Are we Using the Right Evidence to Inform Suicide Prevention in Low- and Middle-Income Countries? An Umbrella Review.

IF 2.5 3区医学 Q2 PSYCHIATRY

Archives of Suicide Research Pub Date : 2024-03-13 DOI:10.1080/13811118.2024.2322144

Ivie Itua, Kamal Shah, Patrick Galway, Faiza Chaudhry, Tatiana Georgiadi, Juhi Rastogi, Shameer Naleer, Duleeka Knipe

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引用次数: 0

Abstract

Objective: Suicide disproportionately affects low- and middle-income countries and evidence regarding prevention approaches developed in high income countries may not be applicable in these settings. We conducted an umbrella review to assess whether the conclusions of suicide prevention systematic reviews accurately reflect the studies contained within those reviews in terms of setting generalizability.

Methods: We conducted database searches in PubMed/Medline, Embase, PsycInfo, PsychExtra, OVID global health, and LILACS/BECS. We included systematic reviews with the outcome of suicide, including bereavement studies where suicide death was also the exposure.

Results: Out of the 147 reviews assessed, we found that over 80% of systematic reviews on suicide deaths do not provide an accurate summary of review findings with relation to geographic relevance and ultimately generalizability.

Conclusion: Systematic reviews are often the resource used by practitioners and policymakers to guide services. Misleading reviews can detrimentally impact suicide prevention efforts in LMICs. We call for systematic reviewers to be responsible when generalizing the findings of their reviews particularly in the abstracts.

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我们是否使用了正确的证据来指导中低收入国家的自杀预防工作？综述》。

目的：自杀对中低收入国家的影响尤为严重，而在高收入国家开发的预防方法的相关证据可能不适用于这些环境。我们进行了一项总括性综述，以评估自杀预防系统性综述的结论是否准确反映了这些综述中所包含的研究在环境中的可推广性：我们在 PubMed/Medline、Embase、PsycInfo、PsychExtra、OVID global health 和 LILACS/BECS 中进行了数据库检索。我们纳入了以自杀为结果的系统性综述，包括以自杀死亡为结果的丧亲研究：在评估的 147 篇综述中，我们发现 80% 以上的自杀死亡系统性综述没有就地域相关性和最终的可推广性提供准确的综述结论：系统性综述通常是从业人员和政策制定者用于指导服务的资源。误导性综述会对低收入和中等收入国家的自杀预防工作产生不利影响。我们呼吁系统综述作者在概括其综述结果时，尤其是在摘要中概括时要负责任。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Archives of Suicide Research Multiple-

CiteScore

6.10

自引率

7.10%

发文量

期刊介绍： Archives of Suicide Research, the official journal of the International Academy of Suicide Research (IASR), is the international journal in the field of suicidology. The journal features original, refereed contributions on the study of suicide, suicidal behavior, its causes and effects, and techniques for prevention. The journal incorporates research-based and theoretical articles contributed by a diverse range of authors interested in investigating the biological, pharmacological, psychiatric, psychological, and sociological aspects of suicide.