Accounting for diversity in the treatment of suicide and self‐injury: A systematic review of the past 50 years of randomized controlled trials

Author:

Maria Guzmán Eleonora M.1ORCID,LeDuc Michael K.1,Cha Christine B.1ORCID,Goger Pauline1,Ng Mei Yi2,Huang Xieyining3,Ribeiro Jessica D.3,Fox Kathryn R.4

Affiliation:

1. Department of Counseling and Clinical Psychology, Teachers College Columbia University New York New York USA

2. Department of Psychology, Center for Children and Families Florida International University Miami Florida USA

3. Department of Psychology Florida State University Tallahassee Florida USA

4. Department of Psychology University of Denver Denver Colorado USA

Abstract

AbstractPurposePatients receiving treatment for self‐injurious thoughts and behaviors (SITBs) have diverse backgrounds, yet it remains unclear exactly who is represented in the current SITB treatment literature.MethodsWe conducted a systematic review of the past 50 years of randomized controlled trials (RCTs) testing SITB treatments to evaluate sampling practices and reporting of sample characteristics, as well as inclusion of global populations across the included 525 papers. We also assessed changes over the past five decades in these three domains.ResultsSITB RCTs frequently reported age and sex (98.6%–95.1%), less frequently reported race (83.4%–38.6%), socioeconomic status (48.1%–46.1%) and ethnicity (41.9%–8.1%), and rarely reported LGBTQ+ status (3.7%–1.6%). U.S.‐based RCTs featured predominantly White, non‐Hispanic, and non‐LGBTQ+ samples. Most RCTs were conducted in high‐income North American or European countries. Sample reporting practices, sample representativeness, and inclusion of global populations modestly and inconsistently improved over time.ConclusionsThere has not been substantial improvement in reporting practices, sample representativeness, or inclusion of global populations in SITB RCTs over the past 50 years. Acknowledging who is being studied and representing diverse populations in SITB treatment research is key to connecting research advances with those who may need it most.

Publisher

Wiley

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