Effectiveness of Acceptance and Commitment Therapy for Suicidality: A Systematic Review and Meta-analysis.

IF 2.6 4区医学 Q3 NEUROSCIENCES

Acta Neuropsychiatrica Pub Date : 2025-04-17 DOI:10.1017/neu.2025.18

Ju Hyun Tak, Seo-Eun Cho, Seong-Jin Cho, Seung-Gul Kang, Seung Min Bae, Kyoung-Sae Na

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引用次数: 0

Abstract

Background: Acceptance and commitment therapy (ACT) is recognized as an effective treatment for a variety of mental illnesses. Several meta-analyses have reported the efficacy of ACT in various mental and physical conditions, including depression, anxiety, and pain, but not for suicidality. This study aimed to determine the therapeutic effectiveness of ACT on suicidality through a systematic review and meta-analysis.

Methods: Electronic databases such as PubMed, Embase, Scopus, and the Cochrane Library were searched for studies. The primary outcome measure was the effectiveness of ACT for suicidality which includes suicidal ideations and attempts.

Results: This systematic review and meta-analysis included eight studies, all of which were judged to have a high risk of bias. In the meta-analysis, the pooled standardized mean difference for suicidal ideations was 1.122 (95% confidence interval (CI) = 0.261 to 1.982).

Conclusion: This meta-analysis suggests that ACT is effective for reducing suicidal ideation, but the high risk of bias across studies should be considered as a major limitation. Further well-designed studies are needed to confirm these findings.

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接受和承诺治疗对自杀的有效性：系统回顾和荟萃分析。

背景：接受与承诺疗法（ACT）被认为是治疗多种精神疾病的有效方法。几项荟萃分析报告了ACT对各种精神和身体状况的疗效，包括抑郁、焦虑和疼痛，但对自杀没有效果。本研究旨在通过系统回顾和荟萃分析来确定ACT对自杀的治疗效果。方法：检索PubMed、Embase、Scopus、Cochrane Library等电子数据库进行研究。主要结果测量是ACT治疗自杀的有效性，包括自杀意念和企图。结果：本系统综述和荟萃分析包括8项研究，均被判定为具有高偏倚风险。在meta分析中，自杀意念的合并标准化平均差异为1.122（95%可信区间(CI) = 0.261 ~ 1.982）。结论：本荟萃分析提示ACT对减少自杀意念有效，但研究间的高偏倚风险应被视为主要限制。需要进一步精心设计的研究来证实这些发现。

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

Acta Neuropsychiatrica NEUROSCIENCES-PSYCHIATRY

自引率

5.30%

发文量

期刊介绍： Acta Neuropsychiatrica is an international journal focussing on translational neuropsychiatry. It publishes high-quality original research papers and reviews. The Journal''s scope specifically highlights the pathway from discovery to clinical applications, healthcare and global health that can be viewed broadly as the spectrum of work that marks the pathway from discovery to global health.