Brazilian Psychiatric Association guidelines for the management of suicidal behavior. Part 2. Screening, intervention, and prevention
Braz. J. Psychiatry (São Paulo, 1999, Impr.)
;
43(5): 538-549, Sept.-Oct. 2021. tab, graf
Article
in English
| LILACS
| ID: biblio-1345478
ABSTRACT
This article continues our presentation of the Brazilian Psychiatric Association guidelines for the management of patients with suicidal behavior, with a focus on screening, intervention, postvention, prevention, and promotion. For the development of these guidelines, we conducted a systematic review of the MEDLINE (via PubMed), Cochrane Database of Systematic Reviews, Web of Science, and SciELO databases for research published from 1997 to 2020. Systematic reviews, clinical trials, and cohort/observational studies on screening, intervention, and prevention in suicidal behavior were included. This project involved 14 Brazilian psychiatry professionals and 1 psychologist selected by the Psychiatric Emergencies Committee of the Brazilian Psychiatric Association for their experience and knowledge in psychiatry and psychiatric emergencies. Publications were evaluated according to the 2011 Oxford Center for Evidence-Based Medicine (OCEBM) Levels of Evidence Classification. Eighty-five articles were reviewed (of 5,362 initially collected and 755 abstracts on the drug approach). Forms of screening, intervention, and prevention are presented. The intervention section presents evidence for psychotherapeutic and drug interventions. For the latter, it is important to remember that each medication is effective only for specific groups and should not replace treatment protocols. We maintain our recommendation for the use of universal screening plus intervention. Although the various studies differ in terms of the populations evaluated and several proposals are presented, there is already significant evidence for certain interventions. Suicidal behavior can be analyzed by evidence-based medicine protocols. Currently, the best strategy is to combine several techniques through the Safety Plan. Nevertheless, further research on the topic is needed to elucidate some approaches with particular potential for intervention and prevention. Systematic review registry number CRD42020206517
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Practice Guidelines as Topic
/
Suicidal Ideation
Type of study:
Diagnostic study
/
Practice guideline
/
Observational study
/
Prognostic study
/
Risk factors
/
Screening study
/
Systematic reviews
Limits:
Humans
Country/Region as subject:
South America
/
Brazil
Language:
English
Journal:
Braz. J. Psychiatry (São Paulo, 1999, Impr.)
Journal subject:
Psychiatry
Year:
2021
Type:
Article
Affiliation country:
Brazil
/
United States
Institution/Affiliation country:
Associação Brasileira de Psiquiatria (ABP)/BR
/
Pontifícia Universidade Católica de Minas Gerais (PUC Minas)/BR
/
The University of Texas Health Science Center at Houston (UTHealth)/US
/
Universidade Federal de Minas Gerais (UFMG)/BR
/
Universidade Federal de São Paulo (UNIFESP)/BR
/
Universidade Federal do Tocantins (UFT)/BR
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