scholarly journals Prevalence of Suicidal Ideation and Suicide Attempts Among Refugees: A Meta-analysis

2021 ◽  
Author(s):  
Elisa Haase ◽  
Antje Schönfelder ◽  
Yuriy Nesterko ◽  
Heide Glaesmer
Keyword(s):  
Suicidal Ideation ◽  
Stressful Life Events ◽  
Suicide Attempts ◽  
Mental Health Problems ◽  
Economic Status ◽  
Meta Analysis ◽  
High Risk Group ◽  
Prevalence Rates ◽  
Psychological Burden ◽  
Period Prevalence

Abstract Background: Suicidal ideation and attempts are one of the most serious mental health problems affecting refugees. Risk factors such as mental disorders, low socio-economic status, and stressful life events all contribute to making refugees a high-risk group. For this reason, this meta-analysis aims to investigate the prevalence of suicidal ideation and attempts among refugees in non-clinical populations.Method: All studies published in English up through August 2020 were considered for the analysis. We searched four databases for articles reporting (period) prevalence rates of suicidal ideation and attempts. Results: Of 294 hits, 11 publications met the inclusion criteria. Overall prevalence rates were calculated using Rstudio. The overall period prevalence of suicidal ideation was 20.5% (CI: 0.11-0.32, I²=98%, n=8), 22.3% (CI: 0.10-0.38, I²=97%, n=5) for women, and 23.3% for men (CI: 0.13-0.35, I²=87%, n=3). Suicide attempts had an overall prevalence of 0.57% (CI: 0.00-0.02, I²=81%, n=4). Conclusion: There is a great lack of epidemiological studies on suicidal ideation and attempts among refugees. The high prevalence of suicidal ideation indicates the existence of heavy psychological burden among this population. The prevalence of suicide attempts is similar to that in non-refugee populations. In addition, the results underline the need for systematic and standardized assessment and treatment of suicidal ideation and attempts.

scholarly journals Prevalence of depression, anxiety and suicide among men who have sex with men in China: a systematic review and meta-analysis

2020 ◽  
Vol 29 ◽  
Author(s):  
D. Wei ◽  
X. Wang ◽  
X. You ◽  
X. Luo ◽  
C. Hao ◽  
...  
Keyword(s):  
Mental Health ◽  
Depressive Symptoms ◽  
Suicidal Ideation ◽  
Suicide Attempts ◽  
Mental Health Problems ◽  
Meta Analysis ◽  
Anxiety Symptoms ◽  
Depression And Anxiety ◽  
Prevalence Of Depression ◽  
Sex With Men

Abstract Aims Chinese men who have sex with men (MSM) are at high risk for depression, anxiety and suicide. The estimated prevalence of these problems is essential to guide public health policy, but published results vary. This meta-analysis aimed to estimate the prevalence of depressive symptoms, anxiety symptoms and suicide among Chinese MSM. Methods Systematic searches of EMBASE, MEDLINE, PsycINFO, PubMed, CNKI and Wanfang databases with languages restricted to Chinese and English for studies published before 10 September 2019 on the prevalence of depressive symptoms, anxiety symptoms, suicidal ideation, suicide plans and suicide attempts among Chinese MSM. Studies that were published in the peer-reviewed journals and used validated instruments to assess depression and anxiety were included. The characteristics of studies and the prevalence of depression and anxiety symptoms, suicidal ideation, suicide plans and suicide attempts were independently extracted by authors. Random-effects modelling was used to estimate the pooled rates. Subgroup analysis and univariate meta-regression were conducted to explore potential sources of heterogeneity. This study followed the PRISMA and MOOSE. Results Sixty-seven studies were included. Fifty-two studies reported the prevalence of depressive symptoms, with a combined sample of 37 376 people, of whom 12 887 [43.2%; 95% confidence interval (CI), 38.9–47.5] reported depressive symptoms. Twenty-seven studies reported the prevalence of anxiety symptoms, with a combined sample of 10 531 people, of whom 3187 (32.2%; 95% CI, 28.3–36.6) reported anxiety symptoms. Twenty-three studies reported the prevalence of suicidal ideation, with a combined sample of 15 034 people, of whom 3416 (21.2%; 95% CI, 18.3–24.5) had suicidal ideation. Nine studies reported the prevalence of suicide plans, with a combined sample of 5271 people, of whom 401 (6.2%; 95% CI, 3.9–8.6) had suicide plans. Finally, 19 studies reported the prevalence of suicide attempts, with a combined sample of 27 936 people, of whom 1829 (7.3%; 95% CI, 5.6–9.0) had attempted suicide. Conclusions The mental health of Chinese MSM is poor compared with the general population. Efforts are warranted to develop interventions to prevent and alleviate mental health problems among this vulnerable population.

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

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.

scholarly journals Tobacco use among the elderly: a systematic review and meta-analysis

2010 ◽  
Vol 26 (12) ◽  
pp. 2213-2233 ◽  
Author(s):  
Valeska Marinho ◽  
Jerson Laks ◽  
Evandro Silva Freire Coutinho ◽  
Sergio Luís Blay
Keyword(s):  
Systematic Review ◽  
Tobacco Use ◽  
Literature Search ◽  
Economic Status ◽  
Meta Analysis ◽  
The Elderly ◽  
Epidemiological Studies ◽  
Elderly Subjects ◽  
Random Effects Model ◽  
Prevalence Rates

The aim of this study was to combine the results of identified surveys on the prevalence of tobacco use in old age to estimate world prevalence of tobacco use and possible factors related to such behavior among the elderly. The literature search included electronic databases such as MEDLINE, LILACS, and Biological Abstracts, hand-searching of specialist journals and cited reference searches. The combined global prevalence was estimated using the random effects model. The total number of elderly subjects included in all surveys was 140,058, with data available from all the continents. Overall prevalence of tobacco use was 13% in both genders (22% male and 8% female). The prevalence rates were heterogeneous among surveys and were associated with smoking definition, questionnaire application, and country economic status. Few epidemiological studies assessed tobacco use among the elderly. A higher prevalence rate of tobacco use in males who live in higher income countries could be found, although additional evidence regarding elderly samples is still required.

scholarly journals Are stressful life events prospectively associated with increased suicidal ideation and behaviour? A systematic review and meta-analysis

2020 ◽  
Vol 266 ◽  
pp. 731-742 ◽  
Author(s):  
Emma J. Howarth ◽  
Daryl B. O'Connor ◽  
Maria Panagioti ◽  
Alexander Hodkinson ◽  
Sarah Wilding ◽  
...  
Keyword(s):  
Systematic Review ◽  
Suicidal Ideation ◽  
Life Events ◽  
Stressful Life Events ◽  
Meta Analysis ◽  
Stressful Life

scholarly journals Inflammation and Nitro-Oxidative Stress in Current Suicidal Attempts and Current Suicidal Ideation: a Systematic Review and Meta-Analysis

2021 ◽  
Author(s):  
Asara Vasupanrajit ◽  
Ketsupar Jirakran ◽  
Chavit Tunvirachaisakul ◽  
Marco Solmi ◽  
Michael Maes
Keyword(s):  
Oxidative Stress ◽  
Suicidal Ideation ◽  
Inflammatory Response ◽  
Suicide Attempts ◽  
Psychiatric Patients ◽  
Meta Analysis ◽  
Random Effect ◽  
Random Effect Model ◽  
Healthy Controls ◽  
Inflammatory Profile

A meta-analysis showed a significant association between activated immune-inflammatory and nitro-oxidative (IO&NS) pathways and suicide attempts (SA). There are no data whether suicidal ideation (SI) is accompanied by activated IO&NS pathways and whether there are differences between SA and SI. The current study searched PubMed, Google Scholar, and Web of Science, for articles published from inception until May 10, 2021, and systematically reviewed and meta-analyzed the association between recent SA/SI (< 3 months) and IO&NS biomarkers. We included studies which compared psychiatric patients with and without SA and SI and controls (either healthy controls or patients without SA or SI) and used meta-analysis (random-effect model with restricted maximum-likelihood) to delineate effect sizes with 95% confidence intervals (CI). Our search included 59 studies comprising 4.034 SA/SI cases and 12.377 controls. Patients with SA/SI showed activated IO&NS pathways (SMD: 0.299; CI: 0.200; 0.397) when compared to controls. The immune profiles were more strongly associated with SA than with SI, particularly when compared to healthy controls, as evidenced by activated IO&NS pathways (SMD: 0.796; CI: 0.503; 1.089), an immune-inflammatory response (SMD: 1.409; CI: 0.637; 1.462), inflammation (SMD: 1.200; CI: 0.584; 1.816), and neurotoxicity (SMD: 0.904; CI: 0.431; 1.378). The effects sizes of the IO&NS, immune-inflammatory response and inflammatory profile were significantly greater in SA than in SI. In conclusion: increased neurotoxicity due to inflammation and nitro-oxidative stress and lowered neuroprotection may explain at least in part why psychiatric patients show increased SA and SI. The IO&NS pathways are more pronounced in recent SA than in SI.

scholarly journals Suicide Risk in Obsessive-Compulsive Disorder and Exploration of Risk Factors: A Systematic Review

2019 ◽  
Vol 17 (8) ◽  
pp. 681-696 ◽  
Author(s):  
Umberto Albert ◽  
Diana De Ronchi ◽  
Giuseppe Maina ◽  
Maurizio Pompili
Keyword(s):  
Suicidal Ideation ◽  
Suicide Risk ◽  
Suicide Attempts ◽  
Quantitative Measure ◽  
Epidemiological Studies ◽  
Clinical Samples ◽  
Prevalence Rates ◽  
Compulsive Disorder ◽  
History Of ◽  
Axis I

Background: Historically, OCD has been considered to be associated with a relatively low risk of suicide. Recent studies, on the contrary, revealed a significant association between OCD and suicide attempts and ideation. A huge variation in prevalence rates, however, is reported. Objective: To estimate prevalence rates of suicide attempts and suicidal ideation in individuals with OCD, and to identify predictors of suicide risk among subjects with OCD. Methods: We systematically reviewed the literature on suicide risk (ideation and/or attempts) and OCD. We included studies with appropriate definition of OCD, cross-sectional or prospective design, separating clinical samples from epidemiological studies, that employed a quantitative measure of suicidality and/or reported an outcome measure of the association between suicidality and OCD or examined factors associated with suicidality. Results: In clinical samples, the mean rate of lifetime suicide attempts is 14.2% (31 studies: range 6- 51.7%). Suicidal ideation is referred by 26.3-73.5% of individuals (17 studies, mean 44.1%); current suicidal ideation rate ranges between 6.4 and 75% (13 studies, mean 25.9). Epidemiological studies found that OCD increases significantly the odds of having a lifetime suicidal ideation as compared to the general population (OR: 1.9-10.3) and a history of lifetime suicide attempts (OR: 1.6- 9.9). Predictors of greater suicide risk are severity of OCD, the symptom dimension of unacceptable thoughts, comorbid Axis I disorders, severity of comorbid depressive and anxiety symptoms, past history of suicidality and some emotion-cognitive factors such as alexithymia and hopelessness. Conclusion: Overall, suicidality appears a relevant phenomenon in OCD.

scholarly journals Social Media Use and Self-Injurious Thoughts and Behaviors: A Systematic Review and Meta-Analysis

2020 ◽  
Author(s):  
Jacqueline Nesi ◽  
Taylor A. Burke ◽  
Alexandra Bettis ◽  
Anastacia Kudinova ◽  
Elizabeth C. Thompson ◽  
...  
Keyword(s):  
Systematic Review ◽  
Social Media ◽  
Suicidal Ideation ◽  
Suicide Attempts ◽  
Media Use ◽  
Meta Analysis ◽  
Medium Effect ◽  
Social Media Use ◽  
Quantitative Synthesis ◽  
And Behaviors

Despite considerable public and scholarly debate about the role of social media in self-injurious thoughts and behaviors (SITBs), no comprehensive, quantitative synthesis of this literature has previously been undertaken. The current systematic review and meta-analysis examines associations between social media use and SITBs, including suicidal ideation, suicide plans, suicide attempts, and nonsuicidal self-injury (NSSI). A range of social media behaviors and experiences were identified, including cybervictimization and perpetration, exposure to and generation of SITB-related content, problematic or addictive use, sexting, social media importance, and frequency of use. A systematic search of PsycINFO, Medline, CINAHL, and the references of prior reviews yielded 61 eligible studies. Results largely suggested medium effect sizes for associations between the social media constructs and SITBs examined. The majority of studies identified focused on cybervictimization, and results suggested stronger positive associations between cybervictimization and suicidal ideation and attempts for adolescents compared to adults. No evidence emerged for associations between frequency of social media use and SITBs; however, studies on this topic were limited. Overall, findings highlight the utility of examining specific social media behaviors and experiences, and point to the need for more research in this area.

scholarly journals Sexual violence and suicidal ideation among French adults, a mediation analysis

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
F El-Khoury ◽  
Keyword(s):  
Mental Health ◽  
Suicidal Ideation ◽  
Sexual Assault ◽  
Sexual Violence ◽  
Mediation Analysis ◽  
Suicide Attempts ◽  
Mental Health Problems ◽  
Adult Population ◽  
Cross Sectional ◽  
Increased Risk

Abstract Objectives Sexual violence against women is endemic and is linked with a host of mental health problems and suicidal behaviour. We test whether sexual violence is more prevalent and have more damaging psychological effects among women compared to men, and quantify its mediating role in the association between sex and suicidal ideation and behaviour. Methods We used data from the “Health Barometer” (Baromètre Santé) 2017 a cross-sectional phone survey, which recruited a nationally representative sample of French adults aged 18 to 75 years in 2017 (n = 25319). Data were weighted to be representative of the French adult population. Outcomes included suicidal ideation, imagery of suicide, and suicide attempts in the preceding year. We conducted mutlivariable mediation analysis using the counterfactual approach to evaluate the contribution that lifetime sexual violence has in the association between sex and suicidal ideation and behaviour. Results We found that women are five times more likely to have experienced sexual victimisation, and are more at risk of any suicidal ideation and imagery of suicide in the preceding year compared to men. Women and men had comparable rates of suicide attempts in the preceding year. We estimated that 47% of the increased risk of suicidal ideation in the preceding year women have compared to men is mediated by lifetime sexual assault. Lifetime sexual assault also explained 39% of the association between sex and having imagery of suicide. Discussion Our findings reiterate the importance of the prevention of sexual violence and an adequate care for sexual assault victims, especially women, in public health and mental health policies and initiatives. Key messages Women are five times more likely to have experienced sexual victimisation compared to men, and are more likely to suffer from suicidal ideation in the preceding year. Experience of lifetime sexual violence contributes substantially (around 50%) to women’s increased likelihood of suicidal ideation compared to men.

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