Assessment of the relationship between living alone and suicidal behaviors based on prospective studies: a systematic review and meta-analysis.

IF 3 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Frontiers in Public Health Pub Date : 2024-11-07 eCollection Date: 2024-01-01 DOI:10.3389/fpubh.2024.1444820

Zhipeng Luo, Jinfeng Wang, Xu Chen, Dejin Cheng, Yuanyuan Zhou

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Abstract

Suicide, a global health concern, can be influenced by living arrangements. Hence, the objective of this systematic review was to assess the extent of the association between living alone and suicidal behaviors. We conducted a comprehensive search across eight databases for prospective studies. Hazard ratios (HR) and 95% confidence intervals were pooled using Stata software. Nine large-scale prospective studies with 3,663,205 participants proved eligible. The results of the meta-analysis showed that the pooled prevalence of living alone was 32%. Living alone was associated with suicide attempts and suicide death even after adjusting for all potential confounding factors (AHR = 1.45, 95% CI: 1.13-1.77; AHR = 1.27, 95% CI: 1.06-1.48). Compared to people who live with others, living alone increases the risk of suicide behaviors. Given the anticipated global rise in suicide rates and the growing prevalence of living alone, it is recommended to explore this issue on a broader scale. Systematic review registration: PROSPERO, identifier: CRD42023464684, https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42023464684.

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基于前瞻性研究的独居与自杀行为之间关系的评估：系统回顾与荟萃分析。

自杀是一个全球性的健康问题，可能会受到居住安排的影响。因此，本系统综述旨在评估独居与自杀行为之间的关联程度。我们在八个数据库中对前瞻性研究进行了全面检索。使用 Stata 软件对危险比 (HR) 和 95% 置信区间进行了汇总。九项大规模前瞻性研究共 3,663,205 名参与者符合条件。荟萃分析的结果表明，汇总的独居率为 32%。即使调整了所有潜在的混杂因素，独居仍与自杀未遂和自杀死亡有关（AHR = 1.45，95% CI：1.13-1.77；AHR = 1.27，95% CI：1.06-1.48）。与与他人共同生活的人相比，独居会增加自杀行为的风险。鉴于全球自杀率预计会上升，且独居现象日益普遍，建议在更大范围内探讨这一问题。系统综述注册：PROSPERO，标识符：CRD42023464684，https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42023464684。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Frontiers in Public Health Medicine-Public Health, Environmental and Occupational Health

CiteScore

4.80

自引率

7.70%

发文量

4469

审稿时长

14 weeks

期刊介绍： Frontiers in Public Health is a multidisciplinary open-access journal which publishes rigorously peer-reviewed research and is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians, policy makers and the public worldwide. The journal aims at overcoming current fragmentation in research and publication, promoting consistency in pursuing relevant scientific themes, and supporting finding dissemination and translation into practice. Frontiers in Public Health is organized into Specialty Sections that cover different areas of research in the field. Please refer to the author guidelines for details on article types and the submission process.