Psychosocial interventions following self-harm

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  • Systematic review of their efficacy in preventing suicide

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<jats:sec><jats:title>Background</jats:title><jats:p>With almost a million people dying by suicide worldwide each year, reducing the rate of suicidal behaviour is a priority in many countries.</jats:p></jats:sec><jats:sec><jats:title>Aims</jats:title><jats:p>To examine whether additional psychosocial interventions following an episode of self-harm reduce the likelihood of subsequent suicide.</jats:p></jats:sec><jats:sec><jats:title>Method</jats:title><jats:p>We conducted a systematic review and meta-analysis of data from randomised controlled trials of interventions for people following self-harm. Likelihood of suicide was compared by calculating the pooled root difference in suicide rate with 95% confidence intervals.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>We obtained suicide data from 18 studies with a total population of 3918. Eighteen suicides occurred among people offered active treatment and 19 among those offered standard care (pooled root difference in suicide rate 0.0, 95% CI – 0.03 to 0.03). The overall rate of suicide among people participating in trials was similar to that reported in observational studies of people who self-harm.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>Results of this meta-analysis do not provide evidence that additional psychosocial interventions following self-harm have a marked effect on the likelihood of subsequent suicide.</jats:p></jats:sec>

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