Home Articles List Article Information
International Journal of Travel Medicine and Global Health
Journal Archive
Volume Volume 6 (2018)
Volume Volume 5 (2017)
Volume Volume 4 (2016)
Volume Volume 3 (2015)
Volume Volume 2 (2014)
Volume Volume 1 (2013)
Mehdizadeh, P., Mobinizadeh, M., Dopeykar, N., Amini, H., Farzaneh, A., Mashalchi, M., Kiani, A. (2014). Health Technology Assessment of the Psychotherapy Effect on Prevention of Suicide and Self-Harm: A Rapid Review of Secondary Studies. International Journal of Travel Medicine and Global Health, 2(1), 39-43.
Parisa Mehdizadeh; Mohammadreza Mobinizadeh; Nooredin Dopeykar; Hosein Amini; Ali Farzaneh; Majid Mashalchi; Alireza Kiani. "Health Technology Assessment of the Psychotherapy Effect on Prevention of Suicide and Self-Harm: A Rapid Review of Secondary Studies". International Journal of Travel Medicine and Global Health, 2, 1, 2014, 39-43.
Mehdizadeh, P., Mobinizadeh, M., Dopeykar, N., Amini, H., Farzaneh, A., Mashalchi, M., Kiani, A. (2014). 'Health Technology Assessment of the Psychotherapy Effect on Prevention of Suicide and Self-Harm: A Rapid Review of Secondary Studies', International Journal of Travel Medicine and Global Health, 2(1), pp. 39-43.
Mehdizadeh, P., Mobinizadeh, M., Dopeykar, N., Amini, H., Farzaneh, A., Mashalchi, M., Kiani, A. Health Technology Assessment of the Psychotherapy Effect on Prevention of Suicide and Self-Harm: A Rapid Review of Secondary Studies. International Journal of Travel Medicine and Global Health, 2014; 2(1): 39-43.

Health Technology Assessment of the Psychotherapy Effect on Prevention of Suicide and Self-Harm: A Rapid Review of Secondary Studies

Article 7, Volume 2, Issue 1, Winter 2014, Page 39-43  XML PDF (424 K)
Authors
Parisa Mehdizadeh1; Mohammadreza Mobinizadeh2; Nooredin Dopeykar 3; Hosein Amini4; Ali Farzaneh5; Majid Mashalchi6; Alireza Kiani7
1Health Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
2Young Researchers and Elites Club, Science and Research Branch, Islamic Azad University, Tehran, Iran.
3Health Management and Economics Sciences Re-search Center, Iran University of Medical Sciences, Tehran, Iran
4Health Management Research Centre, Baqiyatallah University of Medical Sciences, Tehran, Iran
5Qazvin University of Medical Sciences, Qazvin, Iran
6Armed Forces Medical Services Insurance Organization, Tehran, Iran
7Department of Health Service Management, School of Management and Economics, Science and Re-search Branch, Islamic Azad University, Tehran, Iran
Receive Date: 22 January 2014,  Revise Date: 01 March 2014,  Accept Date: 01 March 2014 
Abstract
Introduction: According to the World Health Organization (WHO) report, acute depression disorders are the second largest health problem in the world which can cause disability and imposes huge costs on individuals and societies. This study aims to investigate the effectiveness and cost-effectiveness of using psychotherapy in patients with depression for prevention of suicide and self harm commitment.

Methods: Cochrane library (Issue 10, 2012) and CRD (Centre for Review and Dissemination) were searched using Mesh. Studies that compared psychotherapy with different alternative methods such as antidepressant drugs and used outcomes such as self-harm or suicide rates were included.

Results: Eighteen articles were included in this review. Most of them showed that using psychotherapy as only suicide preventive method cannot be sufficiently effective, so that in the one of the included meta-analysis was shown that the effect of psychotherapy on suicide imagination and the risk of suicide were small. In terms of cost-effectiveness, it seems that MACT (Manual-assisted cognitive behavior therapy) is a cost-effective method in prevention of self-harm.

Conclusion: Generally, it seems that using combination of therapeutic methods will increase the effectiveness of suicide and self-harm prevention methods.
Keywords
Depression; Suicide; psychotherapy; Health Technology Assessment
References
  1. Jakobsen JC, Hansen JL, Simonsen S, Simonsen E, Gluud C. Effects of cognitive therapy versus interpersonal psychotherapy in patients with major depressive disorder: a systematic review of randomized clinical trials with meta-analyses and trial sequential analyses. Psychological medicine. 2012;42(7):1343-57. PubMed PMID: 22051174
  2. Crawford MJ, Thomas O, Khan N, Kulinskaya E. Psychosocial interventions following self-harm: systematic review of their efficacy in preventing suicide. The British journal of psychiatry: the journal of mental science. 2007;190:11-7. PubMed PMID: 17197651
  3. Hawton K, Arensman E, Townsend E, Bremner S, Feldman E, Goldney R, et al. Deliberate self harm: systematic review of efficacy of psychosocial and pharmacological treatments in preventing repetition. Bmj. 1998;317(7156):441-7. PubMed PMID: 9703526
  4. Byford S, Knapp M, Greenshields J, Ukoumunne OC, Jones V, Thompson S, et al. Cost-effectiveness of brief cognitive behaviour therapy versus treatment as usual in recurrent deliberate self-harm: a decision-making approach. Psychological medicine. 2003;33(6):977-86. PubMed PMID: 12946082
  5. Burns J, Dudley M, Hazell P, Patton G. Clinical management of deliberate self-harm in young people: the need for evidence-based approaches to reduce repetition. The Australian and New Zealand journal of psychiatry. 2005;39(3):121-8. PubMed PMID: 15701059
  6. Cuijpers P, de Beurs DP, van Spijker BA, Berking M, Andersson G, Kerkhof AJ. The effects of psychotherapy for adult depression on suicidality and hopelessness: a systematic review and meta-analysis. Journal of affective disorders. 2013;144(3):183-90.PubMed PMID: 22832172
  7. Ougrin D, Latif S. Specific psychological treatment versus treatment as usual in adolescents with self-harm: systematic review and meta-analysis. Crisis. 2011;32(2):74-80.PubMed PMID: 21616756
  8. Linehan MM. Behavioral treatments of suicidal behaviors. Definitional obfuscation and treatment outcomes. Annals of the New York Academy of Sciences. 1997;836:302-28. PubMed PMID: 9616806
  9. Arensman E, Townsend E, Hawton K, Bremner S, Feldman E, Goldney R, et al. Psychosocial and pharmacological treatment of patients following deliberate self-harm: the methodological issues involved in evaluating effectiveness. Suicide & life-threatening behavior. 2001;31(2):169-80. PubMed PMID: 11459249
  10. Tyrer P, Tom B, Byford S, Schmidt U, Jones V, Davidson K, et al. Differential effects of manual assisted cognitive behavior therapy in the treatment of recurrent deliberate self-harm and personality disturbance: the POPMACT study. Journal of personality disorders. 2004;18(1):102-16. PubMed PMID: 15061347
  11. Vos T, Corry J, Haby MM, Carter R, Andrews G. Cost-effectiveness of cognitive-behavioural therapy and drug interventions for major depression. The Australian and New Zealand journal of psychiatry. 2005;39(8):683-92. PubMed PMID: 16050922
  12. Palmer S, Davidson K, Tyrer P, Gumley A, Tata P, Norrie J, et al. The cost-effectiveness of cognitive behavior therapy for borderline personality disorder: results from the BOSCOT trial. Journal of personality disorders. 2006;20(5):466-81.PubMed PMID: 17032159
  13. Sobocki P, Ekman M, Agren H, Jonsson B, Rehnberg C. Model to assess the cost-effectiveness of new treatments for depression. International journal of technology assessment in health care. 2006;22(4):469-77.  PubMed PMID: 16984680
  14. National Collaborating Centre for Mental H. National Institute for Health and Clinical Excellence: Guidance.  Self-Harm: The Short-Term Physical and Psychological Management and Secondary Prevention of Self-Harm in Primary and Secondary Care. Leicester (UK): British Psychological SocietyThe British Psychological Society & The Royal College of Psychiatrists.; 2004. PubMed PMID: 21834185
  15. Donker T, Griffiths KM, Cuijpers P, Christensen H. Psychoeducation for depression, anxiety and psychological distress: a meta-analysis. BMC medicine. 2009;7:79.7. PubMed PMID: 20015347               
  16. National Collaborating Centre for Mental Health. National Institute for Health and Clinical Excellence: Guidance.  Depression in Children and Young People: Identification and Management in Primary, Community and Secondary Care. Leicester (UK): British Psychological Society; 2005. PubMed PMID: 21834190
  17. Townsend E, Hawton K, Altman DG, Arensman E, Gunnell D, Hazell P, et al. The efficacy of problem-solving treatments after deliberate self-harm: meta-analysis of randomized controlled trials with respect to depression, hopelessness and improvement in problems. Psychological medicine. 2001;31(6):979-88. PubMed PMID: 11513383
  18. Guo B, Scott A, Bowker S. Suicide prevention strategies: evidence from systematic reviews. Edmonton: Alberta Heritage Foundation for Medical Research (AHFMR). HTA 28. 2003.
Statistics
Article View: 349
PDF Download: 119