Facilitators and barriers to implementation of suicide prevention interventions: Scoping review
We know that suicide is preventable, yet hundreds of thousands of people still die due to suicide every year. Many interventions were proven to be effective, and dozens of others showed promising results. However, translating these interventions into new settings brings several challenges. One of th...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2023-01-01
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| Series: | Cambridge Prisms: Global Mental Health |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S2054425123000092/type/journal_article |
| _version_ | 1797859452312879104 |
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| author | Alexandr Kasal Roksana Táborská Laura Juríková Alexander Grabenhofer-Eggerth Michaela Pichler Beate Gruber Hana Tomášková Thomas Niederkrotenthaler |
| author_facet | Alexandr Kasal Roksana Táborská Laura Juríková Alexander Grabenhofer-Eggerth Michaela Pichler Beate Gruber Hana Tomášková Thomas Niederkrotenthaler |
| author_sort | Alexandr Kasal |
| collection | DOAJ |
| description | We know that suicide is preventable, yet hundreds of thousands of people still die due to suicide every year. Many interventions were proven to be effective, and dozens of others showed promising results. However, translating these interventions into new settings brings several challenges. One of the crucial obstacles to success is not anticipating possible barriers to implementation nor enhancing possible benefits of factors facilitating the implementation. While we witnessed great support for suicide prevention activities globally in the past years, implementation barriers and facilitating factors are yet to be comprehensively mapped to help implementation activities worldwide. This scoping review maps current knowledge on facilitators and barriers to the implementation of suicide prevention interventions while using the Consolidated Framework for Implementation Research (CFIR) for classification. We included 64 studies. Barriers and facilitators were most commonly identified in the outer setting CFIR domain, namely in the sub-domain of patient needs and resources, which refers to the way in which these needs and resources are reflected by the reviewed interventions. The second most saturated CFIR domain for facilitators was intervention characteristics, where relative advantage, adaptability and cost of intervention sub-domains were equally represented. These sub-domains refer mostly to how the intervention is perceived by key stakeholders, to what extent it can be tailored to the implementation context and how much it costs. While intervention characteristics domain was the second most common also for barriers, the complexity sub-domain referring to high perceived difficulty of implementation was the most frequently represented. With reference to the results, we recommend adapting interventions to the needs of the target groups. Furthermore, carefully selecting the intervention to suit the target context concerning their adaptability, costs and complexity is vital for a successful implementation. Further implications for practice and research are discussed. |
| first_indexed | 2024-04-09T21:29:42Z |
| format | Article |
| id | doaj.art-dd6eb1e27bdc4b9eb40e233d65d8a078 |
| institution | Directory Open Access Journal |
| issn | 2054-4251 |
| language | English |
| last_indexed | 2024-04-09T21:29:42Z |
| publishDate | 2023-01-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | Cambridge Prisms: Global Mental Health |
| spelling | doaj.art-dd6eb1e27bdc4b9eb40e233d65d8a0782023-03-27T10:48:24ZengCambridge University PressCambridge Prisms: Global Mental Health2054-42512023-01-011010.1017/gmh.2023.9Facilitators and barriers to implementation of suicide prevention interventions: Scoping reviewAlexandr Kasal0https://orcid.org/0000-0002-9877-5706Roksana Táborská1Laura Juríková2Alexander Grabenhofer-Eggerth3Michaela Pichler4Beate Gruber5Hana Tomášková6Thomas Niederkrotenthaler7Department of Public Mental Health, National Institute of Mental Health, Klecany, Czech Republic Faculty of Social Sciences, Charles University, Prague, Czech RepublicDepartment of Public Mental Health, National Institute of Mental Health, Klecany, Czech RepublicDepartment of Public Mental Health, National Institute of Mental Health, Klecany, Czech Republic Department of Psychology, Faculty of Arts, Charles University, Prague, Czech RepublicDepartment of Psychosocial Health, Gesundheit Österreich GmbH, Wien, AustriaDepartment of Psychosocial Health, Gesundheit Österreich GmbH, Wien, AustriaDepartment of Psychosocial Health, Gesundheit Österreich GmbH, Wien, AustriaDepartment of Public Mental Health, National Institute of Mental Health, Klecany, Czech Republic Department of Psychology, Faculty of Arts, Charles University, Prague, Czech RepublicCenter for Public Health, Department of Social and Preventive Medicine, Wien, AustriaWe know that suicide is preventable, yet hundreds of thousands of people still die due to suicide every year. Many interventions were proven to be effective, and dozens of others showed promising results. However, translating these interventions into new settings brings several challenges. One of the crucial obstacles to success is not anticipating possible barriers to implementation nor enhancing possible benefits of factors facilitating the implementation. While we witnessed great support for suicide prevention activities globally in the past years, implementation barriers and facilitating factors are yet to be comprehensively mapped to help implementation activities worldwide. This scoping review maps current knowledge on facilitators and barriers to the implementation of suicide prevention interventions while using the Consolidated Framework for Implementation Research (CFIR) for classification. We included 64 studies. Barriers and facilitators were most commonly identified in the outer setting CFIR domain, namely in the sub-domain of patient needs and resources, which refers to the way in which these needs and resources are reflected by the reviewed interventions. The second most saturated CFIR domain for facilitators was intervention characteristics, where relative advantage, adaptability and cost of intervention sub-domains were equally represented. These sub-domains refer mostly to how the intervention is perceived by key stakeholders, to what extent it can be tailored to the implementation context and how much it costs. While intervention characteristics domain was the second most common also for barriers, the complexity sub-domain referring to high perceived difficulty of implementation was the most frequently represented. With reference to the results, we recommend adapting interventions to the needs of the target groups. Furthermore, carefully selecting the intervention to suit the target context concerning their adaptability, costs and complexity is vital for a successful implementation. Further implications for practice and research are discussed.https://www.cambridge.org/core/product/identifier/S2054425123000092/type/journal_articlesuicideself-harminterventionsbarriersimplementationfacilitators |
| spellingShingle | Alexandr Kasal Roksana Táborská Laura Juríková Alexander Grabenhofer-Eggerth Michaela Pichler Beate Gruber Hana Tomášková Thomas Niederkrotenthaler Facilitators and barriers to implementation of suicide prevention interventions: Scoping review Cambridge Prisms: Global Mental Health suicide self-harm interventions barriers implementation facilitators |
| title | Facilitators and barriers to implementation of suicide prevention interventions: Scoping review |
| title_full | Facilitators and barriers to implementation of suicide prevention interventions: Scoping review |
| title_fullStr | Facilitators and barriers to implementation of suicide prevention interventions: Scoping review |
| title_full_unstemmed | Facilitators and barriers to implementation of suicide prevention interventions: Scoping review |
| title_short | Facilitators and barriers to implementation of suicide prevention interventions: Scoping review |
| title_sort | facilitators and barriers to implementation of suicide prevention interventions scoping review |
| topic | suicide self-harm interventions barriers implementation facilitators |
| url | https://www.cambridge.org/core/product/identifier/S2054425123000092/type/journal_article |
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