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Mental health interventions for suicide prevention among indigenous adolescents: a systematic review
Grande, Antonio Jose; Elia, Christelle; Peixoto, Clayton; Jardim, Paulo de Tarso Coelho; Dazzan, Paola; Veras, Andre Barciela; Cruickshank, John Kennedy; Rosa, Maria Inês da; Harding, Seeromanie.
Afiliación
  • Grande, Antonio Jose; Universidade Estadual de Mato Grosso do Sul (UEMS). Medical Course. Campo Grande (MS). BR
  • Elia, Christelle; Kings College London, Franklin Wilkins Building. Department of Nutrition, School of Life Course and Population Sciences, Faculty of Life Sciences & Medicine. London. GB
  • Peixoto, Clayton; Universidade Estadual de Mato Grosso do Sul (UEMS). Medical Course. Campo Grande (MS). BR
  • Jardim, Paulo de Tarso Coelho; Universidade Estadual de Mato Grosso do Sul (UEMS). Medical Course. Campo Grande (MS). BR
  • Dazzan, Paola; Kings College London, Denmark Hill Campus. Institute of Psychiatry, Psychology and Neuroscience. London. GB
  • Veras, Andre Barciela; Universidade Estadual de Mato Grosso do Sul (UEMS). Medical Course. Campo Grande (MS). BR
  • Cruickshank, John Kennedy; Kings College London, Franklin Wilkins Building. Department of Nutrition, School of Life Course and Population Sciences, Faculty of Life Sciences & Medicine. London. GB
  • Rosa, Maria Inês da; Universidade do Extremo Sul Catarinense (UNESC). Translational Psychiatry Laboratory, Postgraduate Program in Health Sciences. Criciúma (SC). BR
  • Harding, Seeromanie; Kings College London, Franklin Wilkins Building. Department of Population Health Sciences, School of Life Course and Population Sciences, Faculty of Life Sciences & Medicine. London. GB
São Paulo med. j ; 140(3): 486-498, May-June 2022. tab, graf
Artículo en Inglés | LILACS | ID: biblio-1377388
Biblioteca responsable: BR1.1
ABSTRACT
ABSTRACT

BACKGROUND:

The legacies of colonization and of policies of forced assimilation continue to be a cause of intergenerational trauma, manifested through feelings of marginality, depression, anxiety and confusion, which place indigenous peoples at increased risk of suicide.

OBJECTIVES:

To assess the quality, content, delivery and effectiveness of interventions for preventing suicides among indigenous adolescents. DESIGN AND

SETTING:

Systematic review conducted with Cochrane methodology, Campo Grande, Mato Grosso do Sul, Brazil.

METHODS:

The Cochrane library, MEDLINE, EMBASE, CINAHL, LILACS and PsycINFO databases were searched for studies published up to February 2021. The following inclusion criteria were used published in any language; interventions that aimed to prevent suicides among indigenous adolescents; randomized or non-randomized study with a control or comparative group; and validated measurements of mental health problems.

RESULTS:

Two studies were identified one on adolescents in the remote Yup'ik community in south-western Alaska, and the other on Zuni adolescents in New Mexico. Both studies showed evidence of effectiveness in interventions for reducing some of the risk factors and increasing some of the protective factors associated with suicide. High levels of community engagement and culture-centeredness were key anchors of both studies, which ensured that the intervention content, delivery and outcome measurements aligned with the beliefs and practices of the communities. Both studies were judged to have a moderate risk of bias, with biases in sample selection, attrition and inadequate reporting of results.

CONCLUSIONS:

The current evidence base is small but signaled the value of culturally appropriate interventions for prevention of suicide among indigenous adolescents. REGISTRATION DETAILS The study protocol is registered in the international prospective register of systematic reviews (PROSPERO); no. CRD42019141754.
Asunto(s)


Texto completo: Disponible Colección: Bases de datos internacionales Contexto en salud: ODS3 - Meta 3.8 Alcanzar cobertura universal de salud / Agenda de Salud Sostenible para las Américas Problema de salud: Coordinación Multisectorial / Objetivo 9: Enfermedades no transmisibles y salud mental Base de datos: LILACS Asunto principal: Suicidio / Salud Mental Tipo de estudio: Ensayo clínico controlado / Guía de práctica clínica / Estudio pronóstico / Factores de riesgo / Revisión sistemática Límite: Adolescente / Humanos País/Región como asunto: America del Sur / Brasil Idioma: Inglés Revista: São Paulo med. j Asunto de la revista: Cirurgia Geral / Ciˆncia / Ginecologia / Medicina / Medicina Interna / Obstetr¡cia / Pediatria / Sa£de Mental / Sa£de P£blica Año: 2022 Tipo del documento: Artículo País de afiliación: Brasil / Reino Unido Institución/País de afiliación: Kings College London, Denmark Hill Campus/GB / Kings College London, Franklin Wilkins Building/GB / Universidade Estadual de Mato Grosso do Sul (UEMS)/BR / Universidade do Extremo Sul Catarinense (UNESC)/BR

Texto completo: Disponible Colección: Bases de datos internacionales Contexto en salud: ODS3 - Meta 3.8 Alcanzar cobertura universal de salud / Agenda de Salud Sostenible para las Américas Problema de salud: Coordinación Multisectorial / Objetivo 9: Enfermedades no transmisibles y salud mental Base de datos: LILACS Asunto principal: Suicidio / Salud Mental Tipo de estudio: Ensayo clínico controlado / Guía de práctica clínica / Estudio pronóstico / Factores de riesgo / Revisión sistemática Límite: Adolescente / Humanos País/Región como asunto: America del Sur / Brasil Idioma: Inglés Revista: São Paulo med. j Asunto de la revista: Cirurgia Geral / Ciˆncia / Ginecologia / Medicina / Medicina Interna / Obstetr¡cia / Pediatria / Sa£de Mental / Sa£de P£blica Año: 2022 Tipo del documento: Artículo País de afiliación: Brasil / Reino Unido Institución/País de afiliación: Kings College London, Denmark Hill Campus/GB / Kings College London, Franklin Wilkins Building/GB / Universidade Estadual de Mato Grosso do Sul (UEMS)/BR / Universidade do Extremo Sul Catarinense (UNESC)/BR
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