Responding to Suicide in School Communities: An Examination of Postvention Guidance from Expert Recommendations and Empirical Studies.

IF 5.5 2区 医学 Q1 PSYCHIATRY Current Psychiatry Reports Pub Date : 2023-08-01 DOI:10.1007/s11920-023-01431-x
James Aluri, Jessi M Haddad, Susan Parke, Victor Schwartz, Shashank V Joshi, Meera Menon, Rachel C Conrad
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Abstract

Purpose of review: We review the published literature on a school's response after a student dies by suicide ("postvention"). We examine published recommendations based on expert guidance and empirical studies that have evaluated postvention measures.

Recent findings: Experts recommend careful communication with family, staff, and students that adheres to published suicide reporting guidelines. Experts also emphasize the importance of identifying and supporting high-risk students. Few robust, controlled studies have identified effective postvention measures. Effective measures tended to occur in group settings (e.g., group therapy), focus on improving grief symptoms, and involve mental health professionals. Postvention has not been robustly studied in the school context. Expert recommendations and a few evidence-backed studies provide the frame for a coherent, school-based postvention response. Further research is needed to strengthen and expand our collective understanding of effective postvention measures in the school context as youth suicide attempts continue to rise.

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对学校社区自杀的回应:从专家建议和实证研究对预防指导的考察。
回顾的目的:我们回顾了已发表的关于学校对学生自杀后的反应的文献(“事后处理”)。我们审查了基于专家指导和评估后续措施的实证研究的已发表的建议。最近的发现:专家建议与家人、员工和学生认真沟通,遵守已公布的自杀报告指南。专家们还强调了识别和支持高危学生的重要性。很少有强有力的对照研究确定了有效的预防措施。有效的措施往往发生在团体环境中(例如,团体治疗),注重改善悲伤症状,并有心理健康专业人员参与。在学校背景下,后发性行为还没有得到强有力的研究。专家建议和一些有证据支持的研究为连贯的、以学校为基础的事后应对提供了框架。随着青少年自杀企图的持续上升,需要进一步的研究来加强和扩大我们对学校背景下有效预防措施的集体理解。
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来源期刊
CiteScore
11.30
自引率
3.00%
发文量
68
审稿时长
6-12 weeks
期刊介绍: This journal aims to review the most important, recently published research in psychiatry. By providing clear, insightful, balanced contributions by international experts, the journal intends to serve all those involved in the care of those affected by psychiatric disorders. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as anxiety, medicopsychiatric disorders, and schizophrenia and other related psychotic disorders. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.
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