Title:
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Gender differences in suicidal behavior in adolescents and young adults: systematic review and meta-analysis of longitudinal studies
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Author:
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Miranda-Mendizábal, Andrea; Castellvi Obiols, Pere; Parés Badell, O.; Alayo, Itxaso; Almenara, José; Alonso, I.; Blasco Cubedo, Maria Jesus; Blasco Cubedo, Maria Jesus; Cebrià, Ana Isabel; Gabilondo Cuéllar, Andrea; Gili, M.; Lagares, Carolina; Piqueras, José Antonio; Rodríguez Jimenez, T.; Rodríguez-Marín, Jesús; Roca, Miquel; Soto-Sanz, Victoria; Vilagut Saiz, Gemma, 1975-; Alonso Caballero, Jordi
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Abstract:
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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. |
Abstract:
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Ministerio de Sanidad, Consumo y Bienestar Social, PSND (Exp. 2015I015), Instituto de Salud Carlos III-FEDER (PI13/00343), Fondo de Investigación Sanitaria-ISCIII (CD12/00440; CM14/00125), DIUE Generalitat de Catalunya (2017 SGR 452), and European Regional Development Fund (PSI2017-90650-REDT). |
Subject(s):
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-Suïcidi -adoldescents -Adolescents -Gender -Risk factors -Suicide -Suicide attempt -Young adults |
Rights:
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Copyright © The Author(s) 2019. Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
Document type:
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Article Article - Published version |
Published by:
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Springer
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