The prevalence of suicidal ideation and suicide attempt in patients with rheumatic diseases: a systematic review and meta-analysis

Objective: After accidents and disasters, people suffer from mental disorders due to physical, economic and social injuries. These include anxiety, stress, depression, suicidal ideation, and suicide attempts. Due to the fact that some of these measures can endanger a person’s life, it is important to pay attention to these psychological factors. Accordingly, the present study was conducted to investigate prevalence of suicidal ideation and suicide attempts after disasters in the world. Method: The present study was a systematic review and meta-analysis of the prevalence of suicidal ideation and suicide attempt after disaster in the world. Accordingly, all articles published English-language from the beginning of 2000 to the end of 2020 were extracted from Scopus, Web of Science, PubMed, Psych Info, Science Direct and Google scholar and evaluated. Statistical analysis of data was performed using the fixed and random effects model in meta-analysis and Cochran test. Results: A total of 33 studies with a sample size of 61,180 people entered the meta-analysis process. Accordingly, the prevalence of suicidal ideation was estimated at 12.9% (CI95%: 10.3% -15.5%) in the whole population, 10.6% (CI95%: 6.1% - 15.0%) in males and 15.8% (CI95%: 10.0% - 21.6%) in females. Moreover, prevalence of suicide attempt after disasters was estimated at 8.8% (CI95%: 6.6% - 11.0%). Conclusion: Based on the findings of the present study, prevalence of suicidal ideation and suicide attempt is high and prevalence of Suicide idea in women was about three times higher than in men.

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Association of Parenting With Suicidal Ideation and Attempts in Children and Youth: Protocol for A Systematic Review and Meta-Analysis of Observational Studies.

10.21203/rs.3.rs-76756/v1 ◽

2020 ◽

Author(s):

Florence Perquier ◽

Sarah Hetrick ◽

Terri Rodak ◽

Xin Jing ◽

Wei Wang ◽

...

Keyword(s):

Systematic Review ◽

Suicidal Ideation ◽

Suicide Attempt ◽

Observational Studies ◽

Meta Analysis ◽

Children And Youth ◽

Cochrane Library ◽

High Risk Population ◽

Significant Heterogeneity ◽

Wide Range

Abstract Background: Suicide is a leading cause of death in children and youth, with suicidal thoughts and suicide attempt (referred to as non-fatal suicidal behaviors; NFSB) being among its strongest predictors. Parenting, including positive parenting (e.g. warmth, responsiveness), negative parenting (e.g. control, hostility) and parent-child relationship (e.g. trust, communication), may be associated with differences in NFSB in children and youth. But the overall strength of these associations remains unclear. To date, no comprehensive systematic review has considered together the wide range of parenting factors studied in relation to NFSB, and no meta-analysis of existing findings has been conducted. The present study will critically appraise and synthesize the existing evidence from observational studies that examine the relationships between parenting factors and i) suicidal ideation and ii) suicide attempt in people aged less than 25.Methods: Our systematic review and meta-analysis will include cross-sectional and longitudinal studies, published as articles and dissertations, and identified in APA PsycInfo, Medline, CINAHL, Embase, Scopus and the Cochrane Library databases. Two reviewers will select articles after title and abstract screening and full-text assessment of relevant citations. They will extract relevant information using double data entry and will appraise studies’ quality. Any disagreements will be discussed with a third reviewer. In addition to a narrative summary of results, when at least three studies are available, meta-analyses will be conducted using three-level random effect models that will derive pooled estimates from dependent effect sizes (obtained from the same sample or study). In case of significant heterogeneity, moderation analyses will be performed considering study design, age, gender, ethnicity of participants, type of informant(s), countries and their income economy indicators. If possible, separate analyses will be conducted according to study setting. Certainty of evidence will be assessed using the GRADE approach.Discussion: Our findings will identify parenting factors associated with NFSB and better estimate the strength of associations in children and youth. The results will inform further intervention and prevention strategies designed for young people experiencing NFSB and their families by highlighting parenting factors that are important to target and in identifying high-risk population subgroups. Systematic review registration: PROSPERO CRD42020165345

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Efficacy of dialectical behavior therapy for adolescent self-harm and suicidal ideation: a systematic review and meta-analysis

Psychological Medicine ◽

10.1017/s0033291721001355 ◽

2021 ◽

pp. 1-11

Author(s):

Oswald D. Kothgassner ◽

Andreas Goreis ◽

Kealagh Robinson ◽

Mercedes M. Huscsava ◽

Christian Schmahl ◽

...

Keyword(s):

Systematic Review ◽

Clinical Trials ◽

Suicidal Ideation ◽

Dialectical Behavior Therapy ◽

Meta Analysis ◽

Adolescent Psychopathology ◽

Cochrane Library ◽

Behaviour Therapy ◽

Clinical Consequences ◽

Self Harm

Abstract Background Given the widespread nature and clinical consequences of self-harm and suicidal ideation among adolescents, establishing the efficacy of developmentally appropriate treatments that reduce both self-harm and suicidal ideation in the context of broader adolescent psychopathology is critical. Methods We conducted a systematic review and meta-analysis of the Dialectical Behaviour Therapy for Adolescents (DBT-A) literature on treating self-injury in adolescents (12–19 years). We searched for eligible trials and treatment evaluations published prior to July 2020 in MEDLINE/PubMed, Scopus, Google Scholar, EMBASE, and the Cochrane Library databases for clinical trials. Twenty-one studies were identified [five randomized-controlled trials (RCTs), three controlled clinical trials (CCTs), and 13 pre-post evaluations]. We extracted data for predefined primary (self-harm, suicidal ideation) and secondary outcomes (borderline personality symptoms; BPD) and calculated treatment effects for RCTs/CCTs and pre-post evaluations. This meta-analysis was pre-registered with OSF: osf.io/v83e7. Results Overall, the studies comprised 1673 adolescents. Compared to control groups, DBT-A showed small to moderate effects for reducing self-harm (g = −0.44; 95% CI −0.81 to −0.07) and suicidal ideation (g = −0.31, 95% CI −0.52 to −0.09). Pre-post evaluations suggested large effects for all outcomes (self-harm: g = −0.98, 95% CI −1.15 to −0.81; suicidal ideation: g = −1.16, 95% CI −1.51 to −0.80; BPD symptoms: g = −0.97, 95% CI −1.31 to −0.63). Conclusions DBT-A appears to be a valuable treatment in reducing both adolescent self-harm and suicidal ideation. However, evidence that DBT-A reduces BPD symptoms was only found in pre-post evaluations.

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Rates and risk factors for suicidal ideation, suicide attempts and suicide deaths in persons with HIV: a systematic review and meta-analysis

General Psychiatry ◽

10.1136/gpsych-2020-100247 ◽

2021 ◽

Vol 34 (2) ◽

pp. e100247

Author(s):

Matt Pelton ◽

Matt Ciarletta ◽

Holly Wisnousky ◽

Nicholas Lazzara ◽

Monica Manglani ◽

...

Keyword(s):

Risk Factors ◽

Systematic Review ◽

Suicidal Ideation ◽

General Population ◽

Suicide Attempts ◽

Advanced Disease ◽

Meta Analysis ◽

People Living With Hiv ◽

Meta Regression ◽

Living With Hiv

BackgroundPeople living with HIV/AIDS (PLWHA) must contend with a significant burden of disease. However, current studies of this demographic have yielded wide variations in the incidence of suicidality (defined as suicidal ideation, suicide attempt and suicide deaths).AimsThis systematic review and meta-analysis aimed to assess the lifetime incidence and prevalence of suicidality in PLWHA.MethodsPublications were identified from PubMed (MEDLINE), SCOPUS, OVID (MEDLINE), Joanna Briggs Institute EBP and Cochrane Library databases (from inception to before 1 February 2020). The search strategy included a combination of Medical Subject Headings associated with suicide and HIV. Researchers independently screened records, extracted outcome measures and assessed study quality. Data were pooled using a random-effects model. Subgroup and meta-regression analyses were conducted to explore the associated risk factors and to identify the sources of heterogeneity. Main outcomes were lifetime incidence of suicide completion and lifetime incidence and prevalence of suicidal ideation and suicide attempt.ResultsA total of 185 199 PLWHA were identified from 40 studies (12 cohorts, 27 cross-sectional and 1 nested case-control). The overall incidence of suicide completion in PLWHA was 10.2/1000 persons (95%CI: 4.5 to 23.1), translating to 100-fold higher suicide deaths than the global general population rate of 0.11/1000 persons. The lifetime prevalence of suicide attempts was 158.3/1000 persons (95%CI: 106.9 to 228.2) and of suicidal ideation was 228.3/1000 persons (95%CI: 150.8 to 330.1). Meta-regression revealed that for every 10-percentage point increase in the proportion of people living with HIV with advanced disease (AIDS), the risk of suicide completion increased by 34 per 1000 persons. The quality of evidence by Grading of Recommendations, Assessment, Development and Evaluations for the suicide deaths was graded as ‘moderate’ quality.ConclusionsThe risk of suicide death is 100-fold higher in people living with HIV than in the general population. Lifetime incidence of suicidal ideation and attempts are substantially high. Suicide risk assessments should be a priority in PLWHA, especially for those with more advanced disease.

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Prevalence of suicidal behavior in young university students: A systematic review with meta-analysis

Revista Latino-Americana de Enfermagem ◽

10.1590/1518-8345.5320.3495 ◽

2021 ◽

Vol 29 ◽

Author(s):

Marília de Oliveira Crispim ◽

Cândida Maria Rodrigues dos Santos ◽

Iracema da Silva Frazão ◽

Cecília Maria Farias de Queiroz Frazão ◽

Rossana Carla Rameh de Albuquerque ◽

...

Keyword(s):

Systematic Review ◽

Suicidal Ideation ◽

University Students ◽

Suicidal Behavior ◽

Attempted Suicide ◽

Data Extraction ◽

Meta Analysis ◽

Cross Sectional ◽

High Prevalence ◽

Theses And Dissertations

Objective: to identify the prevalence of suicidal behavior in young university students. Method: a systematic review with meta-analysis of cross-sectional studies based on the Joanna Briggs Institute proposal, and carried out in the PubMed, Web of Science, Scopus, PsycINFO and LILACS databases and in the Brazilian Digital Library of Theses and Dissertations, with no language or year restrictions. A total of 2,942 publications were identified. Selection, data extraction and methodological evaluation of the studies were performed by two independent researchers. The meta-analysis was performed considering the random effects model. Results: eleven articles were included in this review. The prevalence variation for suicidal ideation was from 9.7% to 58.3% and, for attempted suicide, it was from 0.7% to 14.7%. The meta-analysis showed a 27.1% prevalence for suicidal ideation in life, 14.1% for ideation in the last year, and 3.1% for attempted suicide in life. Conclusion: the high prevalence of suicidal behavior, even with the considerable heterogeneity of the studies, raises the need to implement interventions aimed at preventing suicide and promoting mental health, especially in the academic environment.

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