Gender differences in suicidal behavior in adolescents and young adults: systematic review and meta-analysis of longitudinal studies

Objectives To assess the association between gender and suicide attempt/death and identify gender-specific risk/protective factors in adolescents/young adults. Methods Systematic review (5 databases until January 2017). Population-based longitudinal studies considering non-clinical populations, aged...

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Vydané v:International journal of public health Ročník 64; číslo 2; s. 265 - 283
Hlavní autori: Miranda-Mendizabal, Andrea, Castellví, Pere, Parés-Badell, Oleguer, Alayo, Itxaso, Almenara, José, Alonso, Iciar, Blasco, Maria Jesús, Cebrià, Annabel, Gabilondo, Andrea, Gili, Margalida, Lagares, Carolina, Piqueras, José Antonio, Rodríguez-Jiménez, Tiscar, Rodríguez-Marín, Jesús, Roca, Miquel, Soto-Sanz, Victoria, Vilagut, Gemma, Alonso, Jordi
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: Cham Springer International Publishing 01.03.2019
Springer Nature B.V
Springer
Predmet:
adoldescents
Adolescents
Environmental Health
Females
Gender
Longitudinal studies
Medicine
Medicine & Public Health
Meta-analysis
Occupational Medicine/Industrial Medicine
Public Health
Review
Risk factors
Suicidal behavior
Suicide
Suicide attempt
Suicides & suicide attempts
Suïcidi
Systematic review
Teenagers
Young adults
Young adults
Gender
Suicide
Adolescents
Risk factors
Suicide attempt
ISSN:1661-8556, 1661-8564, 1661-8564
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Shrnutí:Objectives To assess the association between gender and suicide attempt/death and identify gender-specific risk/protective factors in adolescents/young adults. Methods Systematic review (5 databases until January 2017). Population-based longitudinal studies considering non-clinical populations, aged 12–26 years, assessing associations between gender and suicide attempts/death, or evaluating their gender risk/protective factors, were included. Random effect meta-analyses were performed. Results Sixty-seven studies were included. Females presented higher risk of suicide attempt (OR 1.96, 95% CI 1.54–2.50), and males for suicide death (HR 2.50, 95% CI 1.8–3.6). Common risk factors of suicidal behaviors for both genders are previous mental or substance abuse disorder and exposure to interpersonal violence. Female-specific risk factors for suicide attempts are eating disorder, posttraumatic stress disorder, bipolar disorder, being victim of dating violence, depressive symptoms, interpersonal problems and previous abortion. Male-specific risk factors for suicide attempt are disruptive behavior/conduct problems, hopelessness, parental separation/divorce, friend’s suicidal behavior, and access to means. Male-specific risk factors for suicide death are drug abuse, externalizing disorders, and access to means. For females, no risk factors for suicide death were studied. Conclusions More evidence about female-specific risk/protective factors of suicide death, for adolescent/young adults, is needed.
Bibliografia:ObjectType-Article-1
ObjectType-Evidence Based Healthcare-3
SourceType-Scholarly Journals-1
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ISSN:1661-8556
1661-8564
1661-8564
DOI:10.1007/s00038-018-1196-1