Mental health interventions for suicide prevention among indigenous adolescents: a systematic review
São Paulo med. j
; 140(3): 486-498, May-June 2022. tab, graf
Artigo
em Inglês
| LILACS
| ID: biblio-1377388
Biblioteca responsável:
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 ANDSETTING:
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.
Texto completo:
Disponível
Coleções:
Bases de dados internacionais
Contexto em Saúde:
ODS3 - Meta 3.8 Atingir a cobertura universal de saúde
/
Agenda de Saúde Sustentável para as Américas
Problema de saúde:
Coordenação Multissetorial
/
Objetivo 9: Redução de doenças não transmissíveis
Base de dados:
LILACS
Assunto principal:
Suicídio
/
Saúde Mental
Tipo de estudo:
Ensaio clínico controlado
/
Guia de prática clínica
/
Estudo prognóstico
/
Fatores de risco
/
Revisão sistemática
Limite:
Adolescente
/
Humanos
País/Região como assunto:
América do Sul
/
Brasil
Idioma:
Inglês
Revista:
São Paulo med. j
Assunto da revista:
Cirurgia Geral
/
Cincia
/
Ginecologia
/
Medicina
/
Medicina Interna
/
Obstetr¡cia
/
Pediatria
/
Sa£de Mental
/
Sa£de P£blica
Ano de publicação:
2022
Tipo de documento:
Artigo
País de afiliação:
Brasil
/
Reino Unido
Instituição/País de afiliação:
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