Post-suicide intervention in schools and preschools

A suicide of a friend, relative or staff at school or preschool is a traumatic event for a child and may have detrimental effects on mental health and school performance. Schools and preschools have an important role to play and school-based interventions may be relevant in supporting children and adolescents that have experienced suicide-related trauma.

Reading time approx. 4 minutes Published: June 26, 2022 Publication type:

SBU Enquiry Service

Responds to queries received from Swedish healthcare and social service providers, or governmental organisations. Queries have a limited scope and the process is designed to enable a more rapid response, typically within two to three months. Reports are based on systematic reviews, that are identified through structured searches and critically appraised for risk of bias.

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Published: June 26, 2022 Report no: ut202212 Registration no: SBU 2022/73

Question

What systematic reviews are there on crisis support-interventions in schools and preschools after suicide in a friend, relative or staff?

Identified literature

No relevant systematic reviews with low or moderate risk of bias were identified.

Literature search

Medline via OvidSP 04 April 22

/ = Term from the MeSH controlled vocabulary; .sh = Term from the MeSH controlled vocabulary; exp = Term from MeSH including terms found below this term in the MeSH hierarchy; .ti,ab = Title or abstract; .tw = Title or abstract; .kf = Keywords; .kw = Keywords, exact; .bt = Book title. NLM Bookshelf.; .pt = Publication type; .ja = Journal abbreviation; .af = All fields; adjn = Adjacent. Proximity operator retrieving adjacent words, adj3 retrieves records with search terms within two terms from each other.; * or $ = Truncation; “ “ = Citation Marks; searches for an exact phrase
Search terms		Items found
Population:
1.	Suicide/	43 332
2.	Exp Bereavement/	14 648
3.	Crisis Intervention/	6 045
4.	(suicide or postvention or crisis or grief or griev* or bereave* or trauma*).ab,kf,ti.	565 819
5.	1 or 2 or 3 or 4	586 009
Intervention:
6.	Schools, Nursery/ or Schools/	49 047
7.	Child Day Care Centers/	5 262
8.	Students/	73 063
9.	(school* or classroom or preschool* or kindergarten* or nurser* or child care or education* or student*).ab,kf,ti.	1 125 301
10.	6 or 7 or 8 or 9	1 141 319
Study types: systematic reviews and meta-analysis
11.	((Systematic Review/ or Meta-Analysis/ or Cochrane Database Syst Rev.ja. or ((systematic adj4 review) or "meta analy" or metaanaly).ti,bt,ab.) not (editorial/ or letter/ or case reports/))
Combined sets:
12.	5 and 10	37 341
13.	11 and 12	875
Final result
14.		875

Scopus via scopus.com 04 April 22

TITLE-ABS-KEY = Title, abstract or keywords (including indexed keywords and author keywords); ALL = All fields; W/n = Within. Proximity operator retrieving terms within n words from each other.; PRE/n = Precedes by. Proximity operator, the first term in the search must precede the second by n words.; LIMIT-TO (X) = Includes only results of specified type, e.g., publication type or time range.; DOCTYPE = Publication type; “re” = review; “le” = letter; “ed” = editorial; “ch” = book chapter; “cp” = conference proceedings; * = Truncation; “ “ = Citation Marks; searches for an exact phrase
Search terms		Items found
Population:
1.	TITLE-ABS-KEY ( suicide OR postvention OR crisis OR grief OR griev* OR bereave* OR trauma*)	1 130 430
Intervention:
2.	TITLE-ABS-KEY ( school* OR classroom OR preschool* OR kindergarten* OR nurser* OR "child care" OR "day care" OR education* OR student* ) )	4 975 564
Study types: systematic reviews and meta-analysis / randomized controlled trials
3.	TITLE-ABS-KEY ( ( systematic W/2 review ) OR "meta analy" OR metaanaly ) AND (EXCLUDE (DOCTYPE, “le”) OR EXCLUDE (DOCTYPE, “ed”) OR EXCLUDE (DOCTYPE, “ch”) OR EXCLUDE (DOCTYPE, “cp”))	4.
Combined sets:
5.	1 AND 2	141 703
6.	3 AND 4	2 248
Final result
7.		2 248

PSYCINFO via EBSCO 04 April 22

TI = Title; AB = Abstract; SU = Keyword, exact or part (including all other fields for indexed and author keywords); DE = Exact keyword; TX = All text; MR = Methodology; Nn = Near. Proximity operator retrieving terms within n words from each other.; * = Truncation; “ “ = Citation Marks; searches for an exact phrase
Search terms		Items found
Population:
1,	TI ( ( suicide OR postvention OR crisis OR grief OR griev* OR bereave* OR trauma) ) OR AB ( ( suicide OR postvention OR crisis OR grief OR griev OR bereave* OR trauma) ) OR SU ( ( suicide OR postvention OR crisis OR grief OR griev OR bereave* OR trauma*) )	260 566
Intervention:
2.	TI ( ( school* OR classroom OR preschool* OR kindergarten* OR nurser* OR "child care" OR "day care" OR education* OR student* ) ) ) OR AB ( ( school* OR classroom OR preschool* OR kindergarten* OR nurser* OR "child care" OR "day care" OR education* OR student* ) ) ) OR SU ( ( school* OR classroom OR preschool* OR kindergarten* OR nurser* OR "child care" OR "day care" OR education* OR student* ) ) )	1 324 373
Study types: systematic reviews and meta-analysis / randomized controlled trials
3.	TI((systematic n3 review) OR "meta analy" OR metaanaly) OR AB((systematic n3 review) OR "meta analys" OR metaanalys) OR SU((systematic n3 review) OR "meta analys" OR metaanalys) OR (MR "Systematic Review" OR MR "meta analysis")
Combined sets:
4.	1 AND 2	81 981
5.	3 AND 4	645
Final result
6.		645

Page published June 26, 2022

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