Palavras-chave
Suicídio
Prevenção do suicídio
Como Citar
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Resumo
Objetivo: Avaliar a eficácia de intervenções multiníveis na prevenção do suicídio, com foco em ensaios clínicos randomizados. Métodos: Trata-se de uma revisão sistemática com meta-análise, conduzida através das diretrizes PRISMA e registrada no PROSPERO, incluindo buscas nas bases PubMed e PsycINFO. Os dados foram analisados através da meta-análise, forest-plot e I2, foi considerado o p < 0,05. Resultados: Foram analisados 60 estudos qualitativamente e 15 quantitativamente, totalizando 7.327 participantes no grupo intervenção e 8.577 no controle. Os resultados indicaram efeito global significativo favorável às intervenções (d = -0,32; IC95%: -0,33 a -0,31; Z = 47,43; p < 0,00001). As intervenções baseadas em terapia cognitivo-comportamental mostraram maior eficácia. Conclusão: Conclui-se que intervenções multiníveis são efetivas na redução da ideação suicida e sintomas associados, embora a elevada heterogeneidade e a concentração de estudos em países de alta renda apontem para a necessidade de adaptações contextuais e ampliação de pesquisas em diferentes realidades socioculturais.
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