scholarly journals Using Telemedicine to Reduce Suicide Ideation and Behavior: A Systematic Literature Review

2021 ◽  
Author(s):  
Lauren M. Aiello ◽  
Sara Dadashzadeh ◽  
Jacob M. Lynn ◽  
William T. Starbird ◽  
Caleb J. Pawl ◽  
...  
Keyword(s):  
Suicidal Ideation ◽  
Psychiatric Disorder ◽  
Outcome Measures ◽  
Suicide Ideation ◽  
Meta Analysis ◽  
Inclusion Criteria ◽  
Primary Inclusion ◽  
Moderate Effect ◽  
And Behavior ◽  
Secondary Inclusion

Objective: To review the published research for reported effectiveness of telemedicine in reducing suicide ideation and behavior in patients already diagnosed with a psychiatric disorder. Design: A thorough literature search on the PubMed, Web of Science, PsycInfo, Cochrane Library, and TRIP (Turning Research Into Practice) Medical Database was conducted. Phrases such as “telemedicine,” “telehealth,” “remote consultation,” “mobile health,” “psychiatric disorders,” “suicide,” “suicide, attempted or ideation,” and “telepsychiatry” were employed in a variety of combinations. The primary inclusion criteria encompassed peer-reviewed articles published in the past 5 years. Secondary inclusion criteria comprised: (1) the diagnosis of any psychiatric disorder for all patients included in the study, (2) the absence or presence of use of telepsychiatry to offer consultation and communication, and (3) reported outcomes involving suicide rates or attempted suicide rates. The research publications passing inclusion criteria were assessed, and all their corresponding outcome measures were included in a meta-analysis. Results: A total of 705 studies were identified by applying the initial search strategy to the electronic databases described. Of these, 205 passed the primary inclusion criteria. After excluding duplicates and non-English articles, 105 articles were screened using the secondary inclusion criteria. Nine articles remained, including three systematic reviews that were excluded. Finally, a total of six independent, non-overlapping studies were included in this meta-analysis, encompassing data for 576 participants. The 18 outcome measures in this meta-analysis included five “positive” measures: perceived ability to cope with suicidal ideation, optimism, gratitude, positive affect, and the Mini Mental State Exam. The “negative” measures included: suicidal ideation intensity, hopelessness, depression, suicidality, HAMD (Hamilton Depression Rating Scale) score, HAMD score without suicide item, medical admissions, number of days of medical hospitalizations, number of psychiatric hospitalizations, number of emergency room visits, suicide ideation questionnaire (SIQ) from baseline to posttreatment, and SIQ from baseline to follow-up. Overall, this review found support for the hypothesis that telemedicine can reduce suicide ideation and behavior. There was a moderate effect size for the 18 measures analyzed. Based on the four different forest plots presented in this analysis, all average effect sizes calculated showed that the intervention of telemedicine has a small-to-moderate effect on the measures studied, which translates loosely to a small-to-moderate effect on the patient’s suicide ideation and behavior. Conclusions: Telemedicine appears to be a promising way to reduce suicidal ideation, although how this translates into reductions in self-harm and/or suicide attempts is unclear from this review alone.

scholarly journals Association of Thyroid Function With Suicide Ideation/Attempt -A Systematic Review and Meta-analysis

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. A824-A825
Author(s):  
Freddy Jean Karlo Toloza Bonilla ◽  
Yuanjie Mao ◽  
Lakshmi P Menon ◽  
Gemy Maria George ◽  
Madhura Borikar ◽  
...  
Keyword(s):  
Suicidal Ideation ◽  
Thyroid Function ◽  
Suicide Ideation ◽  
Meta Analysis ◽  
Risk Of Bias ◽  
Control Group ◽  
Thyroid Disorders ◽  
Thyroid Function Tests ◽  
Inclusion Criteria ◽  
The Mean

Abstract Background: Thyroid disorders are very prevalent and could affect virtually the entire human body, including cognitive and psychiatric domains. However, the relationship between thyroid dysfunction and suicide is still controversial. Material and Methods: A systematic review and meta-analysis was conducted to describe the association of thyroid function with suicide ideation/attempt in adults. A comprehensive search from databases’ inception (MEDLINE, EMBASE, Cochrane, PsycINFO, PsycArticles, PSYNDEX and Scopus) to July 20, 2018 was conducted with no language restrictions. We included studies that reported mean values and standard deviation (SD) of thyroid hormone levels [Thyroid-stimulant hormone (TSH), free T4 (FT4), free T3 (FT3), total T4 (TT4), and total T3 (TT3)] in patients with suicide ideation/attempt compared with controls. Four reviewers worked independently and in duplicate for assessment of inclusion criteria, data extraction, and assessment of risk of bias. The mean value and SD of the thyroid function tests were used to calculate the mean difference for each subgroup. Random-effects models for meta-analyses were applied. Results: Overall, 2278 articles were identified, and 13 observational studies met the inclusion criteria. These studies involved 2651 participants, including 817 participants diagnosed with suicidal ideation/attempt. Group sizes of patients with suicide ideation/attempt ranged from 7 to 122 participants with mean age ranging from 23 to 49 years. Control group sizes ranged from 8 to 464 participants with mean age ranging from 24 to 50 years. Two studies included only women, two studies included only men, and 9 studies included both (% female range: 29 to 78%). Patients with suicide ideation/attempt had lower levels of FT3 (-0.19 pg/mL; P=0.04) and TT4 (-0.23 µg/dL; P=0.05) compared to controls. There were no differences in TSH, TT3 or FT4 levels between groups. In a subgroup analysis comparing current suicidal ideation vs current suicidal attempt vs history of suicidal ideation/attempt with the control group, there were no differences in any of the thyroid function tests. None of the included studies compared rates of overt/subclinical thyroid disease among groups. The overall risk of bias of the included studies was low-to-moderate. Conclusions: There is scarce evidence regarding the association of thyroid disorders and suicide. We found statistically significant lower thyroid hormone levels in patients with suicidal ideation/attempt. The clinical implications of this finding remain unknown and further research is needed to evaluate the association of thyroid disorders with suicide.

Prevalence of Suicidal Ideation in Patients with Covid-19 in the World: Systematic Review and Meta-Analysis Protocol (Preprint)

2021 ◽  
Author(s):  
Alireza Razzaghi ◽  
Fatemeh Sadat Asgarian ◽  
Hossein Akbari
Keyword(s):  
Suicidal Ideation ◽  
Critical Appraisal ◽  
Suicide Ideation ◽  
Meta Analysis ◽  
Prevalence Data ◽  
Related Data ◽  
The World ◽  
Review Study ◽  
Meta Analyses ◽  
Analysis Protocol

BACKGROUND The pandemic of Covid-19 started in China in late 2019 and has spread rapidly around the world. Psychological problems such as suicide ideation of Covid-19 is one of the main consequences of this pandemic, which needs more attention OBJECTIVE This study aims to determine a comprehensive estimate of the prevalence of suicidal ideation in patients with Covid-19 in the world. METHODS The review study will be based on the following databases: databases of Web of Sciences, Mediline/Pubmed, Proquest, Scopus, Science Direct. This study is limited to original studies published in peer-reviewed journals in English. RESULTS The quality assessment of studies will be done using the Joanna Briggs Institute’s (JBI) critical appraisal checklist for reporting the prevalence data. The overall synthetized measurement will be presented as Prevalence with 95% confidence intervals. CONCLUSIONS This review and meta-analyses will be the first study that explores the prevalence of suicide ideation related to Covid-19. Summarizing the related data can create an image of the dimensions of the problem across the world and provide plans to prevent that.

A Meta-Analytic Review of Treatment of Homosexuality

2002 ◽  
Vol 90 (3_part_2) ◽  
pp. 1139-1152 ◽  
Author(s):  
A. Dean Byrd ◽  
Joseph Nicolosi
Keyword(s):  
Outcome Measures ◽  
Treatment Efficacy ◽  
Behavioral Interventions ◽  
Meta Analysis ◽  
Empirical Support ◽  
Inclusion Criteria ◽  
Alternative Treatments ◽  
Control Groups ◽  
Analytic Review ◽  
Average Patient

This paper examined and synthesized studies of treatment of individuals identified as homosexual using meta-analytic technique. A large number of studies (146) evaluating treatment efficacy were identified, most published prior to 1975 and 14 of which met inclusion criteria and provided statistics that could be used in a meta-analysis. These 14 outcome studies were published between 1969 and 1982 and used primarily behavioral interventions. Analysis indicated that treatment for homosexuality was significantly more effective than alternative treatments or control groups for homosexuality (ES = .72), and significant differences were found across pre- to postanalysis (ES = .89). In other words, the average patient receiving treatment was better off than 79% of those in the alternative treatments or as compared to pretreatment scores on the several outcome measures. This meta-analysis of 14 studies provides empirical support for a group of 146 studies which have narratively suggested that treatment for homosexuality is effective. Variables related to treatment efficacy are examined.

scholarly journals Factors in the Assessment of Suicidality in Youth

CNS Spectrums ◽  
2007 ◽  
Vol 12 (2) ◽  
pp. 156-162 ◽  
Author(s):  
Kelly Posner ◽  
Glenn A. Melvin ◽  
Barbara Stanley ◽  
Maria A. Oquendo ◽  
Madelyn Gould
Keyword(s):  
Risk Factors ◽  
Suicidal Ideation ◽  
Young People ◽  
Cause Of Death ◽  
Suicidal Behavior ◽  
Suicide Ideation ◽  
Youth Suicide ◽  
Standardized Terminology ◽  
And Behavior ◽  
Clinical Populations

ABSTRACTSuicide remains a leading cause of death among youth, and suicide ideation and behavior are relatively common in both normal and clinical populations. Clinicians working with young people must assess for the presence of suicidal ideation, suicidal behavior, and other risk factors, in order to determine the level of risk. This paper provides the clinician with a summary of risk factors for youth suicide, as well as providing standardized terminology to enhance assessment of suicidal ideation and behavior.

Lingual Tonsillectomy for Pediatric Persistent Obstructive Sleep Apnea: A Systematic Review and Meta-analysis

2017 ◽  
Vol 157 (6) ◽  
pp. 940-947 ◽  
Author(s):  
Alexander Rivero ◽  
Megan Durr
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Outcome Measures ◽  
Pediatric Patients ◽  
Meta Analysis ◽  
Apnea Hypopnea Index ◽  
Inclusion Criteria ◽  
Obstructive Sleep ◽  
Number Of Patients ◽  
Lingual Tonsillectomy

Objective To determine the role of lingual tonsillectomy (LT) in pediatric patients with persistent obstructive sleep apnea (OSA) after tonsillectomy and adenoidectomy (T&A). Data Sources PubMed, OVID-MEDLINE, and Cochrane Central from 2006 to 2017. Review Methods Inclusion criteria included English-language studies containing original data on LT in pediatric patients with persistent OSA. Exclusion criteria included case reports and studies without outcome measures. Two investigators independently reviewed all manuscripts and performed quality assessment using validated tools. Meta-analysis was performed. Results Of the 866 abstracts identified, 5 studies met inclusion criteria. All studies were case series (level of evidence 4). Outcome measures included apnea-hypopnea index (AHI), minimum oxygen saturation (minSaO2), comorbidity status, and adverse events. Qualitatively, all studies demonstrated reduction in AHI and increase in minSaO2 after LT. Comorbidities may not affect the success of LT for lingual tonsil hypertrophy (LTH). LT had similar adverse event rates as T&A. Meta-analysis was performed on 4 studies. LT showed a mean change in reduction of AHI and increase of minSaO2 of −6.64 (95% CI, −8.63 to −4.65) and 4.17 (95% CI, 1.25-7.08), respectively. The overall success rate, defined as postoperative AHI <5, was 52%. Conclusion LT for LTH can be a safe and effective adjunct surgery for persistent OSA in patients after T&A. LT may reduce AHI and increase minSaO2, though complete resolution of OSA is rare. Given the limited number of patients studied, no formal recommendations can be made for the routine use of LT for LTH in persistent pediatric OSA.

A Meta-Analytic Review of Treatment of Homosexuality

2002 ◽  
Vol 90 (3_suppl) ◽  
pp. 1139-1152 ◽  
Author(s):  
A. Dean Byrd ◽  
Joseph Nicolosi
Keyword(s):  
Outcome Measures ◽  
Treatment Efficacy ◽  
Behavioral Interventions ◽  
Meta Analysis ◽  
Empirical Support ◽  
Inclusion Criteria ◽  
Alternative Treatments ◽  
Control Groups ◽  
Analytic Review ◽  
Average Patient

This paper examined and synthesized studies of treatment of individuals identified as homosexual using meta-analytic technique. A large number of studies (146) evaluating treatment efficacy were identified, most published prior to 1975 and 14 of which met inclusion criteria and provided statistics that could be used in a meta-analysis. These 14 outcome studies were published between 1969 and 1982 and used primarily behavioral interventions. Analysis indicated that treatment for homosexuality was significantly more effective than alternative treatments or control groups for homosexuality (ES = .72), and significant differences were found across pre- to postanalysis (ES = .89). In other words, the average patient receiving treatment was better off than 79% of those in the alternative treatments or as compared to pretreatment scores on the several outcome measures. This meta-analysis of 14 studies provides empirical support for a group of 146 studies which have narratively suggested that treatment for homosexuality is effective. Variables related to treatment efficacy are examined.

Prevalence and correlates of suicidal thought and self-destructive behavior among an elderly hospital population in Iran

2012 ◽  
Vol 24 (9) ◽  
pp. 1402-1408 ◽  
Author(s):  
Sahra Ekramzadeh ◽  
Ali Javadpour ◽  
Brian Draper ◽  
Arash Mani ◽  
Adrienne Withall ◽  
...  
Keyword(s):  
Social Support ◽  
Suicidal Ideation ◽  
Elderly Patients ◽  
Life Events ◽  
Suicide Ideation ◽  
Perceived Social Support ◽  
Destructive Behavior ◽  
History Of ◽  
Harmful Behavior ◽  
And Behavior

ABSTRACTBackground: Few studies have examined suicidal ideation and behavior in hospitalized physically ill elderly patients, a group potentially at high risk. Our aim was to investigate the prevalence and risk factors for suicide ideation, and direct and indirect self-destructive behaviors among a sample of elderly inpatients.Methods: A cross-sectional study was conducted in 2009; 650 inpatients aged 60 years and over were screened from various medical services in teaching hospitals affiliated to Shiraz University of Medical Sciences in Iran. Suicidal ideation and behavior were measured with the Beck Scale for Suicidal Ideation (BSSI) and the Harmful Behavior Scale (HBS). Depression was measured with the Geriatric Depression Scale (GDS), medical burden with the geriatric version of the Cumulative Illness Rating Scale (CIRS-G), life events with the Paykel Life Event Scale, and social support with the Perceived Social Support Scale.Result: Of the 650 patients screened with a mean age of 70.5 years (SD ± 7.5), 570 met inclusion criteria and of these 123 (21.6%) reported suicidal ideation on the BSSI and 80 (14.4%) had at least one self-destructive behavior included in the HBS. There was a significant correlation between suicide ideation and harmful behaviors (r = 0.503, p = 0.001). In a regression analysis, depressive symptoms, increased burden of medical conditions, marital status, history of substance use, history of traumatic life events, lack of perceived social support, and poor education were associated with both suicide ideation and harmful behavior. From demographic variables, living without a spouse and unemployment were predictors of suicidal ideation and behavior.Conclusion: Hospitalized, physically ill elderly patients have high rates of suicidal ideation and self-destructive behavior and these vary according to psychosocial and clinical factors. The general hospital is therefore a potential site for the recognition of suicidal individuals and implementation of proximal suicide prevention strategies.

scholarly journals Examining risk factors for self-harm and suicide in LGBTQ+ young people: a systematic review protocol

BMJ Open ◽  
2019 ◽  
Vol 9 (11) ◽  
pp. e031541
Author(s):  
A Jess Williams ◽  
Jon Arcelus ◽  
Ellen Townsend ◽  
Maria Michail
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Suicidal Ideation ◽  
Young People ◽  
Suicide Ideation ◽  
Meta Analysis ◽  
Cross Sectional ◽  
Increased Risk ◽  
Self Harm ◽  
Prospective Longitudinal

IntroductionYoung people who identify as Lesbian, Gay, Bisexual, Transgender, Queer or Questioning (LGBTQ+) are at increased risk for self-harm, suicide ideation and behaviours. However, there has yet to be a comprehensive understanding of what risk factors influence these behaviours within LGBTQ+ young people as a whole. The purpose of this systematic review is to examine risk factors associated with self-harm, suicidal ideation and behaviour in LGBTQ+) young people.Methods and analysisA systematic review will be conducted, conforming to the reporting guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement recommendations. Electronic databases (MEDLINE, Scopus, EMBASE, PsycINFO and Web of Science) will be systematically searched for cross-sectional, prospective, longitudinal, cohort and case–control designs which examine risk factors for self-harm and/or suicidal ideation and behaviour in LGBTQ+ young people (aged 12–25 years). Only studies published in English will be included. No date restrictions will be applied. Study quality assessment will be conducted using the original and modified Newcastle-Ottawa Scales. Meta-analysis or narrative synthesis will be used, dependent on findings.Ethics and disseminationThis is a systematic review of published literature and thereby ethical approval was not sought. The review will be submitted to a peer-reviewed journal, be publicly disseminated at conferences focusing on mental health, self-harm and suicide prevention. The findings will also be shared through public engagement and involvement, particularly those related to young LGBTQ+ individuals.PROSPERO registration numberCRD42019130037.

Psychological pain and risk of suicide in adolescence

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Carmela Mento ◽  
Maria Catena Silvestri ◽  
Maria Rosaria Anna Muscatello ◽  
Amelia Rizzo ◽  
Laura Celebre ◽  
...  
Keyword(s):  
Systematic Review ◽  
Suicidal Ideation ◽  
Suicide Risk ◽  
Inclusion Criteria ◽  
Psychological Pain ◽  
Mental Pain ◽  
Search Terms ◽  
Bidirectional Relationship ◽  
Pubmed Search ◽  
And Behavior

AbstractPsychological pain or psychache is intolerable and unacceptable mental pain. This construct plays a key role in the risk of suicide in adolescence. This is a frequent condition in adolescents with depression; a variety of studies propose a bidirectional relationship between these two circumstances. Adolescents with psychological pain are exposed to the risk of suicidal ideation, and behavior. This review aimed to explore psychological pain in adolescents, and the correlation to the risk of suicide. We have conducted, following PRISMA guidelines, a systematic review for the literature on PubMed. Search terms were “Suicide risk in adolescents” AND “Mental Pain in adolescence” OR “Psychological Pain in adolescence”. An initial search identified publications 1189. A total of 15 studies met the predefined inclusion criteria and were analyzed. Mental pain is a stronger factor of vulnerability of suicidal ideation and behavior. Intense negative emotions, such as guilt, shame, hopelessness, may become a psychological pain in adolescence, and many studies showed a relation between psychological pain and capability for suicide.

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