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Table 2 Methodological adequacy of evaluations of suicide prevention interventions

From: A systematic review of suicide prevention interventions targeting indigenous peoples in Australia, United States, Canada and New Zealand

1st author, year

Selection bias (A)

Allocation Bias (B)

Confounders (C)

Blinding (|D)

Data collection Methods (E)

Withdrawal & drop-outs (F)

Analysis (G)

Intervention integrity (H)

La Fromboise 1995 [41]

Weak

Moderate

Moderate

N/A

Moderate

Moderate

-Citation for formula used in the analysis

-No consent rate reported, 76% follow-up rate.

-High response rate

-Number of intervention sessions received by participants not reported.

- Manual used with teacher training

-Random observations of intervention delivery by intervention co-ordinator

Berman, 1999 [42]

Strong

Strong

Strong

N/A

Strong

N/A

-Citations to justify analysis but no citations for analysis method

-Communities level of exposure to alcohol control reported and considered in analysis

Tsey, 2000 [43]

Weak

Weak

Weak

N/A

Weak

Moderate

Citation to justify theory but not analysis

-No consent rate reported and follow-up rate only partially reported

-Adaptation of existing Aboriginal-specific program,

-Components of each stage described

May, 2005 [39]

Moderate

Weak

Weak

N/A

Strong

N/A

-No citation for formula used in the analysis

- Number and type of prevention activities recorded but reported elsewhere

- Staff growth for program delivery reported

Deane, 2006 [35, 36]

Moderate

Weak

Weak

N/A

Moderate

Strong

- Citations to justify analysis but no citations for analysis method

-93% consent rate and 91% and 100% follow-up reported.

-Manual for tailored delivery, dependent on group's needs

-High response rate reported

Haggarty, 2006 [34]

Weak

Weak

Weak

N/A

Weak

Moderate

-No citation for analysis method

- 79% follow-up

- length of time of participant’s exposed to multi-media resource recorded

Westerman, 2007 [38]

Weak

Weak

Weak

N/A

Moderate

Moderate

No description of analysis or citation.

-Consent rate not reported and 77% follow-up

-Intervention delivered by Indigenous Psychological services

Muehlenkamp, 2009 [37]

Weak

Weak

Weak

N/A

Moderate

Weak

No citation for analysis method

-No consent rate reported and follow-up rate difficult to determine

-Some report of intervention exposure

-Adaptation of existing intervention

Allen, 2009 [40]

Moderate

Weak

Strong

N/A

Moderate

Strong

-Citation for formula used in the analysis.

-61% consent rate reported for individual program component

-Low to moderate response rates

Intervention toolkit for tailoring to local needs

        

-Intervention exposure (number and type of activities) measured and considered in analyses