Título : Longitudinal association between self-injurious thoughts and behaviors and suicidal behavior in adolescents and young adults: A systematic review with meta-analysis |
Autor : Castellví, P. Lucas-Romero, E. Miranda-Mendizábal, A. Parés-Badell, O. Almenara, J. Alonso, I. Blasco, M.J. Gabilondo, A. Gili, M. Lagares, C. Piqueras, Jose A  et al. |
Editor : Elsevier |
Departamento: Departamentos de la UMH::Psicología de la Salud |
Fecha de publicación: 2017 |
URI : https://hdl.handle.net/11000/35959 |
Resumen :
Background: Adolescents with previous self-injurious thoughts and behaviors (SITB) have over 2-fold risk of
dying by suicide, higher than older ages. This meta-analysis aims to disentangle the association of each SITB
with subsequent suicidal behavior in adolescence/young adulthood, the contribution of each SITB, and the
proportion of suicide deaths with no previous suicide attempt.
Methods: We searched 6 databases until June 2015. Inclusion criteria: 1. Assessment of any previous SITB [a)
suicidal thoughts and behaviors (ideation; threat/gesture; plan; attempt); b) non-suicidal thoughts and behaviors
(thoughts; threat/gesture; self-injury); c) self-harm] as a risk factor of suicide attempt or suicide death; 2. Casecontrol or cohort studies; 3. Subjects aged 12-26y. Random effect models, metaregression analyses including mental
health and environmental variables, and population attributable risks (PAR)s were estimated.
Results: From 23,682 potentially eligible articles, 29 were included in the meta-analysis (1,122,054
individuals). While 68% of all youth suicide deaths had no previous suicide attempt, suicide death was very
strongly associated with any previous SITB (OR=22.53, 95%CI: 18.40–27.58). Suicide attempts were also
associated with a history of previous SITB (OR=3.48, 95%CI: 2.71–4.43). There were no moderating effects for
mental health and environmental features. The PAR of previous SITB to suicide attempts is 26%.
Limitations: There is considerable heterogeneity between the available studies. Due to limitations in the
original studies, an over-estimation of the proportion dying at their first attempt cannot be ruled out, since they
might have missed unrecognized previous suicide attempts.
Conclusions: Although more than two thirds of suicide deaths in adolescence/young adulthood have occurred
with no previous suicidal behavior, previous SITBs have a much higher risk of dying by suicide than previously
reported in this age group.
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Palabras clave/Materias: Suicide Self-harm Non-suicidal self-injury Adolescents Youths |
Área de conocimiento : CDU: Filosofía y psicología: Psicología |
Tipo de documento : info:eu-repo/semantics/article |
Derechos de acceso: info:eu-repo/semantics/closedAccess Attribution-NonCommercial-NoDerivatives 4.0 Internacional |
DOI : https://doi.org/10.1016/j.jad.2017.03.035 |
Aparece en las colecciones: Artículos- Psicología de la Salud
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