Brazilian Psychiatric Association guidelines for the management of suicidal behavior. Part 3. Suicide prevention hotlines

Baldaçara, Leonardo; Weber, César Augusto Trinta; Gorender, Miriam; Grudtner, Roberta R.; Peu, Sandra; Teles, Ana Luiza Silva; Cavalcante, Ives Passos; Quevedo, João; da Silva, Antônio Geraldo

Baldaçara, Leonardo; Weber, César Augusto Trinta; Gorender, Miriam; Grudtner, Roberta R.; Peu, Sandra; Teles, Ana Luiza Silva; Cavalcante, Ives Passos; Quevedo, João; da Silva, Antônio Geraldo.

Afiliação

Baldaçara, Leonardo; Associação Brasileira de Psiquiatria (ABP). Rio de Janeiro. BR
Weber, César Augusto Trinta; Associação Brasileira de Psiquiatria (ABP). Rio de Janeiro. BR
Gorender, Miriam; Associação Brasileira de Psiquiatria (ABP). Rio de Janeiro. BR
Grudtner, Roberta R.; Associação Brasileira de Psiquiatria (ABP). Rio de Janeiro. BR
Peu, Sandra; Associação Brasileira de Psiquiatria (ABP). Rio de Janeiro. BR
Teles, Ana Luiza Silva; Centro Universitário de Brasília. Brasília. BR
Cavalcante, Ives Passos; Associação Brasileira de Psiquiatria (ABP). Rio de Janeiro. BR
Quevedo, João; University of Texas. Department of Psychiatry and Behavioral Sciences. McGovern Medical School. TX. US
da Silva, Antônio Geraldo; Associação Brasileira de Psiquiatria (ABP). Rio de Janeiro. BR

Braz. J. Psychiatry (São Paulo, 1999, Impr.) ; 45(1): 54-61, Jan.-Feb. 2023. graf

Article em En | LILACS-Express | LILACS | ID: biblio-1420546

Biblioteca responsável: BR1.1

ABSTRACT

ABSTRACT

Crisis hotlines are direct communication systems, usually telephone-based, set up to prevent suicide. However, few studies have evaluated their effectiveness. The present study aims to perform a systematic review, using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) framework, of the effectiveness of interventions through direct communication systems to reduce the number of suicides or suicide attempts. We searched the MEDLINE, Cochrane, SciELO, and ClinicaTrials.gov databases, and used the 2011 Oxford Centre for Evidence-Based Medicine Levels of Evidence classification. The literature search yielded 267 studies, of which 35 fulfilled the selection criteria. Although significant heterogeneity was found among studies, there is evidence that direct telephone interventions are effective when included in broader preventive protocols and provided by trained staff. Despite the limitations, which included heterogeneity of samples, designs, and outcome measures, we were able to design a protocol for the use of remote services to prevent suicide and suicide attempts. A hotline or similar system could be an effective intervention for broader suicide prevention programs. However, further research is necessary to specify which protocol components are key to enhance effectiveness. Systematic review registry number PROSPERO CRD42020206517

Palavras-chave

Crisis intervention; Hotlines; Lifeline; Prevention; Suicide

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Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Tipo de estudo: Guideline / Risk_factors_studies País/Região como assunto: America do sul / Brasil Idioma: En Revista: Braz. J. Psychiatry (São Paulo, 1999, Impr.) Assunto da revista: PSIQUIATRIA Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Brasil / Estados Unidos País de publicação: Brasil

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