Prevalence of suicidal ideation, suicide attempts and suicide deaths in people living with HIV: Are there differences between geographic locations or sexes? : An overview of systematic reviews with meta-analysis.

IF 3.6 2区医学 Q1 PSYCHIATRY

Social Psychiatry and Psychiatric Epidemiology Pub Date : 2025-05-09 DOI:10.1007/s00127-025-02916-1

Juan-Carlos Hernández-Rodríguez, Marta Infante-Cano, Cristina García-Muñoz, Javier Matias-Soto, Olga Villar-Alises, Saul Pineda-Escobar, Javier Martinez-Calderon

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引用次数: 0

Abstract

Background: Preventing suicide is an important clinical and research priority according to the World Health Organization across lifespan.

Objective: This study summarizes the prevalence of suicidal ideation, attempts, and suicide deaths among people living with HIV (PLWH) and explores geographic and sex-based differences in metaanalyses.

Methods: An overview of systematic reviews was conducted using CINAHL, Embase, PsycINFO, and PubMed, covering inception to 16th August 2024.AMSTAR 2 evaluated methodological quality, and review overlap was calculated.

Results: Twelve systematic reviews were included, with the highest overlap for suicide attempts in Africa (CCA = 13%). Meta-analyses showed pooled prevalence of suicidal ideation ranging from 13.8 to 22.1% in Africa, 27.1-30.1% in Asia, 33.7% in Europe, 14.3% in North America, and 27.5% in South America. Suicide attempts ranged from 3.7 to 12.5% in Africa, 3.6-11.2% in Asia, and 20.09% in the Americas. Among males, suicidal ideation prevalence was 40% in PLWH, suicide attempts 16.8%, and suicide deaths 1.5% PLWH. Among females, suicidal ideation was 32.8%, suicide attempts 29.0%, and suicide deaths 1.2% in PLWH.

Conclusion: Suicidal ideation and attempts are prevalent in PLWH, with notable geographic and sex-based differences.

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艾滋病毒感染者中自杀意念、自杀企图和自杀死亡的流行程度：地理位置或性别之间是否存在差异？荟萃分析的系统综述。

背景：根据世界卫生组织，预防自杀是一个重要的临床和研究重点。目的：本研究总结了艾滋病毒感染者（PLWH）中自杀意念、企图和自杀死亡的流行情况，并在荟萃分析中探讨了地理和性别差异。方法：使用CINAHL、Embase、PsycINFO和PubMed进行系统综述，时间覆盖至2024年8月16日。AMSTAR 2评估方法学质量，并计算综述重叠。结果：纳入了12项系统评价，非洲的自杀企图重叠率最高（CCA = 13%）。荟萃分析显示，自杀意念的总患病率在非洲为13.8% - 22.1%，亚洲为27.1% -30.1%，欧洲为33.7%，北美为14.3%，南美为27.5%。非洲的自杀企图率为3.7 - 12.5%，亚洲为3.6-11.2%，美洲为20.09%。男性自杀意念患病率为40%，自杀企图患病率为16.8%，自杀死亡患病率为1.5%。女性自杀意念占32.8%，自杀企图占29.0%，自杀死亡占1.2%。结论：PLWH患者自杀意念和企图普遍存在，且存在显著的地域和性别差异。

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

Social Psychiatry and Psychiatric Epidemiology 医学-精神病学

CiteScore

8.50

自引率

2.30%

发文量

184

审稿时长

3-6 weeks

期刊介绍： Social Psychiatry and Psychiatric Epidemiology is intended to provide a medium for the prompt publication of scientific contributions concerned with all aspects of the epidemiology of psychiatric disorders - social, biological and genetic. In addition, the journal has a particular focus on the effects of social conditions upon behaviour and the relationship between psychiatric disorders and the social environment. Contributions may be of a clinical nature provided they relate to social issues, or they may deal with specialised investigations in the fields of social psychology, sociology, anthropology, epidemiology, health service research, health economies or public mental health. We will publish papers on cross-cultural and trans-cultural themes. We do not publish case studies or small case series. While we will publish studies of reliability and validity of new instruments of interest to our readership, we will not publish articles reporting on the performance of established instruments in translation. Both original work and review articles may be submitted.