Programas de prevención del suicidio en adolescentesuna revisión sistemática

  1. María González Sánchez 1
  2. Pedro Gil Madrona 1
  3. Luisa Losada Puente 2
  4. Ramón García Perales 1
  1. 1 Universidad de Castilla-La Mancha
    info

    Universidad de Castilla-La Mancha

    Ciudad Real, España

    ROR https://ror.org/05r78ng12

  2. 2 Universidade da Coruña
    info

    Universidade da Coruña

    La Coruña, España

    ROR https://ror.org/01qckj285

Journal:
European journal of education and psychology

ISSN: 1888-8992 1989-2209

Year of publication: 2024

Volume: 17

Issue: 1

Type: Article

DOI: 10.32457/EJEP.V17I1.2470 DIALNET GOOGLE SCHOLAR lock_openDialnet editor

More publications in: European journal of education and psychology

Abstract

El objetivo del estudio fue realizar una revisión sistemática de los programas de prevención del suicidio en adolescentes, guiada por la declaración PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses). Se realizó una búsqueda en bases de datos internacionales (PsycInfo, Scopus y Web of Science), empleando como criterios de inclusión: (a) programas de prevención del suicidio o mejora de la salud mental; (b) destinados a adolescentes, o (c) formación de adultos en prevención del suicidio en adolescentes. Se seleccionaron estudios de los últimos cinco años, periodo 2019-2023. Se excluyeron estudios de caso único para evitar posibles sesgos asociados a estudios individuales. La muestra inicial se compuso de 4.320 artículos, mientras que, tras un análisis exhaustivo de los artículos, la muestra final se compuso de 20 artículos con programas desarrollados, principalmente, en Estados Unidos (n = 7) y Australia (n = 5), en su mayoría, dirigidos a adolescentes de 12-22 años (n = 18). Los resultados respaldaron la relevancia de estos programas para reducir la ideación suicida, aumentar la confianza y conocer herramientas e instituciones de prevención del suicidio. Destacaron actividades centradas en la detección, conocimiento y búsqueda de ayuda, En ocho estudios, se encontró que el programa realizado tuvo un mayor impacto en mujeres, dado que pusieron en práctica los aprendizajes de los talleres realizados. En conclusión, se constataron los beneficios de la prevención ante el riesgo de suicidio en adolescentes, destacándose algunas características esenciales; además, su escasa presencia en España ofrece un campo de trabajo de interés, observándose la importancia de incorporar la actividad física como aspecto clave de abordar la presión, depresión y estrés asociados al riesgo de suicido en adolescentes.

Bibliographic References

  • Albritton, T., Ford, K. L., Elsbernd, K., Santodomingo, M., Juzang, I., Weddington, P., & Bull, S. (2021). Implementing a Peer Advocate Mental Health Digital Intervention Program for Ohio Youth: Descriptive Pilot Study [Article]. Jmir Mental Health, 8(4),e e24605. https://doi.org/10.2196/24605
  • Azpiazu, L., Esnaola, I., & Sarasa, M. (2018). Capacidad predictiva del apoyo social en la inteligencia emocional de adolescentes. European Journal of Education and Psychology, 8(1), 23–29. https://doi.org/10.30552/ejep.v8i1.143
  • Badarch, J., Chuluunbaatar, B., Batbaatar, S., & Paulik, E. (2022). Suicide Attempts among School-Attending Adolescents in Mongolia: Associated Factors and Gender Differences. International Journal of Environmental Research and Public Health, 19(5), 2991. https://doi.org/10.3390/ijerph19052991
  • Baggio, S., Kanani, A., Nsingi, N., Sapin, M., & Thelin, R. (2019). Evaluation of A Suicide Prevention Program in Switzerland: Protocol of A Cluster Non-Randomized Controlled Trial. International Journal of Environmental Research and Public Health, 16(11), 2049. https://doi.org/10.3390/ijerph16112049
  • Baggio, S., Nsingi, N., Kanani, A., Bourqui, L., Graglia, M., & Thelin, R. (2022). Evaluation of a brief universal suicide prevention programme in young people: a cluster-controlled trial in Swiss schools [Controlled Clinical Trial; ; Randomized Controlled Trial]. Swiss medical weekly, 152, 30207, 1-9. https://doi.org/10.4414/smw.2022.w30207
  • Black, M. H., Scott, M., Baker-Young, E., Thompson, C., McGarry, S., Hayden-Evans, M.,... Milbourn, B. (2021). Preventing suicide in post-secondary students: a scoping review of suicide prevention programs [Review; Early Access]. European Child & Adolescent Psychiatry. https://doi.org/10.1007/s00787-021-01858-8
  • Bockhoff, K., Ellermeier, W., & Bruder, S. (2022). Evaluation of a Suicide Prevention Program Encompassing Both Student and Teacher Training Components [Article; Early Access]. Crisis-the Journal of Crisis Intervention and Suicide Prevention. https://doi.org/10.1027/0227-5910/a000862
  • Borghero, F., Martinez, V., Zitko, P., Vohringer, P. A., Cavada, G., & Rojas, G. (2018). Screening depressive episodes in adolescents. Validation of the Patient Health Questionnaire-9 (PHQ-9). Revista Medica De Chile, 146(4), 479-486. https://doi.org/10.4067/s0034-98872018000400479
  • Brann, K. L., Baker, D., Smith-Millman, M. K., Watt, S. J., & DiOrio, C. (2021). A metaanalysis of suicide prevention programs for school-aged youth. Children and Youth Services Review, 121, 105826. https://doi.org/10.1016/j.childyouth.2020.105826
  • Bravo-Andrade, H. R., Ruvalcaba-Romero, N. A., Orozco-Solis, M. G., & MaciasEspinoza, F. (2020). Individual factors that protect or favor the risk of adolescent suicide: qualitative study with focus groups. Duazary, 17(1), 36-48. https://doi.org/10.21676/2389783x.3220
  • Byrne, S. J., Bailey, E., Lamblin, M., McKay, S., Pirkis, J., Mihalopoulos, C.,... Robinson, J. (2022). Study protocol for the Multimodal Approach to Preventing Suicide in Schools (MAPSS) project: a regionally based randomised trial of an integrated response to suicide risk among secondary school students. Trials, 23(1). https://doi.org/10.1186/s13063-022-06072-8
  • Catalan, L. H., Klomek, A. B., Shoval, G., Zalsman, G., Schapir, L., Shechner, T.,... Fennig, S. (2021). Association of Perceived Gender Conflict with Depression and Attempted Suicide in Adolescent Girls. Adolescent Psychiatry, 11(1), 52-62. https://doi.org/10.2174/2210676611666210915120236
  • Chaniang, S., Fongkaew, W., Stone, T. E., Sethabouppha, H., & Lirtmunlikaporn, S. (2019). Development and Evaluation of a Suicide Prevention Program for Secondary School Students. Pacific Rim International Journal of Nursing Research, 23(3), 201-213.
  • Da Silva, I. G., Maranhao, T. A., Silva, T. L., Sousa, G. J. B., Neto, J., & Pereira, M. L. D. (2021). Gender differentials in suicide mortality. Revista Rene, 22, e61520. https://doi.org/10.15253/2175-6783.20212261520
  • Dasso, N. A. (2019). How is exercise different from physical activity? A concept analysis. Nursing Forum, 54(1), 45-52. https://doi.org/10.1111/nuf.12296
  • De Silva, D. A., & Diduk-Smith, R. M. (2022). Comparison of Suicides Among Younger and Older Adolescents in Virginia, 2008-2017*. Archives of Suicide Research, 26(4), 1958-1965. https://doi.org/10.1080/13811118.2021.1965929
  • Diamond, G., Ogunkua, L., Atte, T., Rosen, P., Wintersteen, M., & Gallop, R. (2021). The Effectiveness of the More Than Sad School-based Gatekeeper Training Program. School Mental Health, 13(4), 655-666. https://doi.org/10.1007/s12310-021-09444-8
  • Dickter, B., Bunge, E. L., Brown, L. M., Leykin, Y., Soares, E. E., Van Voorhees, B.,... Gladstone, T. R. G. (2019). Impact of an online depression prevention intervention on suicide risk factors for adolescents and young adults. mHealth, 5, 11-21. https://doi.org/10.21037/mhealth.2019.04.01
  • Díez-Gómez, A., Pérez-Albéniz, A., Ortuño-Sierra, J., & Fonseca-Pedrero, E. (2020). SENTIA: Escala para la evaluación de la conducta suicida en adolescentes. Psicothema, 32(3), 382–389. https://reunido.uniovi.es/index.php/PST/article/view/17039
  • Gibson, M., Ward, R., Lewis, S., Kolves, K., Rallah, R., & Darwin, L. (2022). A safe place to talk: Participant experiences and community recommendations from an Aboriginal and Torres Strait Islander youth suicide prevention program. Australian Community Psychologist, 31(2), 24-39.
  • Gijzen, M. W. M., Rasing, S. P. A., Creemers, D. H. M., Engels, R. C. M. E., & Smit, F. (2022). Effectiveness of school-based preventive programs in suicidal thoughts and behaviors: A meta-analysis. Journal of Affective Disorders, 298, 408-420. https://doi.org/10.1016/j.jad.2021.10.062
  • Gómez-Delgado, G., Suárez, A. A. G., & Núñez, R. P. (2022). Education And Prevention: Strategies To Prevent Adolescent Suicide. Journal of Pharmaceutical Negative Results, 13, 1711-1721. https://doi.org/10.47750/pnr.2022.13.S08.207
  • González-Sancho, R., & Picado-Cortés, M. (2020). Revisión sistemática de literatura sobre suicidio: factores de riesgo y protectores en jóvenes latinoamericanos 1995- 2017. Actualidades en Psicología, 34(129), 47-69. http://dx.doi.org/10.15517/ap.v34i129.34298
  • Hart, L. M., Morgan, A. J., Rossetto, A., Kelly, C. M., Gregg, K., Gross, M.,... Jorm, A. F. (2022). teen Mental Health First Aid: 12-month outcomes from a cluster crossover randomized controlled trial evaluation of a universal program to help adolescents better support peers with a mental health problem. BMC Public Health, 22(1). https://doi.org/10.1186/s12889-022-13554-6
  • Hernandez-Bello, L., Hueso-Montoro, C., Gomez-Urquiza, J. L., & Cogollo-Milanes, Z. (2020). Prevalence and asociated factor for ideation and suicide attempt in adolescents: a systematic review. Revista Espanola De Salud Publica, 94, e202009094.
  • Holman, M. S., & Williams, M. N. (2022). Suicide Risk and Protective Factors: A Network Approach. Archives of Suicide Research, 26(1), 137-154. https://doi.org/10.1080/13811118.2020.1774454
  • Iglesias Jiménez, L. (2022). Supervivientes al suicidio: Cambios en el ejercicio físico y propuesta para su promoción. http://hdl.handle.net/20.500.12367/1997
  • Jeong, E., Park, J., Kim, Y., & Woo, M. (2021). Aerobic Exercise Mediates Neural Inefficiency Among Adolescents At Risk for Suicide. Perceptual and Motor Skills, 128(3), 1130-1149. https://doi.org/10.1177/0031512521998281
  • Jung, J., & Cho, S. Y. (2020). The Effects of Depression, Anxiety, and Parents’ Support on Suicide Ideation and Attempts by Gender among Korean Adolescents. Journal of Child and Family Studies, 29(5), 1458-1466. https://doi.org/10.1007/s10826-020-01697-2
  • Kahn, J.-P., Cohen, R. F., Tubiana, A., Legrand, K., Wasserman, C., Carli, V.,... Wasserman, D. (2020). Influence of coping strategies on the efficacy of YAM (Youth Aware of Mental Health): a universal school-based suicide preventive program. European Child & Adolescent Psychiatry, 29(12), 1671-1681. https://doi.org/10.1007/s00787-020-01476-w
  • Kennard, B., Mayes, T., King, J., Moorehead, A., Wolfe, K., Hughes, J.,... Emslie, G. (2019). The Development and Feasibility Outcomes of a Youth Suicide Prevention Intensive Outpatient Program. Journal of Adolescent Health, 64(3), 362-369. https://doi.org/10.1016/j.jadohealth.2018.09.015
  • Kim, H. W., Shin, C., Han, K. M., & Han, C. (2019). Effect of physical activity on suicidal ideation differs by gender and activity level. Journal of Affective Disorders, 257, 116-122. https://doi.org/10.1016/j.jad.2019.07.043
  • Kim, H. Y., Nam, E. W., Jin, K. N., & So, A. Y. (2020). Effectiveness of a school-based mental health education program in an impoverished urban area of Peru. Global Health Promotion, 27(1), 77-86. https://doi.org/10.1177/1757975918786728
  • Kim, H., Choi, S.-H., Lee, S.-E., Lee, C. W., Maeng, S., Kim, W.-H.,... Lee, J. S. (2021). Variables Affecting Attitudes Toward Suicide Among the Adolescent Population [Article]. Journal of Nervous and Mental Disease, 209(1), 59-64. https://doi.org/10.1097/nmd.0000000000001258
  • Kim, J. E. (2019). Korean Teachers’ Bereavement Experience Following Student Suicide A Phenomenological Study. Crisis-the Journal of Crisis Intervention and Suicide Prevention, 40(4), 287-293. https://doi.org/10.1027/0227-5910/a000578
  • Kinchin, I., Russell, A. M. T., Petrie, D., Mifsud, A., Manning, L., & Doran, C. M. (2020). 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
  • Lari, M.S., & Sefiddashti, S.E. (2023). Socio-economic, health and environmental factors influencing suicide rates: A cross-country study in the Eastern Mediterranean region. Journal of Forensic and Legal Medicine, 93, 102463. https://doi.org/10.1016/j.jflm.2022.102463
  • Lee, E. J., & Jeong, S. (2021). Analyzing Gender Differences in Factors Affecting Depression among Multicultural Adolescents in South Korea: A Cross-Sectional Study. International Journal of Environmental Research and Public Health, 18(7), 3683. https://doi.org/10.3390/ijerph18073683
  • Lee, S., Dwyer, J., Paul, E., Clarke, D., Treleaven, S., & Roseby, R. (2019). Differences by age and sex in adolescent suicide. Australian and New Zealand Journal of Public Health, 43(3), 248-253. https://doi.org/10.1111/1753-6405.12877
  • Liang, J. Q., Kolves, K., Lew, B., de Leo, D., Yuan, L., Abu Talib, M., & Jia, C. X. (2020). Coping Strategies and Suicidality: A Cross-Sectional Study From China. Frontiers in Psychiatry, 11, 129. https://doi.org/10.3389/fpsyt.2020.00129
  • Loue, S., & Vincent, A. L. (2021). Directions in Veterinary Social Work. Revista Romaneasca Pentru Educatie Multidimensionala, 13(4), 633-651. https://doi.org/10.18662/rrem/13.4/502
  • Martel, S. R., Falcone, M. M., Etkin, R. G., Marin, C. E., Lebowitz, E., & Silverman, W. K. (2022). Do School-Based Accommodations Mitigate Anxiety-Related School Impairment for Socially Anxious Youth?. European journal of education and psychology, 15(2), 7-21. https://doi.org/10.32457/ejep.v15i2.1965
  • McGillivray, L., Shand, F., Calear, A. L., Batterham, P. J., Rheinberger, D., Chen, N. A.,... Torok, M. (2021). The Youth Aware of Mental Health program in Australian Secondary Schools: 3-and 6-month outcomes. International Journal of Mental Health Systems, 15(1), 79. https://doi.org/10.1186/s13033-021-00503-w
  • Muela, A., Balluerka, N., Sansinenea, E., Machimbarrena, J. M., Garcia-Ormaza, J., Ibarretxe, N.,... Baigorri, P. (2021). A Social-Emotional Learning Program for Suicide Prevention through Animal-Assisted Intervention. Animals, 11(12), 3375. https://doi.org/10.3390/ani11123375
  • Organización de Naciones Unidas. (2021). Objetivo 3: Garantizar una vida sana y promover el bienestar para todos en todas las edades. https://www.un.org/sustainabledevelopment/es/health/
  • Organización Mundial de la Salud (2021b). Live life: an implementation guide for suicide prevention in countries. World Health Organization. https://apps.who.int/iris/handle/10665/341726.
  • Organización Mundial de la Salud. (2021a). Suicide Worldwide in 2019. https://www.who.int/publications/i/item/9789240026643
  • Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D.,... Moher, D. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. Journal of Clinical Epidemiology, 134, 178-189. https://doi.org/10.1016/j.jclinepi.2021.03.001
  • Pickering, T. A., Wyman, P. A., & Valente, T. W. (2022). A comparison of peer change agent selection methods: Evidence from a high-school based suicide preventive intervention. BMC Public Health, 22(1). https://doi.org/10.1186/s12889-022-13372-w
  • Platt, S., & Niederkrotenthaler, T. (2020). Suicide Prevention Programs: Evidence Base and Best Practice. Crisis-the Journal of Crisis Intervention and Suicide Prevention, 41, S99-S124. https://doi.org/10.1027/0227-5910/a000671
  • Probert-Lindstrom, S., Vaez, M., Froding, E., Ehnvall, A., Sellin, T., Ambrus, L.,... Westrin, A. (2021). A Retrospective Comparison of Users with and without Previous Suicide Attempts. Archives of Suicide Research. https://doi.org/10.1080/13811118.2021.2006101
  • Roth, S. E., Gill, M., Chan-Golston, A. M., Rice, L. N., Crespi, C. M., Koniak-Griffin, D.,... Prelip, M. L. (2019). Physical Activity Correlates in Middle School Adolescents: Perceived Benefits and Barriers and Their Determinants. Journal of School Nursing, 35(5), 348-358. https://doi.org/10.1177/1059840518780300
  • Singer, J. B., Erbacher, T. A., & Rosen, P. (2019). School-Based Suicide Prevention: A Framework for Evidence-Based Practice. School Mental Health, 11(1), 54-71. https://doi.org/10.1007/s12310-018-9245-8
  • Smith-Millman, M. K., & Flaspohler, P. D. (2019). School-Based Suicide Prevention Laws in Action: A Nationwide Investigation of Principals’ Knowledge of and Adherence to State School-Based Suicide Prevention Laws. School Mental Health, 11(2), 321- 334. https://doi.org/10.1007/s12310-018-9287-y
  • Son, J. M., Jeong, J., Ro, Y. S., Hong, W., Hong, K. J., Song, K. J., & Shin, S. (2020). Effect of previous emergency psychiatric consultation on suicide re-attempts A multi-center observational study. American Journal of Emergency Medicine, 38(9), 1743-1747. https://doi.org/10.1016/j.ajem.2020.05.030
  • Soto Salcedo, A., Villarroel Gruner, P., Veliz Burgos, A., & Dorner Paris, A. (2021). Suicide prevention strategies: a systematic review of programs in iberoamerica. Comunidad Y Salud, 19(2), 28-35.
  • Soto-Sanz, V., Ivorra-Gonzalez, D., Alonso, J., Castellvi, P., Rodriguez-Marin, J., & Antonio Piqueras, J. (2019). Systematic review of adolescent suicide prevention programs in community settings. Revista De Psicologia Clinica Con Ninos Y Adolescentes, 6(3), 62-75.
  • Sufrate-Sorzano, T., Jimenez-Ramon, E., Garrote-Camara, M. E., Gea-Caballero, V., Durante, A., Juarez-Vela, R., & Santolalla-Arnedo, I. (2022). Health Plans for Suicide Prevention in Spain: A Descriptive Analysis of the Published Documents. Nursing Reports, 12(1), 77-89. https://doi.org/10.3390/nursrep12010009
  • Temporelli, P. L. (2021). Is physical activity always good for you? The physical activity paradox. European Heart Journal Supplements, 23(E), E168-E171. https://doi.org/10.1093/eurheartj/suab115
  • Toomey, R. B., Syvertsen, A. K., & Flores, M. (2019). Are Developmental Assets Protective Against Suicidal Behavior? Differential Associations by Sexual Orientation. Journal of Youth and Adolescence, 48(4), 788-801. https://doi.org/10.1007/s10964-018-0954-y
  • Troya, M. I., Spittal, M. J., Pendrous, R., Crowley, G., Gorton, H. C., Russell, K.,... Knipe, D. (2022). Suicide rates amongst individuals from ethnic minority backgrounds: A systematic review and meta-analysis. Eclinicalmedicine, 47, 101399. https://doi.org/10.1016/j.eclinm.2022.101399
  • V. Goldstein, E., Prater, L. C., & Wickizer, T. M. (2022). Preventing Adolescent and Young Adult Suicide: Do States With Greater Mental Health Treatment Capacity Have Lower Suicide Rates?. Journal of Adolescent Health, 70(1), 83-90. https://doi.org/10.1016/j.jadohealth.2021.06.020
  • Wei, Z. Y., & Mukherjee, S. (2021). Health-Behaviors Associated With the Growing Risk of Adolescent Suicide Attempts: A Data-Driven Cross-Sectional Study. American Journal of Health Promotion, 35(5), 688-693. https://doi.org/10.1177/0890117120977378
  • Yildiz, M., Demirhan, E., & Gurbuz, S. (2019a). Contextual Socioeconomic Disadvantage and Adolescent Suicide Attempts: A Multilevel Investigation. Journal of Youth and Adolescence, 48(4), 802-814. https://doi.org/10.1007/s10964-018-0961-z
  • Yildiz, M., Orak, U., Walker, M. H., & Solakoglu, O. (2019b). Suicide contagion, gender, and suicide attempts among adolescents. Death Studies, 43(6), 365-371. https://doi.org/10.1080/07481187.2018.1478914
  • Yip, B., Liu, L. S., & Kim, S. J. (2021). Exploring cultural risk factors for suicide in Asian American, European American, and Hispanic American adolescents. Current Psychology. https://doi.org/10.1007/s12144-021-02399-8