Simulation training in suicide risk assessment and intervention: a systematic review and meta-analysis
ABSTRACTPurpose. Suicide is a major cause of preventable death worldwide. Adequate training in risk assessment and intervention is key to suicide prevention. The use of simulation (role plays, simulated patients, virtual reality…) for practical training is a promising tool in mental health. The purp...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2023-12-01
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| Series: | Medical Education Online |
| Subjects: | |
| Online Access: | https://www.tandfonline.com/doi/10.1080/10872981.2023.2199469 |
| _version_ | 1797450049946386432 |
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| author | Océane Richard Fabrice Jollant Grégoire Billon Chris Attoe Dominique Vodovar Marie-Aude Piot |
| author_facet | Océane Richard Fabrice Jollant Grégoire Billon Chris Attoe Dominique Vodovar Marie-Aude Piot |
| author_sort | Océane Richard |
| collection | DOAJ |
| description | ABSTRACTPurpose. Suicide is a major cause of preventable death worldwide. Adequate training in risk assessment and intervention is key to suicide prevention. The use of simulation (role plays, simulated patients, virtual reality…) for practical training is a promising tool in mental health. The purpose of this study was to assess the effectiveness of simulation training in suicide risk assessment and intervention for healthcare professionals and gatekeepers. Methods. We conducted a systematic review in Medline and PsycINFO up to 31 July 2021 of randomized controlled trials (RCTs), non-randomized controlled trials, and pre/post-test studies. RCTs were furthermore included in a meta-analysis. We assessed the methodological quality of all studies with the Medical Education Research Study Quality Instrument, and the Cochrane Risk of Bias tool 2.0 for RCTs. Primary outcomes were changes in Kirkpatrick criteria: attitudes, skills, knowledge, behaviors, and patient outcomes. Results. We included 96 articles representing 43,656 participants. Most pre/post-test (n = 65) and non-randomized controlled (n = 14) studies showed significant improvement in attitudes, skills, knowledge, and behaviors. The meta-analysis of 11 RCTs showed positive changes in attitudes immediately after training and at 2–4 months post-training; in self-perceived skills at 6 months post-training; but not in factual knowledge. Studies assessing benefits for patients are still limited. Conclusions. The heterogeneity of methodological designs, interventions, and trained populations combined with a limited number of RCTs and studies on patients’ outcomes limit the strength of the evidence. However, preliminary findings suggest that simulation is promising for practical training in suicidal crisis intervention and should be further studied. |
| first_indexed | 2024-03-09T14:33:58Z |
| format | Article |
| id | doaj.art-a5859808a4554f4c8fe405c84f4d0dc5 |
| institution | Directory Open Access Journal |
| issn | 1087-2981 |
| language | English |
| last_indexed | 2024-03-09T14:33:58Z |
| publishDate | 2023-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Medical Education Online |
| spelling | doaj.art-a5859808a4554f4c8fe405c84f4d0dc52023-11-27T16:01:58ZengTaylor & Francis GroupMedical Education Online1087-29812023-12-0128110.1080/10872981.2023.2199469Simulation training in suicide risk assessment and intervention: a systematic review and meta-analysisOcéane Richard0Fabrice Jollant1Grégoire Billon2Chris Attoe3Dominique Vodovar4Marie-Aude Piot5Department of child and adolescent psychiatry,Université Paris Cité, AP-HP, Academic Hospital Necker-Enfants Malades, Reference center for autism and learning disorders, Paris, FranceDepartment of psychiatry, CHU Bicêtre, APHP, Le Kremlin-Bicêtre, France; Department of psychiatry, CHU Nimes, Nimes, France; Department of Psychiatry, School of Medicine, Paris-Saclay University, le Kremlin-Bicêtre, France; McGill University, McGill Group for Suicide Studies, Montreal, Canada; Moods Team, INSERM UMR-1178, CESP, Le Kremlin-Bicêtre, FranceMental helath simulation center, Maudsley Learning, South London and Maudsley NHS Foundation Trust, London, UKMental helath simulation center, Maudsley Learning, South London and Maudsley NHS Foundation Trust, London, UKUniversité Paris Cité, UFR de médecine, 75010 Paris; UMRS 1144, Faculté de pharmacie, 75006 Paris; Centre AntiPoison de Paris, ParisDepartment of child and adolescent psychiatry, Université Paris Cité, AP-HP, Academic Hospital Necker-Enfants Malades Reference center for autism and learning disorders; Ilumens, Simulation Center; Paris-Saclay University, Paris, FranceABSTRACTPurpose. Suicide is a major cause of preventable death worldwide. Adequate training in risk assessment and intervention is key to suicide prevention. The use of simulation (role plays, simulated patients, virtual reality…) for practical training is a promising tool in mental health. The purpose of this study was to assess the effectiveness of simulation training in suicide risk assessment and intervention for healthcare professionals and gatekeepers. Methods. We conducted a systematic review in Medline and PsycINFO up to 31 July 2021 of randomized controlled trials (RCTs), non-randomized controlled trials, and pre/post-test studies. RCTs were furthermore included in a meta-analysis. We assessed the methodological quality of all studies with the Medical Education Research Study Quality Instrument, and the Cochrane Risk of Bias tool 2.0 for RCTs. Primary outcomes were changes in Kirkpatrick criteria: attitudes, skills, knowledge, behaviors, and patient outcomes. Results. We included 96 articles representing 43,656 participants. Most pre/post-test (n = 65) and non-randomized controlled (n = 14) studies showed significant improvement in attitudes, skills, knowledge, and behaviors. The meta-analysis of 11 RCTs showed positive changes in attitudes immediately after training and at 2–4 months post-training; in self-perceived skills at 6 months post-training; but not in factual knowledge. Studies assessing benefits for patients are still limited. Conclusions. The heterogeneity of methodological designs, interventions, and trained populations combined with a limited number of RCTs and studies on patients’ outcomes limit the strength of the evidence. However, preliminary findings suggest that simulation is promising for practical training in suicidal crisis intervention and should be further studied.https://www.tandfonline.com/doi/10.1080/10872981.2023.2199469Suicidesuicidal ideationteachingsimulation trainingMental disorders |
| spellingShingle | Océane Richard Fabrice Jollant Grégoire Billon Chris Attoe Dominique Vodovar Marie-Aude Piot Simulation training in suicide risk assessment and intervention: a systematic review and meta-analysis Medical Education Online Suicide suicidal ideation teaching simulation training Mental disorders |
| title | Simulation training in suicide risk assessment and intervention: a systematic review and meta-analysis |
| title_full | Simulation training in suicide risk assessment and intervention: a systematic review and meta-analysis |
| title_fullStr | Simulation training in suicide risk assessment and intervention: a systematic review and meta-analysis |
| title_full_unstemmed | Simulation training in suicide risk assessment and intervention: a systematic review and meta-analysis |
| title_short | Simulation training in suicide risk assessment and intervention: a systematic review and meta-analysis |
| title_sort | simulation training in suicide risk assessment and intervention a systematic review and meta analysis |
| topic | Suicide suicidal ideation teaching simulation training Mental disorders |
| url | https://www.tandfonline.com/doi/10.1080/10872981.2023.2199469 |
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