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12.01.2019 | Review | Ausgabe 2/2019 Open Access

International Journal of Public Health 2/2019

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

Zeitschrift:
International Journal of Public Health > Ausgabe 2/2019
Autoren:
Andrea Miranda-Mendizabal, Pere Castellví, Oleguer Parés-Badell, Itxaso Alayo, José Almenara, Iciar Alonso, Maria Jesús Blasco, Annabel Cebrià, Andrea Gabilondo, Margalida Gili, Carolina Lagares, José Antonio Piqueras, Tiscar Rodríguez-Jiménez, Jesús Rodríguez-Marín, Miquel Roca, Victoria Soto-Sanz, Gemma Vilagut, Jordi Alonso
Wichtige Hinweise

Electronic supplementary material

The online version of this article (https://​doi.​org/​10.​1007/​s00038-018-1196-1) contains supplementary material, which is available to authorized users.
Andrea Miranda-Mendizabal and Pere Castellvi contributed equally.
This article is part of the special issue “Adolescent transitions”.

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Abstract

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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Zusatzmaterial
Supplementary material 1 (DOCX 1292 kb)
38_2018_1196_MOESM1_ESM.docx
Literatur
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ACKNOWLEDGEMENT TO REVIEWERS

Acknowledgement to Reviewers 2018