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Review Article

Are digital interventions effective in reducing suicidal ideation and self-harm? A systematic review

, , , , &
Pages 207-216 | Received 15 Mar 2019, Accepted 28 Dec 2019, Published online: 28 Jan 2020

References

  • Arnberg, F. K., Linton, S. J., Hultcrantz, M., Heintz, E., & Jonsson, U. (2014). Internet-delivered psychological treatments for mood and anxiety disorders: a systematic review of their efficacy, safety, and cost-effectiveness. PLOS ONE, 9(5), e98118. doi:10.1371/journal.pone.0098118
  • Andersson, G. (2016). Internet-delivered psychological treatments. Annual Review of Clinical Psychology, 12(1), 157–179. doi:10.1146/annurev-clinpsy-021815-093006
  • Andrews, G., Basu, A., Cuijpers, P., Craske, M. G., McEvoy, P., English, C. L., & Newby, J. M. (2018). Computer therapy for the anxiety and depression disorders is effective, acceptable and practical health care: An updated meta-analysis. Journal of Anxiety Disorders, 55, 70–78. doi:10.1016/j.janxdis.2018.01.001
  • Batterham, P. J., Calear, A. L., Farrer, L., McCallum, S. M., & Cheng, V. W. S. (2018). FitMindKit: Randomised controlled trial of an automatically tailored online program for mood, anxiety, substance use and suicidality. Internet Interventions, 12, 91–99. doi:10.1016/j.invent.2017.08.002
  • Bertolote, J. M., & Fleischmann, A. (2015). A global perspective in the epidemiology of suicide. Suicidologi, 7(2), 6–8. doi:10.5617/suicidologi.2330
  • Butler, A.C., Chapman, J.E., Forman, E.M., & Beck, A.T. (2006). The empirical status of cognitive-behavioural therapy: A review of meta-analyses. Clinical Psychology Review, 26(1), 17–31. doi:10.1016/j.cpr.2005.07.003
  • Christensen, H., Batterham, P. J., Gosling, J. A., Ritterband, L. M., Griffiths, K. M., Thorndike, F. P., … Mackinnon, A. J. (2016). Effectiveness of an online insomnia program (SHUTi) for prevention of depressive episodes (the GoodNight Study): A randomised controlled trial. The Lancet Psychiatry, 3(4), 333–341. doi:10.1016/S2215-0366(15)00536-2
  • Christensen, H., Batterham, P., & O'Dea, B. (2014). E-health interventions for suicide prevention. International Journal of Environmental Research and Public Health, 11(8), 8193–8212. doi:10.3390/ijerph110808193
  • Christensen, H., Farrer, L., Batterham, P. J., Mackinnon, A., Griffiths, K. M., & Donker, T. (2013). The effect of a web-based depression intervention on suicide ideation: Secondary outcome from a randomised controlled trial in a helpline. BMJ Open, 3(6), e002886. doi:10.1136/bmjopen-2013-002886
  • Christensen, H., Griffiths, K. M., & Farrer, L. (2009). Adherence in internet interventions for anxiety and depression: Systematic review. Journal of Medical Internet Research, 11(2), e13. doi:10.2196/jmir.1194
  • Comtois, K. A., Kerbrat, A. H., DeCou, C. R., Atkins, D. C., Majeres, J. J., Baker, J. C., & Ries, R. K. (2019). Effect of augmenting standard care for military personnel with brief caring text messages for suicide prevention: A randomized clinical trial. JAMA Psychiatry, 76(5), 474–483. doi:10.1001/jamapsychiatry.2018.4530
  • Cuijpers, P., de Beurs, D. P., van Spijker, B. A., Berking, M., Andersson, G., & Kerkhof, A. J. (2013). The effects of psychotherapy for adult depression on suicidality and hopelessness: A systematic review and meta-analysis. Journal of Affective Disorders, 144(3), 183–190. doi:10.1016/j.jad.2012.06.025
  • de Beurs, D. P., de Groot, M. H., de Keijser, J., Mokkenstorm, J., van Duijn, E., de Winter, R. F., & Kerkhof, A. J. (2015). The effect of an e-learning supported Train-the-Trainer programme on implementation of suicide guidelines in mental health care. Journal of Affective Disorders, 175, 446–453. doi:10.1016/j.jad.2015.01.046
  • Ebert, D. D., Van Daele, T., Nordgreen, T., Karekla, M., Compare, A., Zarbo, C., … Baumeister, H. (2018). Internet-and mobile-based psychological interventions: Applications, efficacy, and potential for improving mental health. European Psychologist, 23(2), 167–187. doi:10.1027/1016-9040/a000318
  • Ekers, D., Richards, D., & Gilbody, S. (2008). A meta-analysis of randomized trials of behavioural treatment of depression. Psychological Medicine, 38(5), 611–623. doi:10.1017/S0033291707001614
  • Franklin, J. C., Fox, K. R., Franklin, C. R., Kleiman, E. M., Ribeiro, J. D., Jaroszewski, A. C., … Nock, M. K. (2016). A brief mobile app reduces nonsuicidal and suicidal self-injury: Evidence from three randomized controlled trials. Journal of Consulting and Clinical Psychology, 84(6), 544–547. doi:10.1037/ccp0000093
  • Guille, C., Zhao, Z., Krystal, J., Nichols, B., Brady, K., & Sen, S. (2015). Web-based cognitive behavioral therapy intervention for the prevention of suicidal ideation in medical interns: A randomized clinical trial. JAMA Psychiatry, 72(12), 1192–1198. doi:10.1001/jamapsychiatry.2015.1880
  • Handley, T. E., Kay-Lambkin, F. J., Baker, A. L., Lewin, T. J., Kelly, B. J., Inder, K. J., … Kavanagh, D. J. (2013). Incidental treatment effects of CBT on suicidal ideation and hopelessness. Journal of Affective Disorders, 151(1), 275–283. doi:10.1016/j.jad.2013.06.005
  • Hariton, E., & Locascio, J. J. (2018). Randomised controlled trials – the gold standard for effectiveness research: Study design: Randomised controlled trials. BJOG, 125(13), 1716–1716. doi:10.1111/1471-0528.15199
  • Hawton, K., Bergen, H., Cooper, J., Turnbull, P., Waters, K., Ness, J., & Kapur, N. (2015). Suicide following self-harm: Findings from the multicentre study of self-harm in England, 2000–2012. Journal of Affective Disorders, 175, 147–151. doi:10.1016/j.jad.2014.12.062
  • Hawton, K., Witt, K. G., Salisbury, T. L. T., Arensman, E., Gunnell, D., Hazell, P., … van Heeringen, K. (2016). Psychosocial interventions following self-harm in adults: A systematic review and meta-analysis. The Lancet Psychiatry, 3(8), 740–750. doi:10.1016/S2215-0366(16)30070-0
  • Hawton, K., Zahl, D., & Weatherall, R. (2003). Suicide following deliberate self-harm: Long-term follow-up of patients who presented to a general hospital. British Journal of Psychiatry, 182(6), 537–542. doi:10.1192/bjp.182.6.537
  • Higgins, J. P. T., Altman, D. G., Gotzsche, P. C., Juni, P., Moher, D., Oxman, A. D., Savovic, J., & Sterne, J. A. C.; Cochrane Bias Methods Group. (2011). The Cochrane Collaboration’s tool for assessing risk of bias in randomised trials. BMJ, 343(2), d5928–d5928. doi:10.1136/bmj.d5928
  • Hollis, C., Morriss, R., Martin, J., Amani, S., Cotton, R., Denis, M., & Lewis, S. (2015). Technological innovations in mental healthcare: harnessing the digital revolution. The British Journal of Psychiatry, 206(4), 263–265. doi:10.1192/bjp.bp.113.142612
  • Hom, M. A., Stanley, I. H., & Joiner, T. E. Jr, (2015). Evaluating factors and interventions that influence help-seeking and mental health service utilization among suicidal individuals: A review of the literature. Clinical Psychology Review, 40, 28–39. doi:10.1016/j.cpr.2015.05.006
  • Kerkhof, A. J. F. M., & van Spijker, B. V. (2011). Worrying and rumination as proximal risk factors for suicidal behaviour. In R. C. O'Connor, S. Piatt, & J. Gordon (eds), International handbook of suicide prevention: Research, policy and practice (pp. 199–209). Chichester, UK: Wiley.
  • Klonsky, E. D., May, A. M., & Saffer, B. Y. (2016). Suicide, suicide attempts, and suicidal ideation. Annual Review of Clinical Psychology, 12(1), 307–330. doi:10.1146/annurev-clinpsy-021815-093204
  • Kmet, L. M., Cook, L. S., & Lee, R. C. (2004). Standard quality assessment criteria for evaluating primary research papers from a variety of fields. Retrieved from: https://www.ihe.ca/publications/standard-quality-assessment-criteria-for-evaluating-primary-research-papers-from-a-variety-of-fields.
  • Lai, M. H., Maniam, T., Chan, L. F., & Ravindran, A. V. (2014). Caught in the web: A review of web-based suicide prevention. Journal of Medical Internet Research, 16(1), e30. doi:10.2196/jmir.2973
  • Larsen, M. E., Nicholas, J., & Christensen, H. (2016). A systematic assessment of smartphone tools for suicide prevention. PLoS One, 11(4), e0152285. doi:10.1371/journal.pone.0152285
  • Linehan, M. M., Comtois, K. A., Murray, A. M., Brown, M. Z., Gallop, R. J., Heard, H. L., … Lindenboim, N. (2006). Two-year randomized controlled trial and follow-up of dialectical behavior therapy vs therapy by experts for suicidal behaviors and borderline personality disorder. Archives of General Psychiatry, 63(7), 757–766. doi:10.1001/archpsyc.63.7.757
  • Logan, C. (2013). Suicide and self-harm: Clinical risk assessment and management using a structured professional judgement approach. In: C. Logan, & L. Johnston (Eds.), Managing Clinical Risk: A Guide to Effective Practice (pp. 115–125). Abingdon, UK: Routledge
  • Malouff, J. M., Thorsteinsson, E. B., & Schutte, N. S. (2007). The efficacy of problem solving therapy in reducing mental and physical health problems: A meta-analysis. Clinical Psychology Review, 27(1), 46–57. doi:10.1016/j.cpr.2005.12.005
  • Mark, J., Williams, G., & Swales, M. (2004). The use of mindfulness-based approaches for suicidal patients. Archives of Suicide Research, 8(4), 315–329. doi:10.1080/13811110490476671
  • McLean, J., Maxwell, M., Platt, S., Harris, F. M., & Jepson, R. (2008). Risk and protective factors for suicide and suicidal behaviour: A literature review. Scottish Government. Retrieved from: https://www2.gov.scot/Publications/2008/11/28141444/0.
  • Melville, K. M., Casey, L. M., & Kavanagh, D. J. (2010). Dropout from internet‐based treatment for psychological disorders. British Journal of Clinical Psychology, 49(4), 455–471. doi:10.1348/014466509X472138
  • Mishara, B., & Kerkhof, A. J. F. M. (Eds.). (2013). Suicide prevention and new technologies: Evidence based practice. New York: Springer.
  • Moritz, S., Schilling, L., Hauschildt, M., Schröder, J., & Treszl, A. (2012). A randomized controlled trial of internet-based therapy in depression. Behaviour Research and Therapy, 50(7–8), 513–521. doi:10.1016/j.brat.2012.04.006
  • Morrison, R., & O'Connor, R. C. (2008). A systematic review of the relationship between rumination and suicidality. Suicide and Life-Threatening Behavior, 38(5), 523–538. doi:10.1521/suli.2008.38.5.523
  • Nock, M. K., Borges, G., Bromet, E. J., Alonso, J., Angermeyer, M., Beautrais, A., … Williams, D. (2008). Cross-national prevalence and risk factors for suicidal ideation, plans and attempts. British Journal of Psychiatry, 192(2), 98–105. doi:10.1192/bjp.bp.107.040113
  • Patterson, B., Boyle, M. H., Kivlenieks, M., & Van Ameringen, M. (2016). The use of waitlists as control conditions in anxiety disorders research. Journal of Psychiatric Research, 83, 112–120. doi:10.1016/j.jpsychires.2016.08.015
  • Segal, Z.V., & Williams, J.M.G. (2002). Mindfulness-based cognitive therapy for depression: A new approach to preventing relapse. New York: Guilford Press.
  • Shore, J. H. (2013). Telepsychiatry: Videoconferencing in the delivery of psychiatric care. American Journal of Psychiatry, 170(3), 256–262. doi:10.1176/appi.ajp.2012.12081064
  • Stefanopoulou, E., Lewis, D., Taylor, M., Broscombe, J., Ahmad, J., & Larkin, J. (2018a). Are digitally delivered psychological interventions for depression the way forward? Psychiatric Quarterly, 89(4), 779–794. doi:10.1007/s11126-018-9620-5
  • Stefanopoulou, E., Lewis, D., Taylor, M., Broscombe, J., & Larkin, J. (2018b). Digitally delivered psychological interventions for anxiety disorders: A comprehensive review. Psychiatric Quarterly, 90(1), 197–215. doi:10.1007/s11126-018-9620-5
  • Tarrier, N., Taylor, K., & Gooding, P. (2008). Cognitive-behavioral interventions to reduce suicide behavior: A systematic review and meta-analysis. Behavior Modification, 32(1), 77–108. doi:10.1177/0145445507304728
  • Tighe, J., Shand, F., Ridani, R., Mackinnon, A., De La Mata, N., & Christensen, H. (2017). Ibobbly mobile health intervention for suicide prevention in Australian Indigenous youth: A pilot randomised controlled trial. BMJ Open, 7(1), e013518. doi:10.1136/bmjopen-2016-013518
  • Townsend, E., Hawton, K., Altman, D. G., Arensman, E., Gunnell, D., Hazell, P., … VAN Heeringen, K. (2001). The efficacy of problem-solving treatments after deliberate self-harm: Meta-analysis of randomized controlled trials with respect to depression, hopelessness and improvement in problems. Psychological Medicine, 31(6), 979–988. doi:10.1017/S0033291701004238
  • Tsiachristas, A., McDaid, D., Casey, D., Brand, F., Leal, J., Park, A.-L., … Hawton, K. (2017). General hospital costs in England of medical and psychiatric care for patients who self-harm: A retrospective analysis. The Lancet Psychiatry, 4(10), 759–767. doi:10.1016/S2215-0366(17)30367-X
  • van Spijker, B. A., van Straten, A., & Kerkhof, A. J. (2014). Effectiveness of online self-help for suicidal thoughts: Results of a randomised controlled trial. PLoS One, 9(2), e90118. doi:10.1371/journal.pone.0090118
  • van Spijker, B. A., Werner-Seidler, A., Batterham, P. J., Mackinnon, A., Calear, A. L., Gosling, J. A., … Christensen, H. (2018). Effectiveness of a web-based self-help program for suicidal thinking in an Australian community sample: Randomized controlled trial. Journal of Medical Internet Research, 20(2), e15. doi:10.2196/jmir.8595
  • Vieira, A. M., & Lewis, S. P. (2018). Mobile apps for self-injury: A content analysis. Cyberpsychology, Behavior, and Social Networking, 21(5), 333–337. doi:10.1089/cyber.2017.0535
  • Wagner, B., Horn, A. B., & Maercker, A. (2014). Internet-based versus face-to-face cognitive-behavioral intervention for depression: A randomized controlled non-inferiority trial. Journal of Affective Disorders, 152, 113–121. doi:10.1016/j.jad.2013.06.032
  • Watts, S., Newby, J. M., Mewton, L., & Andrews, G. (2012). A clinical audit of changes in suicide ideas with internet treatment for depression. BMJ Open, 2(5), e001558.
  • Wilks, C. R., Coyle, T. N., Krek, M., Lungu, A., & Andriani, K. (2018). Suicide ideation and acceptability toward online help‐seeking. Suicide and Life-Threatening Behavior, 48(4), 379–385. doi:10.1111/sltb.12356
  • Wilks, C. R., Lungu, A., Ang, S. Y., Matsumiya, B., Yin, Q., & Linehan, M. M. (2018). A randomized controlled trial of an Internet delivered dialectical behavior therapy skills training for suicidal and heavy episodic drinkers. Journal of Affective Disorders, 232, 219–228. doi:10.1016/j.jad.2018.02.053
  • Williams, A. D., & Andrews, G. (2013). The effectiveness of internet cognitive behavioural therapy (iCBT) for depression in primary care: A quality assurance study. PLoS One, 8(2), e57447. doi:10.1371/journal.pone.0057447
  • Witt, K., Spittal, M. J., Carter, G., Pirkis, J., Hetrick, S., Currier, D., … Milner, A. (2017). Effectiveness of online and mobile telephone applications (‘apps’) for the self-management of suicidal ideation and self-harm: A systematic review and meta-analysis. BMC Psychiatry, 17(1), 297. doi:10.1186/s12888-017-1458-0
  • World Health Organisation. (2017). Preventing suicide: A resource for media professionals Retrieved from http://www.who.int/iris/handle/10665/258814.
  • Zalsman, G., Hawton, K., Wasserman, D., van Heeringen, K., Arensman, E., Sarchiapone, M., … Zohar, J. (2016). Suicide prevention strategies revisited: 10-year systematic review. The Lancet Psychiatry, 3(7), 646–659. doi:10.1016/S2215-0366(16)30030-X

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