成年人群中单次与多次自杀未遂者的特征:系统综述和荟萃分析。

IF 5.5 2区 医学 Q1 PSYCHIATRY Current Psychiatry Reports Pub Date : 2023-11-01 Epub Date: 2023-09-23 DOI:10.1007/s11920-023-01461-5
Sofía Abascal-Peiró, Adrián Alacreu-Crespo, Inmaculada Peñuelas-Calvo, Jorge López-Castromán, Alejandro Porras-Segovia
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引用次数: 0

摘要

综述的目的:我们旨在检验成年人群中区分单次和多次自杀未遂的因素。我们遵循了系统评价和荟萃分析(PRISMA)的首选报告项目指南来进行这项综述和荟萃分析。审查方案已在PROSPERO注册。我们在三个数据库中进行了系统的文献检索,以确定探索成年人群中单次和多次自杀未遂者之间差异的原始研究。最近的发现:在社会人口统计学和临床特征方面,那些在一生中尝试过一次自杀的人和那些多次尝试过自杀的人之间可能存在有意义的差异。以前没有针对成年人群的这一主题的荟萃分析。共有75项研究被纳入综述,69项被纳入荟萃分析。多重尝试者更有可能表现出某些障碍,如情绪和精神障碍,以及人格或物质使用障碍。较高的自杀意念和自杀意图得分也是这一群体的特征。在多次尝试中,童年创伤经历、压力生活事件和较高的绝望率具有统计学意义。识别预测多次自杀企图的因素有助于描述临床和自杀预防方案中应考虑的高风险自杀特征。
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Characteristics of Single vs. Multiple Suicide Attempters Among Adult Population: A Systematic Review and Meta-Analysis.

Purpose of review: We aimed to examine the factors that differentiate single and multiple suicide attempters in adult population. We followed the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines to conduct this review and meta-analysis. The review protocol was registered in PROSPERO. We carried out a systematic literature search in three databases to identify original studies that explored the differences between single and multiple suicide attempters among adult population.

Recent findings: There might be meaningful differences between those individuals that attempt suicide once in their lifespan and those who make multiple attempts in terms of sociodemographic and clinical characteristics. There are no previous meta-analysis addressing this topic in the adult population. A total of 75 studies were included in the review and 69 were included in the meta-analysis. Multiple attempters were more likely to present certain disorders such as mood and psychotic disorders, as well as personality or substance use disorders. Higher suicide ideation and suicide intent scores also characterized this group. Childhood trauma experiences, stressful life events, and higher rates of hopelessness were statistically significant in multiple attempters. Identifying the factors predicting multiple suicide attempts helps to delineate a high-risk suicidal profile that should be taken into account in the clinical and suicide prevention scenario.

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来源期刊
CiteScore
11.30
自引率
3.00%
发文量
68
审稿时长
6-12 weeks
期刊介绍: This journal aims to review the most important, recently published research in psychiatry. By providing clear, insightful, balanced contributions by international experts, the journal intends to serve all those involved in the care of those affected by psychiatric disorders. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as anxiety, medicopsychiatric disorders, and schizophrenia and other related psychotic disorders. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.
期刊最新文献
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