Cochrane · systematic review · CD011777

Pharmacological interventions for self‐harm in adults

Hawton, K, Witt, KG, Taylor Salisbury, TL, et al. · Cochrane Database of Systematic Reviews · 2015 · Cochrane Library

Common Mental DisordersAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
5
current version
GRADE rated
5
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 2 · 40%Low 3 · 60%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Newer generation antidepressants versus placebo

Population: adults who engage in SH
1 question
OutcomeEffectEvidenceStatus / GRADE
Repetition of SH at last
Newer generation antidepressants vs placebo
OR 0.76 [0.42, 1.36]3 studies · 243 participantsLow
Downgraded: risk of bias, imprecision

Antipsychotics versus placebo or another comparator drug/dose

Population: adults who engage in SH
2 questions
OutcomeEffectEvidenceStatus / GRADE
Repetition of SH at six months (flupenthixol vs. placebo)
Antipsychotics vs placebo or another comparator drug/dose
OR 0.09 [0.02, 0.5]1 study · 30 participantsVery low
Downgraded: risk of bias, imprecision
Repetition of SH at six months (low dose fluphenazine vs. ultra low dose fluphenazine)
Antipsychotics vs placebo or another comparator drug/dose
OR 1.51 [0.5, 4.58]1 study · 53 participantsVery low
Downgraded: risk of bias, imprecision

Mood stabilisers versus placebo

Population: adults who engage in SH
1 question
OutcomeEffectEvidenceStatus / GRADE
Repetition of SH at 12 months
Mood stabilisers vs placebo
OR 0.99 [0.33, 2.95]1 study · 167 participantsLow
Downgraded: risk of bias

Natural products versus placebo

Population: adults who engage in SH
1 question
OutcomeEffectEvidenceStatus / GRADE
Repetition of SH during 12 week treatment phase
Natural products vs placebo
OR 1.33 [0.38, 4.62]1 study · 49 participantsLow
Downgraded: risk of bias, imprecision