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, ag...

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Detalles Bibliográficos
Autores: Miranda-Mendizabal, Andrea, Castellvi, Pere, Pares-Badell, Oleguer, Alayo, Itxaso, Almenara, Jose, Alonso, Iciar, Blasco, Maria Jesus, Cebria, Annabel, Gabilondo, Andrea, Gili, Margalida, Lagares, Carolina, Piqueras, Jose Antonio, Rodriguez-Jimenez, Tiscar, Rodriguez-Marin, Jesus, Roca, Miquel, Soto-Sanz, Victoria, Vilagut, Gemma, Alonso, Jordi
Tipo de recurso: artículo
Fecha de publicación:2019
País:España
Institución:Instituto de Salud Carlos III (ISCIII)
Repositorio:Repisalud
Idioma:inglés
OAI Identifier:oai:repisalud.isciii.es:20.500.12105/22812
Acceso en línea:https://hdl.handle.net/20.500.12105/22812
Access Level:acceso abierto
Palabra clave:Gender
Suicide
Suicide attempt
Adolescents
Young adults
Risk factors
Ideación Suicida
Violencia
Trastornos Relacionados con Sustancias
Femenino
Intento de Suicidio
Adolescente
Masculino
Factores Protectores
Conducta del Adolescente
Factores Sexuales
Factores de Riesgo
Estudios Longitudinales
Humanos
Adulto Joven
Adulto
Young Adult
Adult
Humans
Adolescent Behavior
Adolescent
Protective Factors
Suicidal Ideation
Longitudinal Studies
Male
Sex Factors
Female
Suicide, Attempted
Risk Factors
Substance-Related Disorders
Violence
Descripción
Sumario: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.

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