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Publication du membre du CRISE

Mishara Brian L.
Fondateur et directeur du CRISE, professeur
Universit du Qubec Montral

Lennart, R., Mishara, B.L., Dargis, L., Vijayakumar, L., Phillips, M., Pirkis, J. (2018). Outcomes of Community-Based Suicide Prevention Approaches That Involve Reducing Access to Pesticides: A Systematic Literature Review. Suicide and Life-Threatening Behavior (pr-pub. lectronique). DOI: 10.1111/sltb.12503

Objective: Pesticide ingestion is among the most commonly utilized means of suicideworldwide. Restricting access to pesticides at a local level is one strategy to addressthis major pub lic heal th problem, but little is known about its effectiveness. Wetherefore conducted a systematic literature review to identify effective community-based suicide prevention approaches that involve restricting access to pesticides.Method: We searched Embase, Scopus, PsycINFO, Cochrane Library, CINAHL,and PubMed for well-designed studies that reported on suicide-related outcomes(i.e., attempted or completed suicide).Results: We identified only five studies that met our el igibility criter ia (tworandomized controlled trials, two studies with quasi-experimental designs, and onestudy with a before-and-after design). These studies tested different interventions: theintroduction of nonpesticide agricultural management, providing central storagefacilities for pesticides, distributing locked storage containers to households, and localinsecticide bans. The only sufficiently powered study produced no evidence of theeffectiveness of providing household storage containers. Three interventions showedsome promise in reducing pesticide suicides or attempts, with certain caveats.Conclusions: Our review identified three community interventions that show somepromise for reducing pesticide suicides by restricting access to means, which willrequire replication in large, well-designed trials before they can be recommended.

(Résumé disponible en anglais seulement)

https://onlinelibrary-wiley-com.proxy.bibliotheques.uqam.ca:2443/doi/epdf/10.1111/sltb.12503

Mise à jour : 8/14/2018

 
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