Effectiveness of internet-based cognitive behavioral therapy for suicide: a systematic review and meta-analysis of RCTs

Hu, DY (通讯作者),Huazhong Univ Sci & Technol, Dept Nursing, Tongji Med Coll, Union Hosp, Wuhan, Hubei, Peoples R China.
2022-11-26
Suicidal individuals rarely seek help and receive professional psychological intervention on their initiative. Internet-based cognitive behavioral therapy(iCBT) can increase availability and reduce stigma compared to face-to-face interventions for suicide.However, conclusions about the effectiveness of iCBT on suicide are controversial. The review aimed to determine the effectiveness of iCBT on reducing suicidal ideation (primary outcomes) and other outcomes related to suicide like suicide attempts(secondary outcomes). PubMed, the Cochrane Library, EMBASEwere searched up to March 2020 for RCTs of iCBT which aimed to reduce suicide.The potential bias was assessed by the Cochrane risk of bias tool. Data analyses wereperformed by RevMan5.3.Four studies meeting the eligibility criteria were included which reported data on a total of 1225 participants. We found iCBT was associated with reducing an individual's suicidal ideation, and first indications suggest that the treatment effect might be even more pronounced in the short term and in adults.Additionally, there was insufficient evidence to prove its effectiveness in reducing suicide attempts and suicide death.Overall, iCBT can overcome the disadvantages of traditional interventions and show promise on suicidal ideation. While ensuring safety and ethics, further studies are warranted, focusing on suicide specific behavior like suicide attempts.
PSYCHOLOGY HEALTH & MEDICINE
卷号:27|期号:10|页码:2186-2203
ISSN:1354-8506|收录类别:SCIE
语种
英语
来源机构
Huazhong University of Science & Technology; Huazhong University of Science & Technology; Huazhong University of Science & Technology
资助机构
National Natural Science Foundation of China(National Natural Science Foundation of China (NSFC))
资助信息
This work was supported by the National Natural Science Foundation of China (grant number 71673100); the National Natural Science Foundation of China [71673100];
被引频次(WOS)
1
被引频次(其他)
1
180天使用计数
4
2013以来使用计数
31
EISSN
1465-3966
出版年
2022-11-26
DOI
10.1080/13548506.2021.1930073
WOS学科分类
Public, Environmental & Occupational Health
学科领域
循证公共卫生
关键词
Suicide internet-based cognitive behavioral therapy meta-analysis psychology