Programas de Prevención del Suicidio: Una Revisión Integradora de la Literatura
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Las producciones científicas internacionales sobre programas de prevención del suicidio se analizaron en las bases de datos PsycInfo, PubMed y ScienceDirect. Se obtuvieron 89 estudios y, tras analizar los criterios de inclusión y exclusión, quedaron 26 publicaciones que fueron incluidas en la revisión. Las publicaciones se evaluaron según año de publicación, autoría, nombre del programa de prevención, formato, duración, público y país de aplicación. Posteriormente, se realizó una descripción de las etapas de cada programa, público objetivo, materiales utilizados y constructos cubiertos. En general, los resultados indicaron 18 tipos de programas, la mayoría de ellos aplicados en Estados Unidos, además de que todas las intervenciones fueron dirigidas al contexto escolar. Considerando que el suicidio es un problema de salud pública, conocer los programas de prevención puede ayudar a los profesionales de la salud a mejorar las iniciativas relacionadas con el fenómeno del suicidio.
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Arensman, E. (2017). Suicide prevention in an international context: Progress and challenges (editorial). Crisis, 38(1), 1–6. https://doi.org/10.1027/0227-5910/a000461
Aseltine Jr., R. H., & DeMartino, R. (2004). An outcome evaluation of the SOS Suicide Prevention Program. American Journal of Public Health, 94(3), 446–451. https://doi.org/10.2105/ajph.94.3.446
Aseltine Jr., R. H., James, A., Schilling, E. A., & Glanovsky, J. (2007). Evaluating the SOS suicide prevention program: A replication and extension. BMC Public Health, 7(161), 1–7. https://doi.org/10.1186/1471-2458-7-161
Bailey, E., Spittal, M. J., Pirkis, J., Gould, M., & Robinson, J. (2017). Universal suicide prevention in young people. Crisis, 38(5), 300–308. https://doi.org/10.1027/0227-5910/a000465
Balaguru, V., Sharma, J., & Waheed, W. (2013). Understanding the effectiveness of school-based interventions to prevent suicide: A realist review. Child and Adolescent Mental Health, 18(3), 131–139. https://doi.org/10.1111/j.1475-3588.2012.00668.x
Bustamante, F., Urquidi, C., Florenzano, R., Barrueto, C., Hoyos, J., Ampuero, K., Terán, L., Figueroa, M. I., Farías, M., Rueda, M. L., & Giacaman, E. (2018). El programa RADAR para la prevención del suicidio en adolescentes de la región de Aysén, Chile: Resultados preliminares. Revista Chilena de Pediatría, 89(1), 145–148. https://doi.org/10.4067/S0370-41062018000100145
Ciffone, J. (2007). Suicide prevention: An analysis and replication of a curriculum-based high school program. Social Work, 52(1), 41–49. https://doi.org/10.1093/sw/52.1.41
Cusimano, M. D., & Sameem, M. (2011). The effectiveness of middle and high school-based suicide prevention programmes for adolescents: A systematic review. Injury Prevention, 17(1), 43–49. https://doi.org/10.1136/ip.2009.025502
Dantas, A. P., Azevedo, U. N., Nunes, A. D., Amador, A. E., Marques, M. V., & Barbosa, I. R. (2018). Analysis of suicide mortality in Brazil: Spatial distribution and socioeconomic context. Brazilian Journal of Psychiatry, 40(1), 12–18. https://doi.org/10.1590/1516-4446-2017-2241
Departamento de Informática do Sistema Único de Saúde – DATASUS. (2019). http://datasus.saude.gov.br/
Gijzen, M. W. M., Creemers, D. H. M., Rasing, S. P. A., Smit, F., & Engels, R. C. M. E. (2018). Evaluation of a multimodal school-based depression and suicide prevention program among Dutch adolescents: Design of a cluster-randomized controlled trial. BMC Psychiatry, 18(124), 1–12. https://doi.org/10.1186/s12888-018-1710-2
Gunnell, D., Appleby, L., Arensman, E., Hawton, K., John, A., Kapur, N., Khan, M., O’Connor, R. C., Pirkis, J., & COVID-19 Suicide Prevention Research Collaboration. (2020). Suicide risk and prevention during the COVID-19 pandemic. The Lancet Psychiatry, 7(6), 468–471. https://doi.org/10.1016/s2215-0366(20)30171-1
Jacob, K. S. (2016). Reducing suicide rates: Need for public health and population interventions. Indian Journal of Psychological Medicine, 38(6), 510–513. https://doi.org/10.4103/0253-7176.194915
Johnson, L. A., & Parsons, M. E. (2012). Adolescent suicide prevention in a school setting: Use of a gatekeeper program. NASN School Nurse, 27(6), 312–317. https://doi.org/10.1177/1942602X12454459
Kalafat, J., & Ryerson, D. M. (1999). The implementation and institutionalization of a School-Based Youth Suicide Prevention Program. Journal of Primary Prevention, 19(3), 157–175. https://doi.org/10.1023/A:1022658826641
Katsumata, Y., Narita, T., & Nakagawa, T. (2017). Development of a suicide prevention education program for university students: A single-arm pilot study. Asian Journal of Psychiatry, 30, 190–191. https://doi.org/10.1016/j.ajp.2017.10.019
Katz, C., Bolton, S.-L., Katz, L. Y., Isaak, C., Tilston-Jones, T., Sareen, J., & Swampy Cree Suicide Prevention Team.(2013). A systematic review of school-based suicide prevention programs. Depression and Anxiety, 30(10), 1030–1045. https://doi.org/10.1002/da.22114
Kinchin, I., Russell, A. M. T., Petrie, D., Mifsud, A., Manning, L., & Doran, C. M. (2019). Program evaluation and decision analytic modelling of universal suicide prevention training (safeTALK) in secondary schools. Applied Health Economics and Health Policy, 18(2), 311–324. https://doi.org/10.1007/s40258-019-00505-3
King, K. A., Strunk, C. M., & Sorter, M. T. (2011). Preliminary effectiveness of Surviving the Teens® Suicide Prevention and Depression Awareness Program on adolescents’ suicidality and self-efficacy in performing help-seeking behaviors. Journal of School Health, 81(9), 581–590. https://doi.org/10.1111/j.1746-1561.2011.00630.x
Malhi, G. S., Outhred, T., Das, P., Morris, G., Hamilton, A., & Mannie, Z. (2018). Modeling suicide in bipolar disorders. Bipolar Disorders, 20(4), 334–348. https://doi.org/10.1111/bdi.12622
Mann, J. J., Apter, A., Bertolote, J., Beautrais, A., Currier, D., Haas, A., Hegerl, U., Lonnqvist, J., Malone, K., Marusic, A., Mehlum, L., Patton, G., Phillips, M., Rutz, W., Rihmer, Z., Schmidtke, A., Shaffer, D., Silverman, M., Takahashi, Y., … Hendin, H. (2005). Suicide prevention strategies: A systematic review. JAMA, 294(16), 2064–2074. https://doi.org/10.1001/jama.294.16.2064
Mascayano, F., Irrazabal, M., Emilia, W. D., Vaner, S. J., Sapag, J. C., Alvarado, R., Yang, L. H., & Sinah, B. (2015). Suicide in Latin America: A growing public health issue. Revista de la Facultad de Ciencias Médicas de Córdoba, 72(4), 295–303. https://pubmed.ncbi.nlm.nih.gov/27107280/
Miller, A. B., Adams, L. M., Esposito-Smythers, C., Thompson, R., & Proctor, L. J. (2014). Parents and friendships: A longitudinal examination of interpersonal mediators of the relationship between child maltreatment and suicidal ideation. Psychiatry Research, 220(3), 998–1006. https://doi.org/10.1016/j.psychres.2014.10.009
Orbach, I., & Bar-Joseph, H. (1993). The impact of a suicide prevention program for adolescents on suicidal tendencies, hopelessness, ego identity, and coping. Suicide and Life-Threatening Behavior, 23(2), 120–129. https://psycnet.apa.org/record/1994-03682-001
Ougrin, D., Tranah, T., Stahl, D., Moran, P., & Asarnow, J. R. (2015). Therapeutic interventions for suicide attempts and self-harm in adolescents: Systematic review and meta-analysis. Journal of American Academy of Child & Adolescent Psychiatry, 54(2), 97–107.e2. https://doi.org/10.1016/j.jaac.2014.10.009
Page, M. J., Mckenzie, J. E., Bossuyt, P. M., Boutron, I., Hofmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., & Moher, D. (2021). Updating guidance for reporting systematic reviews: Development of the PRISMA 2020 statement. Journal of Clinical Epidemiology, 134, 103–112. https://doi.org/10.1016/j.jclinepi.2021.02.003
Portzky, G., & Heeringen, K. V. (2006). Suicide prevention in adolescents: A controlled study of the effectiveness of a school-based psycho-educational program. The Journal of Child Psychology and Psychiatry, 47(9), 910–918. https://doi.org/10.1111/j.1469-7610.2006.01595.x
Rein, B. A., McNeil, D. W., Hayes, A. R., Hawkins, T. A., Ng, M., & Yura, C. A. (2018). Evaluation of an avatar-based training program to promote suicide prevention awareness in a college setting. Journal of American College Health, 66(5), 401–411. https://doi.org/10.1080/07448481.2018.1432626
Robinson J., Cox, G., Malone, A., Williamson, M., Baldwin, G., Fletcher, K., & O’Brien, M. (2013). A systematic review of school-based interventions aimed at preventing, treating, and responding to suicide-related behavior in young people. Crisis The Journal of Crisis Intervention and Suicide Prevention, 34(3), 1–19. https://doi.org/10.1027/0227-5910/a000168
Ross, S. G., DeHay, T., & Deiling, M. (2021). The suicide prevention for college student gatekeepers program: A pilot study. Crisis The Journal of Crisis Intervention and Suicide Prevention, 42(1), 48–55. https://doi.org/10.1027/0227-5910/a000686
Sánchez-Teruel, D., & Robles-Bello, M. A. (2014). Factores protectores que promueven la resiliencia ante el suicidio en adolescentes jóvenes. Papeles del Psicólogo, 35(2), 181–192. https://www.papelesdelpsicologo.es/pdf/2438.pdf
Samuolis, J., Harrison, A. J., & Flanagan, K. (2020). Evaluation of a peer-led implementation of a suicide prevention gatekeeper training program for college students. Crisis The Journal of Crisis Intervention and Suicide Prevention, 41(5), 331–336. https://doi.org/10.1027/0227-5910/a000638
Schilling, E. A., Aseltine Jr., R. H., & James, A. (2016). The SOS Suicide Prevention Program: Further evidence of efficacy and effectiveness. Prevention Science, 17(2), 157–166. https://doi.org/10.1007/s11121-015-0594-3
Schilling, E. A., Lawless, M., Buchanan, L., & Aseltine Jr., R. H. (2014). “Signs of suicide” shows promise as a middle school suicide prevention program. Suicide and Life-Threatening Behavior, 44(6), 653–667. https://doi.org/10.1111/sltb.12097
Silva, B. F. A., Prates, A. A. P., Cardoso, A. A., Castro, N. G. M. B. R., & Rosas, N. (2018). O suicídio no Brasil contemporâneo. Sociedade e Estado, 33(2), 565–579. https://doi.org/10.1590/s0102-699220183302014
Stone, D. M., Holland, K. M., Bartholow, B., Crosby, A. E., Davis, S., & Wilkins, N. (2017). Preventing suicide: A technical package of policies, programs, and practices. National Center for Injury Prevention and Control, Centers for Disease Control and Prevention.
Strunk, C. M., King, K. A., Vidourek, R. A., & Sorter, M. T. (2014). Effectiveness of the Surviving the Teens® Suicide Prevention and Depression Awareness Program: An impact evaluation utilizing a comparison group. Health Education & Behavior, 41(6), 605–613. https://doi.org/10.1177/1090198114531774
Tompkins, T. L., & Witt, J. (2009). The short-term effectiveness of a suicide prevention gatekeeper training program in a college setting with residence life advisers. The Journal of Primary Prevention, 30, 131–149. https://doi.org/10.1007/s10935-009-0171-2
Tompkins, T. L., Witt, J., & Abraibesh, N. (2010). Does a gatekeeper suicide prevention program work in a school setting? Evaluating training outcome and moderators of effectiveness. Suicide and Life-Threatening Behavior, 40(5), 506–515. https://doi.org/10.1521/suli.2010.40.5.506
Tsai, W.-P., Lin, L.-Y., Chang, H.-C., Yu, L.-S., & Chou, M.-C. (2010). The effects of the gatekeeper suicide-awareness program for nursing personnel. Perspectives in Psychiatric Care, 47(3), 117–125. https://doi.org/10.1111/j.1744-6163.2010.00278.x
Tsong, Y., Young, J. T., Killer, J. D., Takemoto, M. A., & Compliment, B. (2018). Suicide prevention program on a diverse college campus: Examining the effectiveness of a Peer-to-Peer Model. Journal of College Student Psychotherapy, 33(2), 1–14. https://doi.org/10.1080/87568225.2018.1434716
Turecki, G., & Brent, D. A. (2016). Suicide and suicidal behaviour. The Lancet, 387(10024), 1227–1239. https://doi.org/10.1016/S0140-6736(15)00234-2
van Spijker, B. A. J., van Straten, A., & Kerkhof, A. J. F. M. (2010). The effectiveness of a web-based self-help intervention to reduce suicidal thoughts: A randomized controlled trial. Trials, 11(25), 1–7. https://doi.org/10.1186/1745-6215-11-25
World Health Organization. (2014). Preventing suicide. https://apps.who.int/iris/rest/bitstreams/1174021/retrieve
World Health Organization. (2017). Mental health: New understanding, new hope. http://www.who.int/whr/2017/en/
Wyman, P. A., Brown, C. H., Inman J., Cross W., Schmeelk-Cone, K., Guo, J., & Pena, J. B. (2008). Randomized trial of a gatekeeper program for suicide prevention: 1-Year impact on secondary school staff. Journal of Consulting and Clinical Psychology, 76(1), 104–115. https://doi.org/10.1037/0022-006X.76.1.104
Wyman, P. A., Brown, C. H., LoMurray, M., Schmeelk-Cone, K., Petrova, M., Yu, Q., Walsh, E., Tu, X., & Wang, W. (2010). An outcome evaluation of the sources of strength suicide prevention program delivered by adolescent peer leaders in high schools. American Journal of Public Health, 100(9), 1653–1661. https://doi.org/10.2105/AJPH.2009.190025
Zachariah, B., Witt, E. E., Bahirat, J. D., Bunders-Aelen, J. F. G., & Regeer, B. J. (2018). What is in it for them? Understanding the impact of a “Support, Appreciate, Listen Team” (SALT)-based suicide prevention peer education program on peer educators. School Mental Health, 10(4), 462–476. https://doi.org/10.1007/s12310-018-9264-5
Zalsman, G., Hawton, K., Wasserman, D., van Heeringen, K., Arensman, E., Sarchiapone, M., Carli, V., Höschl, C., Barzilay, R., Balazs, J., Purebl, G., Kahn, J. P., Sáiz, P. A., Lipsicas, C. B., Bobes, J., Cozman, D., Hegerl, U., & Zohar, J. (2016). Suicide prevention strategies revisited: 10-Year systematic review. The Lancet Psychiatry, 3(7), 646–659. https://doi.org/10.1016/S2215-0366(16)30030-X
Zinzow, H. M., Thompsom, M. P., Fulmer, C. B., Goree, J., & Evinger, L. (2020). Evaluation of a Brief Suicide Prevention Training Program for College Campuses. Archives of Suicide Research, 24(1), 82-95. https://doi.org/10.1080/13811118.2018.1509749