Your browser doesn't support javascript.
loading
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.
Afiliação
  • Grande AJ; PhD. Physical Educator and Adjunct Professor, Medical Course, Universidade Estadual de Mato Grosso do Sul (UEMS), Campo Grande (MS), Brazil.
  • Elia C; MSc. Dietitian and Research Assistant, Department of Nutrition, School of Life Course and Population Sciences, Faculty of Life Sciences & Medicine, King's College London, Franklin Wilkins Building, London, United Kingdom.
  • Peixoto C; PhD. Psychologist and Adjunct Professor, Medical Course, Universidade Estadual de Mato Grosso do Sul (UEMS), Campo Grande (MS), Brazil.
  • Jardim PTC; PhD. Dentist and Adjunct Professor, Medical Course, Universidade Estadual de Mato Grosso do Sul (UEMS), Campo Grande (MS), Brazil.
  • Dazzan P; PhD. Physician and Professor, Institute of Psychiatry, Psychology and Neuroscience, Kings College London, Denmark Hill Campus, London, United Kingdom.
  • Veras AB; PhD. Physician and Adjunct Professor, Medical Course, Universidade Estadual de Mato Grosso do Sul (UEMS), Campo Grande (MS), Brazil.
  • Cruickshank JK; MBChB, MD. Physician and Professor of Cardiovascular Medicine & Diabetes, Department of Nutrition, School of Life Course and Population Sciences, Faculty of Life Sciences & Medicine, King's College London, Franklin Wilkins Building, London, United Kingdom.
  • Rosa MID; PhD. Physician and Professor, Translational Psychiatry Laboratory, Postgraduate Program in Health Sciences, Universidade do Extremo Sul Catarinense (UNESC), Criciúma (SC), Brazil.
  • Harding S; PhD. Professor of Social Epidemiology, Department of Population Health Sciences, School of Life Course and Population Sciences, Faculty of Life Sciences & Medicine, King's College London, Franklin Wilkins Building, London, United Kingdom.
Sao Paulo Med J ; 140(3): 486-498, 2022.
Article em En | MEDLINE | ID: mdl-35508004
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.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Saúde Mental / Prevenção do Suicídio Tipo de estudo: Clinical_trials / Guideline / Prognostic_studies / Risk_factors_studies / Systematic_reviews Limite: Adolescent / Humans País/Região como assunto: America do sul / Brasil Idioma: En Revista: Sao Paulo Med J Assunto da revista: MEDICINA Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Saúde Mental / Prevenção do Suicídio Tipo de estudo: Clinical_trials / Guideline / Prognostic_studies / Risk_factors_studies / Systematic_reviews Limite: Adolescent / Humans País/Região como assunto: America do sul / Brasil Idioma: En Revista: Sao Paulo Med J Assunto da revista: MEDICINA Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil