Suicide attempts in Bangladesh: Prevalence, trends, and disparities

Tonmoy Alam Shuvo , Kabir Hossain , Asma-Ul-Hosna , Dipu Rani Dey
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Abstract

Suicide attempts are a major public health issue, influenced by a range of factors. Assessing the prevalence of suicide attempts in Bangladesh is crucial for understanding the country's mental health landscape. We searched multiple databases and included 11 articles in the meta-analysis. We used a random-effects model to pool prevalence data. We assessed between-study heterogeneity through the Q-test and I² statistics and conducted subgroup analyses. To evaluate potential publication bias, we utilized a funnel plot and Egger's test. Additionally, meta-regression was performed to identify sources of heterogeneity, while sensitivity analysis was conducted to assess the robustness of the findings. Study quality was assessed using the Joanna Briggs Institute (JBI) tools. The pooled prevalence of suicide attempts in Bangladesh was 4.25 % (95 % CI: 2.28–6.22). The prevalence among males was 3.36 %, while females had a higher prevalence of 4.17 %. The pooled odds ratio for the risk of suicide attempts among females was 1.16 (95 % CI: 0.41–1.91), implying that females were at higher risk than males. We found that the pooled prevalence of suicide attempts among individuals aged 18 and above was 3.42 %. The analysis also uncovered a concerning upward trend in suicide attempts over recent years. The prevalence stood at 3.88 % from 2010 to 2016 and increased to 4.29 % between 2017 and 2023. The pooled prevalence of suicide attempts in Bangladesh revealed significant gender disparities, and a concerning upward trend in recent years, underscoring an urgent need for attention.
孟加拉国的自杀企图:流行、趋势和差异
自杀企图是一个重大的公共卫生问题,受到一系列因素的影响。评估孟加拉国自杀企图的流行程度对于了解该国的心理健康状况至关重要。我们检索了多个数据库,在meta分析中纳入了11篇文章。我们使用随机效应模型来汇总患病率数据。我们通过q检验和I²统计来评估研究间异质性,并进行亚组分析。为了评估潜在的发表偏倚,我们使用了漏斗图和Egger检验。此外,进行meta回归以确定异质性的来源,同时进行敏感性分析以评估研究结果的稳健性。使用乔安娜布里格斯研究所(JBI)工具评估研究质量。孟加拉国自杀企图的总患病率为4.25% %(95% % CI: 2.28-6.22)。男性患病率为3.36 %,女性患病率为4.17 %。女性自杀企图风险的合并优势比为1.16(95 % CI: 0.41-1.91),这意味着女性的风险高于男性。我们发现18岁及以上个体的总自杀企图率为3.42 %。该分析还揭示了近年来自杀企图的上升趋势。2010 - 2016年患病率为3.88 %,2017 - 2023年上升至4.29 %。孟加拉国自杀企图的总体流行率显示出显著的性别差异,以及近年来令人担忧的上升趋势,强调了迫切需要引起注意。
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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