The effectiveness of psychoanalytic/psychodynamic psychotherapy for reducing suicide attempts and self-harm: systematic review and meta-analysis

The British Journal of Psychiatry : the Journal of Mental Science
Stephen BriggsReinhard Lindner

Abstract

Preventing suicide and self-harm is a global health priority. Although there is a growing evidence base for the effectiveness of psychoanalytic and psychodynamic psychotherapies for a range of disorders, to date there has been no systematic review of its effectiveness in reducing suicidal and self-harming behaviours.AimsTo systematically review randomised controlled trials of psychoanalytic and psychodynamic psychotherapies for suicidal attempts and self-harm. We searched PubMed, PsycINFO, Psycharticles, CINAHL, EMBASE and the Cochrane Central Register of Controlled Trials for randomise controlled trials of psychoanalytic and psychodynamic psychotherapies for reducing suicide attempts and self-harm. Twelve trials (17 articles) were included in the meta-analyses. Psychoanalytic and psychodynamic therapies were effective in reducing the number of patients attempting suicide (pooled odds ratio, 0.469; 95% CI 0.274-0.804). We found some evidence for significantly reduced repetition of self-harm at 6-month but not 12-month follow-up. Significant treatment effects were also found for improvements in psychosocial functioning and reduction in number of hospital admissions. Psychoanalytic and psychodynamic psychotherapies are indicated ...Continue Reading

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Apr 19, 2019·Evidence-based Nursing·Kirsty E Fishburn, Andrew Paul Barker
Sep 17, 2019·Trauma, Violence & Abuse·George Karpetis
Apr 23, 2021·The Cochrane Database of Systematic Reviews·Katrina G WittKeith Hawton
Dec 9, 2021·Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz·Tobias Teismann, Anja Gysin-Maillart

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