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Meta-Analysis
. 2020 Feb;50(1):151-179.
doi: 10.1111/sltb.12583. Epub 2019 Aug 26.

A Systematic Review of the Evidence Supporting Mobile- and Internet-Based Psychological Interventions For Self-Harm

Usman Arshad  1 , Farhat-Ul-Ain  1 , Jessica Gauntlett  2 , Nusrat Husain  2 , Nasim Chaudhry  1 , Peter James Taylor  2
Affiliations
Meta-Analysis

A Systematic Review of the Evidence Supporting Mobile- and Internet-Based Psychological Interventions For Self-Harm

Usman Arshad et al. Suicide Life Threat Behav. 2020 Feb.

Abstract

Objectives: Internet- and mobile phone-based psychological interventions have the potential to overcome many of the barriers associated with accessing traditional face-to-face therapy. Self-injurious thoughts and behaviors (STB) are prevalent global health problems that may benefit from Internet- and mobile-based interventions. We provide a systematic review and meta-analysis of studies evaluating mobile- and Internet-based interventions for STB, including nonsuicidal self-injury (NSSI).

Methods: Online databases (PsycINFO, Web of Science, Medline) were searched up to March 2019 for single-arm and controlled trials of Internet- or mobile-based interventions for STB. The potential for bias was assessed using the Cochrane risk of bias tool.

Results: Twenty-two eligible trials were identified. The research was limited by a lack of controlled designs and small samples. Evidence supports the acceptability of interventions. There is preliminary evidence that these interventions are associated with a decline in STB. A meta-analysis suggested a positive treatment effect on suicidal ideation when compared to treatment as usual, but not when trials with active controls were also considered.

Conclusions: Overall, Internet- and mobile-based interventions show promise and further controlled trials are warranted, focusing on behavioral outcomes (NSSI, suicidal behavior). This review was preregistered with PROSPERO (CRD42017074065).

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Figures

Figure 1
Figure 1
Flowchart of literature screening.
Figure 2
Figure 2
Forest plot of treatment effects on suicidal ideation, subdivided by control group (active or nonactive).
See this image and copyright information in PMC

References

    1. Acierno, R. , Knapp, R. , Tuerk, P. , Gilmore, A. K. , Lejuez, C. , Ruggiero, K. , et al. (2017). A non‐inferiority trial of prolonged exposure for posttraumatic stress disorder: In person versus home‐based telehealth. Behaviour Research and Therapy, 89, 57–65. 10.1016/j.brat.2016.11.009 - DOI - PMC - PubMed
    1. Beck, A. T. , Kovacs, M. , & Weissman, A. (1979). Assessment of suicidal intention: The Scale for Suicide Ideation. Journal of Consulting and Clinical Psychology, 47, 343–352. 10.1037/0022-006X.47.2.343 - DOI - PubMed
    1. Bergen, H. , Hawton, K. , Waters, K. , Ness, J. , Cooper, J. , Steeg, S. , et al. (2012). Premature death after self‐harm: A multicentre cohort study. The Lancet, 380, 1568–1574. 10.1016/S0140-6736(12)61141-6 - DOI - PubMed
    1. Berrouiguet, S. , Gravey, M. , Le Galudec, M. , Alavi, Z. , & Walter, M. (2014). Post‐acute crisis text messaging outreach for suicide prevention: A pilot study. Psychiatry research, 217, 154–157. 10.1016/j.psychres.2014.02.034 - DOI - PubMed
    1. Bjärehed, J. , & Lundh, L.‐G. (2008). Deliberate self‐harm in 14‐year‐old adolescents: How frequent is it, and how is it associated with psychopathology, relationship variables, and styles of emotional regulation? Cognitive Behaviour Therapy, 37, 26–37. 10.1080/16506070701778951 - DOI - PubMed

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