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.

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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: 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
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