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-Mendizábal, Andrea, Castellvi Obiols, Pere, Parés-Badell, Oleguer, 1987-, Alayo, Itxaso, Almenara, José, Alonso, Iciar, Blasco Cubedo, Maria Jesús, Cebrià, Ana Isabel, Gabilondo Cuéllar, Andrea, Gili, Margalida, Lagares, Carolina, Piqueras, José Antonio, Rodríguez-Jiménez, Tíscar, Rodríguez-Marín, Jesús, Roca, Miquel, Soto-Sanz, Victoria, Vilagut Saiz, Gemma, 1975-, Alonso Caballero, Jordi
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2019
País:España
Institución:Universitat Pompeu Fabra
Repositorio:Repositorio Digital de la UPF
OAI Identifier:oai:repositori.upf.edu:10230/41647
Acceso en línea:http://hdl.handle.net/10230/41647
http://dx.doi.org/10.1007/s00038-018-1196-1
Access Level:acceso abierto
Palabra clave:Suïcidi
adoldescents
Adolescents
Gender
Risk factors
Suicide
Suicide attempt
Young adults
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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