolam-controlled randomized clinical trial. Am J Psychiatry 175 (2018), 327–335.
11. Cuijpers, P, de Beurs, DP, van Spijker, BA, Berking, M, Andersson, G, Kerkhof, AJ, The effects of psychotherapy for adult depression on suicidality and hopelessness: a systematic review and meta-analysis. J Affect Disord 144 (2013), 183–190.
12. Moher, D, Liberati, A, Tetzlaff, J, Altman, DG, Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med, 6, 2009, e1000097.
13. Hausner, E, Waffenschmidt, S, Kaiser, T, Simon, M, Routine development of objectively derived search strategies. Syst Rev, 1, 2012, 19.
14. Wagner, B, Horn, AB, Maercker, A, Internet-based versus face-to-face cognitive-behavioral intervention for depression: a randomized controlled non-inferiority trial. J Affect Disord 152–154 (2014), 113–121.
15. Hedges, L, Olkin, I, Statistical methods for meta-analysis. 1985, Academic Press, San Diego, CA.
16. Willis, BH, Riley, RD, Measuring the statistical validity of summary meta-analysis and meta-regression results for use in clinical practice. Stat Med 36 (2017), 3283–3301.
17. Higgins, JP, Thompson, SG, Deeks, JJ, Altman, DG, Measuring inconsistency in meta-analyses. BMJ 327 (2003), 557–560.
18. Borenstein, M, Hedges, LV, Higgins, JPT, Rothstein, H, Introduction to meta-analysis. 2009, John Wiley & Sons, Chichester.
19. Egger, M, Smith, GD, Schneider, M, Minder, C, Bias in meta-analysis detected by a simple, graphical test. BMJ 315 (1997), 629–634.
20. Duval, S, Tweedie, R, Trim and fill: a simple funnel-plot–based method of testing and adjusting for publication bias in meta-analysis. Biometrics 56 (2000), 455–463.
21. Borenstein, M, Hedges, L, Higgins, J, Rothstein, H, Comprehensive meta-analysis version 3. 2013, Biostat, Englewood, NJ.
22. Higgins, J, Altman, D, Green, S, Cochrane handbook for systematic reviews of interventions version 5.1.0. 2011, The Cochrane Collaboration, Chichester.
23. Franklin, JC, Fox, KR, Franklin, CR, et al. A brief mobile app reduces nonsuicidal and suicidal self-injury: evidence from three randomized controlled trials. J Consult Clin Psychol 84 (2016), 544–557.
24. De Jaegere, E, van Landschoot, R, van Heeringen, K, et al. The online treatment of suicidal ideation: a randomised controlled trial of an unguided web-based intervention. Behav Res Ther, 119, 2019, 103406.
25. Hetrick, SE, Yuen, HP, Bailey, E, et al. Internet-based cognitive behavioural therapy for young people with suicide-related behaviour (Reframe-IT): a randomised controlled trial. Evid Based Ment Health 20 (2017), 76–82.
26. Hill, RM, Pettit, JW, Pilot randomized controlled trial of LEAP: a selective preventive intervention to reduce adolescents' perceived burdensomeness. J Clin Child Adolesc Psychol 48:suppl 1 (2019), S45–S56.
27. Tighe, J, Shand, F, Ridani, R, Mackinnon, A, De La Mata, N, Christensen, H, Ibobbly mobile health intervention for suicide prevention in Australian Indigenous youth: a pilot randomised controlled trial. BMJ Open, 7, 2017, e013518.
28. van Spijker, BAJ, van Straten, A, Kerkhof, AJFM, Effectiveness of online self-help for suicidal thoughts: results of a randomised controlled trial. PLoS One, 9, 2014, e90118.
29. van Spijker, BAJ, Werner-Seidler, A, Batterham, PJ, et al. Effectiveness of a web-based self-help program for suicidal thinking in an Australian community sample: randomized controlled trial. J Med Internet Res, 20, 2018, e15.
30. Wilks, CR, Lungu, A, Ang, SY, Matsumiya, B, Yin, Q, Linehan, MM, A randomized controlled trial of an Internet delivered dialectical behavior therapy skills training for suicidal and heavy episodic drinkers. J Affect Disord 232 (2018), 219–228.
31. Batterham, PJ, Calear, AL, Farrer, L, McCallum, SM, Cheng, VWS, FitMindKit: randomised controlled trial of an automatically tailored online program for mood, anxiety, substance use and suicidality. Internet Interv 12 (2017), 91–99.
32. Christensen, H, Farrer, L, Batterham, PJ, Mackinnon, A, Griffiths, KM, Donker, T, The effect of a web-based depression intervention on suicide ideation: secondary outcome from a randomised controlled trial in a helpline. BMJ Open, 3, 2013, e002886.
33. Christensen, H, Batterham, PJ, Gosling, JA, et al. Effectiveness of an online insomnia program (SHUTi) for prevention of depressive episodes (the GoodNight Study): a randomised controlled trial. Lancet Psychiatry 3 (2016), 333–341.
34. Guille, C, Zhao, Z, Krystal, J, Nichols, B, Brady, K, Sen, S, Web-based cognitive behavioral therapy intervention for the prevention of suicidal ideation in medical interns: a randomized clinical trial. JAMA Psychiatry 72 (2015), 1192–1198.
35. Moritz, S, Schilling, L, Hauschildt, M, Schröder, J, Treszl, A, A randomized controlled trial of internet-based therapy in depression. Behav Res Ther 50 (2012), 513–521.
36. Perry, Y, Werner-Seidler, A, Calear, A, et al. Preventing depression in final year secondary students: school-based randomized controlled trial. J Med Internet Res, 19, 2017, e369.
37. Leavey, K, Hawkins, R, Is cognitive behavioural therapy effective in reducing suicidal ideation and behaviour when delivered face-to-face or via e-health? A systematic review and meta-analysis. Cogn Behav Ther 46 (2017), 353–374.
38. Corcoran, J, Dattalo, P, Crowley, M, Brown, E, Grindle, L, A systematic review of psychosocial interventions for suicidal adolescents. Child Youth Serv Rev 33 (2011), 2112–2118.
39. Robinson, J, Bailey, E, Witt, K, et al. What works in youth suicide prevention? A systematic review and meta-analysis. EClinicalMedicine 4–5 (2018), 52–91.
40. Karyotaki, E, Kleiboer, A, Smit, F, et al. Predictors of treatment dropout in self-guided web-based interventions for depression: an ‘individual patient data' meta-analysis. Psychol Med 45 (2015), 2717–2726.
41. Scholten, H, Granic, I, Use of the principles of design thinking to address limitations of digital mental health interventions for youth: viewpoint. J Med Internet Res, 21, 2019, e11528.
42. Meerwijk, EL, Parekh, A, Oquendo, MA, Allen, IE, Franck, LS, Lee, KA, Direct versus indirect psychosocial and behavioural interventions to prevent suicide and suicide attempts: a systematic review and meta-analysis. Lancet Psychiatry 3 (2016), 544–554.
43. Gotlib, I, Hammen, C, (eds.) Handbook of depression, 3rd edn, 2015, Guilford Press, New York, NY.
44. Cavanagh, JTO, Carson, AJ, Sharpe, M, Lawrie, SM, Psychological autopsy studies of suicide: a systematic review. Psychol Med 33 (2003), 395–405.
45. O'Connor, M, Dooley, B, Fitzgerald, A, Constructing the Suicide Risk Index (SRI): does it work in predicting suicidal behavior in young adults mediated by proximal factors?. Arch Suicide Res 19 (2015), 1–16.
46. Klonsky, ED, Saffer, BY, Bryan, CJ, Ideation-to-action theories of suicide: a conceptual and empirical update. Curr Opin Psychol 22 (2018), 38–43.
47. Grandclerc, S, De Labrouhe, D, Spodenkiewicz, M, Lachal, J, Moro, M-R, Relations between nonsuicidal self-injury and suicidal behavior in adolescence: a systematic review. PLoS One, 11, 2016, e0153760-e.
48. Kleiman, EM, Nock, MK, Real-time assessment of suicidal thoughts and behaviors. Curr Opin Psychol 22 (2018), 33–37.