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The Role of Technology and the Continuum of Care for Youth Suicidality: Systematic Review

BACKGROUND: Youth suicide is a global public health issue, and using technology is one strategy to increase participation in preventive interventions. However, there is minimal knowledge on how technology-enhanced interventions for youth correspond to the stages of care, from illness or risk recogni...

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Autores principales: Szlyk, Hannah, Tan, Jia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: JMIR Publications 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7584980/
https://www.ncbi.nlm.nih.gov/pubmed/33034568
http://dx.doi.org/10.2196/18672
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author Szlyk, Hannah
Tan, Jia
author_facet Szlyk, Hannah
Tan, Jia
author_sort Szlyk, Hannah
collection PubMed
description BACKGROUND: Youth suicide is a global public health issue, and using technology is one strategy to increase participation in preventive interventions. However, there is minimal knowledge on how technology-enhanced interventions for youth correspond to the stages of care, from illness or risk recognition to treatment follow-up. OBJECTIVE: This systematic review aims to examine the efficacy of technology-enhanced youth suicide prevention and interventions across the continuum of care. METHODS: Four electronic databases were searched up to spring 2019 for youth suicide preventive interventions that used technology. The review was not restricted by study design and eligible studies could report outcomes on suicidality or related behaviors, such as formal treatment initiation. An adapted version of the Methodological Quality Ratings Scale was used to assess study quality. RESULTS: A total of 26 studies were identified. The findings support the emerging efficacy of technology-enhanced interventions, including a decline in suicidality and an increase in proactive behaviors. However, evidence suggests that there are gaps in the continuum of care and recent study samples do not represent the diverse identities of vulnerable youth. CONCLUSIONS: The majority of identified studies were conducted in school settings and were universal interventions that aligned with the illness and risk recognition and help-seeking stages of the continuum of care. This field could be strengthened by having future studies target the stages of assessment and treatment initiation, include diverse youth demographics, and examine the varying roles of providers and technological components in emerging interventions.
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spelling pubmed-75849802020-10-28 The Role of Technology and the Continuum of Care for Youth Suicidality: Systematic Review Szlyk, Hannah Tan, Jia J Med Internet Res Review BACKGROUND: Youth suicide is a global public health issue, and using technology is one strategy to increase participation in preventive interventions. However, there is minimal knowledge on how technology-enhanced interventions for youth correspond to the stages of care, from illness or risk recognition to treatment follow-up. OBJECTIVE: This systematic review aims to examine the efficacy of technology-enhanced youth suicide prevention and interventions across the continuum of care. METHODS: Four electronic databases were searched up to spring 2019 for youth suicide preventive interventions that used technology. The review was not restricted by study design and eligible studies could report outcomes on suicidality or related behaviors, such as formal treatment initiation. An adapted version of the Methodological Quality Ratings Scale was used to assess study quality. RESULTS: A total of 26 studies were identified. The findings support the emerging efficacy of technology-enhanced interventions, including a decline in suicidality and an increase in proactive behaviors. However, evidence suggests that there are gaps in the continuum of care and recent study samples do not represent the diverse identities of vulnerable youth. CONCLUSIONS: The majority of identified studies were conducted in school settings and were universal interventions that aligned with the illness and risk recognition and help-seeking stages of the continuum of care. This field could be strengthened by having future studies target the stages of assessment and treatment initiation, include diverse youth demographics, and examine the varying roles of providers and technological components in emerging interventions. JMIR Publications 2020-10-09 /pmc/articles/PMC7584980/ /pubmed/33034568 http://dx.doi.org/10.2196/18672 Text en ©Hannah Szlyk, Jia Tan. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 09.10.2020. https://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in the Journal of Medical Internet Research, is properly cited. The complete bibliographic information, a link to the original publication on http://www.jmir.org/, as well as this copyright and license information must be included.
spellingShingle Review
Szlyk, Hannah
Tan, Jia
The Role of Technology and the Continuum of Care for Youth Suicidality: Systematic Review
title The Role of Technology and the Continuum of Care for Youth Suicidality: Systematic Review
title_full The Role of Technology and the Continuum of Care for Youth Suicidality: Systematic Review
title_fullStr The Role of Technology and the Continuum of Care for Youth Suicidality: Systematic Review
title_full_unstemmed The Role of Technology and the Continuum of Care for Youth Suicidality: Systematic Review
title_short The Role of Technology and the Continuum of Care for Youth Suicidality: Systematic Review
title_sort role of technology and the continuum of care for youth suicidality: systematic review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7584980/
https://www.ncbi.nlm.nih.gov/pubmed/33034568
http://dx.doi.org/10.2196/18672
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