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Risk factors for suicide in adults : systematic review and meta-analysis of psychological autopsy studies

(2022) EVIDENCE-BASED MENTAL HEALTH. 25(4). p.148-155
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Abstract
Question: Effective prevention of suicide requires a comprehensive understanding of risk factors. Study selection and analysis: Five databases were systematically searched to identify psychological autopsy studies (published up to February 2022) that reported on risk factors for suicide mortality among adults in the general population. Effect sizes were pooled as odds ratios (ORs) using random-effects models for each risk factor examined in at least three independent samples. Findings: A total of 37 case–control studies from 23 countries were included, providing data on 40 risk factors in 5633 cases and 7101 controls. The magnitude of effect sizes varied substantially both between and within risk factor domains. Clinical factors had the strongest associations with suicide, including any mental disorder (OR=13.1, 95% CI 9.9 to 17.4) and a history of self-harm (OR=10.1, 95% CI 6.6 to 15.6). By comparison, effect sizes were smaller for other domains relating to sociodemographic status, family history, and adverse life events (OR range 2–5). Conclusions: A wide range of predisposing and precipitating factors are associated with suicide among adults in the general population, but with clear differences in their relative strength. PROSPERO registration number: CRD42021232878.
Keywords
Suicide, meta-analysis, risk factors, Suicide & self-harm, Adult psychiatry, MENTAL-DISORDERS, COMPLETED SUICIDE, POPULATION, PREDICTION, ILLNESS, COHORT, BIAS

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MLA
Favril, Louis, et al. “Risk Factors for Suicide in Adults : Systematic Review and Meta-Analysis of Psychological Autopsy Studies.” EVIDENCE-BASED MENTAL HEALTH, vol. 25, no. 4, 2022, pp. 148–55, doi:10.1136/ebmental-2022-300549.
APA
Favril, L., Yu, R., Uyar, A., Sharpe, M., & Fazel, S. (2022). Risk factors for suicide in adults : systematic review and meta-analysis of psychological autopsy studies. EVIDENCE-BASED MENTAL HEALTH, 25(4), 148–155. https://doi.org/10.1136/ebmental-2022-300549
Chicago author-date
Favril, Louis, Rongqin Yu, Abdo Uyar, Michael Sharpe, and Seena Fazel. 2022. “Risk Factors for Suicide in Adults : Systematic Review and Meta-Analysis of Psychological Autopsy Studies.” EVIDENCE-BASED MENTAL HEALTH 25 (4): 148–55. https://doi.org/10.1136/ebmental-2022-300549.
Chicago author-date (all authors)
Favril, Louis, Rongqin Yu, Abdo Uyar, Michael Sharpe, and Seena Fazel. 2022. “Risk Factors for Suicide in Adults : Systematic Review and Meta-Analysis of Psychological Autopsy Studies.” EVIDENCE-BASED MENTAL HEALTH 25 (4): 148–155. doi:10.1136/ebmental-2022-300549.
Vancouver
1.
Favril L, Yu R, Uyar A, Sharpe M, Fazel S. Risk factors for suicide in adults : systematic review and meta-analysis of psychological autopsy studies. EVIDENCE-BASED MENTAL HEALTH. 2022;25(4):148–55.
IEEE
[1]
L. Favril, R. Yu, A. Uyar, M. Sharpe, and S. Fazel, “Risk factors for suicide in adults : systematic review and meta-analysis of psychological autopsy studies,” EVIDENCE-BASED MENTAL HEALTH, vol. 25, no. 4, pp. 148–155, 2022.
@article{8767828,
  abstract     = {{Question: Effective prevention of suicide requires a comprehensive understanding of risk factors. Study selection and analysis: Five databases were systematically searched to identify psychological autopsy studies (published up to February 2022) that reported on risk factors for suicide mortality among adults in the general population. Effect sizes were pooled as odds ratios (ORs) using random-effects models for each risk factor examined in at least three independent samples. Findings: A total of 37 case–control studies from 23 countries were included, providing data on 40 risk factors in 5633 cases and 7101 controls. The magnitude of effect sizes varied substantially both between and within risk factor domains. Clinical factors had the strongest associations with suicide, including any mental disorder (OR=13.1, 95% CI 9.9 to 17.4) and a history of self-harm (OR=10.1, 95% CI 6.6 to 15.6). By comparison, effect sizes were smaller for other domains relating to sociodemographic status, family history, and adverse life events (OR range 2–5). Conclusions: A wide range of predisposing and precipitating factors are associated with suicide among adults in the general population, but with clear differences in their relative strength. PROSPERO registration number: CRD42021232878.}},
  author       = {{Favril, Louis and Yu, Rongqin and Uyar, Abdo and Sharpe, Michael and Fazel, Seena}},
  issn         = {{1362-0347}},
  journal      = {{EVIDENCE-BASED MENTAL HEALTH}},
  keywords     = {{Suicide,meta-analysis,risk factors,Suicide & self-harm,Adult psychiatry,MENTAL-DISORDERS,COMPLETED SUICIDE,POPULATION,PREDICTION,ILLNESS,COHORT,BIAS}},
  language     = {{eng}},
  number       = {{4}},
  pages        = {{148--155}},
  title        = {{Risk factors for suicide in adults : systematic review and meta-analysis of psychological autopsy studies}},
  url          = {{http://doi.org/10.1136/ebmental-2022-300549}},
  volume       = {{25}},
  year         = {{2022}},
}

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