Poor school attendance and exclusion: a systematic review protocol on educational risk factors for self-harm and suicidal behaviours

Introduction Schools have an important role in recognising and preventing self-harm and suicidal behaviour in their students, however little is known about which educational factors are associated with heightened risk. We will systematically review the existing evidence on two key educational perfor...

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Main Authors: Sophie Epstein, Emmert Roberts, Rosemary Sedgwick, Katie Finning, Tamsin Ford, Rina Dutta, Johnny Downs
Format: Article
Language:English
Published: BMJ Publishing Group 2018-12-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/8/12/e023953.full
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author Sophie Epstein
Emmert Roberts
Rosemary Sedgwick
Katie Finning
Tamsin Ford
Rina Dutta
Johnny Downs
author_facet Sophie Epstein
Emmert Roberts
Rosemary Sedgwick
Katie Finning
Tamsin Ford
Rina Dutta
Johnny Downs
author_sort Sophie Epstein
collection DOAJ
description Introduction Schools have an important role in recognising and preventing self-harm and suicidal behaviour in their students, however little is known about which educational factors are associated with heightened risk. We will systematically review the existing evidence on two key educational performance indicators that are routinely collected by school administrative systems: school attendance and exclusion. We will investigate their association with self-harm and suicidal behaviour in school-age children and adolescents. Knowledge of this association could help inform suicide prevention strategies at clinical, school and population levels.Methods and analysis We will conduct a systematic search of Medline, EMBASE, PsycINFO, British Education Index and Education Resources Information Centre (ERIC) from 1 January 1990, and conduct a manual search for additional references. We aim to identify studies that explore the association between poor school attendance or exclusion and self-harm or suicidal behaviours in school-age children and adolescents. Two independent reviewers will screen titles, abstracts and full-text documents and independently extract relevant data for analysis. Study quality will be assessed using a modified Newcastle-Ottawa Scale. A descriptive analysis will be performed, and where appropriate, results will be combined in meta-analyses.Ethics and dissemination This is a systematic review of published literature, and therefore ethical approval will not be sought. We will publish reports in health and education journals, present our work at conferences focused on school mental health and communicate our findings to practitioners and managers in public health, education and child mental health.PROSPERO registration number CRD42018088608.
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spelling doaj-art-9ca381e4b5d9482f9a95c6033aee433a2025-02-12T00:30:10ZengBMJ Publishing GroupBMJ Open2044-60552018-12-0181210.1136/bmjopen-2018-023953Poor school attendance and exclusion: a systematic review protocol on educational risk factors for self-harm and suicidal behavioursSophie Epstein0Emmert Roberts1Rosemary Sedgwick2Katie Finning3Tamsin Ford4Rina Dutta5Johnny Downs6Institute of Psychiatry, Psychology and Neuroscience, King`s College London, London, UK5 Department of Psychological Medicine, King’s College London, London, UKDepartment of Child and Adolescent Psychiatry, Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London, UKInstitute of Health Research, University of Exeter Medical School, Exeter, UK6 University of Exeter Medical School, Exeter, UK1 NIHR Maudsley Biomedical Research Centre, South London and Maudsley NHS Foundation Trust, London, UK3 South London and Maudsley NHS Foundation Trust, London, UKIntroduction Schools have an important role in recognising and preventing self-harm and suicidal behaviour in their students, however little is known about which educational factors are associated with heightened risk. We will systematically review the existing evidence on two key educational performance indicators that are routinely collected by school administrative systems: school attendance and exclusion. We will investigate their association with self-harm and suicidal behaviour in school-age children and adolescents. Knowledge of this association could help inform suicide prevention strategies at clinical, school and population levels.Methods and analysis We will conduct a systematic search of Medline, EMBASE, PsycINFO, British Education Index and Education Resources Information Centre (ERIC) from 1 January 1990, and conduct a manual search for additional references. We aim to identify studies that explore the association between poor school attendance or exclusion and self-harm or suicidal behaviours in school-age children and adolescents. Two independent reviewers will screen titles, abstracts and full-text documents and independently extract relevant data for analysis. Study quality will be assessed using a modified Newcastle-Ottawa Scale. A descriptive analysis will be performed, and where appropriate, results will be combined in meta-analyses.Ethics and dissemination This is a systematic review of published literature, and therefore ethical approval will not be sought. We will publish reports in health and education journals, present our work at conferences focused on school mental health and communicate our findings to practitioners and managers in public health, education and child mental health.PROSPERO registration number CRD42018088608.https://bmjopen.bmj.com/content/8/12/e023953.full
spellingShingle Sophie Epstein
Emmert Roberts
Rosemary Sedgwick
Katie Finning
Tamsin Ford
Rina Dutta
Johnny Downs
Poor school attendance and exclusion: a systematic review protocol on educational risk factors for self-harm and suicidal behaviours
BMJ Open
title Poor school attendance and exclusion: a systematic review protocol on educational risk factors for self-harm and suicidal behaviours
title_full Poor school attendance and exclusion: a systematic review protocol on educational risk factors for self-harm and suicidal behaviours
title_fullStr Poor school attendance and exclusion: a systematic review protocol on educational risk factors for self-harm and suicidal behaviours
title_full_unstemmed Poor school attendance and exclusion: a systematic review protocol on educational risk factors for self-harm and suicidal behaviours
title_short Poor school attendance and exclusion: a systematic review protocol on educational risk factors for self-harm and suicidal behaviours
title_sort poor school attendance and exclusion a systematic review protocol on educational risk factors for self harm and suicidal behaviours
url https://bmjopen.bmj.com/content/8/12/e023953.full
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