儿童、青少年和青年癌症幸存者自杀行为的患病率:一项系统回顾和荟萃分析

Q3 Psychology
Naohiro Yonemoto , Yoshitaka Kawashima
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引用次数: 0

摘要

许多研究表明,儿童、青少年和青年癌症(CAYAC)幸存者后期身体和心理健康影响的风险增加。然而,关于CAYAC幸存者自杀行为风险的综合数据仍然缺乏。我们调查了CAYAC幸存者自杀行为的证据。方法进行系统综述和荟萃分析。文献检索使用MEDLINE、Embase、CINAHL、PsycINFO、Cochrane数据库以及先前相关综述的参考文献列表。我们总结了符合条件的自杀行为研究的特点。我们采用随机效应模型对现有资料进行meta分析,并以95%置信区间(CI)计算合并患病率。结果我们从检索中鉴定出1108篇文章,从既往综述中鉴定出22篇。我们确定了38项符合条件的研究。26项队列研究和12项横断面研究被折衷。荟萃分析显示,总自杀率为0.152% (95% CI: 0.103-0.209),自杀企图率为2.2% (95% CI;自杀意念为9.2% (95% CI: 7.8 ~ 10.6)。一些研究确定了特定的CAYAC幸存者的自杀风险与年龄、癌症类型和治疗有关。局限性:荟萃分析中一些研究的结果测量不能确定。结论本研究结果揭示了CAYAC幸存者中自杀行为的普遍性。需要提高对这些风险的认识和监测,以及影响支持预防CAYAC幸存者自杀行为的问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The prevalence of suicidal behaviors in childhood, adolescent and young adults cancer survivors: A systematic review and meta-analysis

Background

Many studies have shown that Childhood, adolescent and young adult cancer (CAYAC) survivors have an increased risk of late physical and mental health effects. However, comprehensive data on the risks of suicidal behaviors in CAYAC survivors are still lacking. We investigated the evidence of suicidal behaviors in CAYAC survivors.

Methods

We performed a systematic review and meta-analysis. The literature search was conducted using MEDLINE, Embase, CINAHL, PsycINFO, the Cochrane Database, and reference lists from previous relevant reviews. We summarized the characteristics of eligible studies on suicidal behavior. We performed meta-analysis with random-effect model for available data of them and calculated pooled prevalences with 95 % confidence intervals (CI).

Results

We identified 1108 articles from the search and 22 articles from previous review. We identified 38 eligible studies. 26 cohort studies and 12 cross-sectional studies were compromised. The meta-analysis showed pooled prevalence of suicide was 0.152 % (95 % CI: 0.103–0.209), suicide attempt was 2.2 % (95 %CI; 1.9–2.6) and suicidal ideation was 9.2 % (95 %CI: 7.8–10.6). Some studies identified specific CAYAC survivors at risk of suicide as age, type of cancer and treatments.

Limitations

Outcome measures could not be identified in some studies in the meta-analysis.

Conclusions

The findings revealed prevalence of suicidal behaviors in CAYAC survivors. Greater awareness and monitoring are needed of these risks, and of issues that affect support to prevent suicidal behaviors in CAYAC survivors.
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来源期刊
Journal of Affective Disorders Reports
Journal of Affective Disorders Reports Psychology-Clinical Psychology
CiteScore
3.80
自引率
0.00%
发文量
137
审稿时长
134 days
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