V Soto-Sanz1, P Castellví2, J A Piqueras1, J Rodríguez-Marín1, T Rodríguez-Jiménez1,3, A Miranda-Mendizábal4,5, O Parés-Badell4, J Almenara6, I Alonso7, M J Blasco4,5,8, A Cebrià7, A Gabilondo9,10, M Gili11,12, C Lagares13, M Roca11,12, J Alonso4,5,8. 1. Department of Health Psychology, Miguel Hernandez University of Elche, Alicante, Spain. 2. University of Jaen, Jaen, Spain. 3. Department of Psychology, Catholic University of Murcia, Murcia, Spain. 4. Health Services Research Group, IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain. 5. Department of Experimental and Health Sciences, Pompeu Fabra University (UPF), Barcelona, Spain. 6. Area of Preventive Medicine and Public Health, University of Cadiz, Cadiz, Spain. 7. Department of Mental Health, Corporació Sanitaria Parc Taulí, Sabadell, Spain. 8. CIBER Epidemiología, y Salud Pública (CIBERESP), Madrid, Spain. 9. Outpatient Mental Health Care Network, Osakidetza-Basque Health Service, País Vasco, Spain. 10. Mental Health and Psychiatric Care Research Unit, BioDonosti Health Research Institute, San Sebastián, Spain. 11. Institut Universitari d'Investigació en Ciències de la Salut (IUNICS-IDISPA), University of Balearic Islands, Palma de Mallorca, Spain. 12. Network of Preventive Activities and Health Promotion, University of Balearic Islands, Palma de Mallorca, Spain. 13. Department of Statistics and Operative Research, University of Cádiz, Cádiz, Spain.
Abstract
OBJECTIVE: To assess internalizing and externalizing symptoms as risk factors for suicidal behaviour and suicide among adolescents and young adults. METHOD: We conducted a systematic review of articles published until January 2017. We identified 26 883 potential papers; 1701 full-text articles were assessed for eligibility, of which 1479 were excluded because of methodological reasons. Diverse meta-analyses were performed for each group of symptoms. Odds ratios (ORs) and 95% confidence intervals (95% CI) or beta coefficients for categorical variables, and effect size (ES) were calculated for continuous variables. RESULTS: Finally, 41 studies were included, involving participants aged 12-26 years for a systematic review, and 24 articles were included for meta-analysis. The meta-analysis showed that youths with any internalizing (ES = 0.93) or externalizing symptoms (ES = 0.76 and OR = 2.59) were more likely to attempt suicide in future. This effect was also seen in depression symptoms (OR = 6.58 and ES = 1.00), legal problems (OR = 3.36), and anxiety (ES = 0.65). CONCLUSION: Reported internalizing and externalizing symptoms are predictors of suicide behaviour in young people; therefore, the detection and management of these symptoms in young populations could be a crucial strategy for preventing suicidality in this group.
OBJECTIVE: To assess internalizing and externalizing symptoms as risk factors for suicidal behaviour and suicide among adolescents and young adults. METHOD: We conducted a systematic review of articles published until January 2017. We identified 26 883 potential papers; 1701 full-text articles were assessed for eligibility, of which 1479 were excluded because of methodological reasons. Diverse meta-analyses were performed for each group of symptoms. Odds ratios (ORs) and 95% confidence intervals (95% CI) or beta coefficients for categorical variables, and effect size (ES) were calculated for continuous variables. RESULTS: Finally, 41 studies were included, involving participants aged 12-26 years for a systematic review, and 24 articles were included for meta-analysis. The meta-analysis showed that youths with any internalizing (ES = 0.93) or externalizing symptoms (ES = 0.76 and OR = 2.59) were more likely to attempt suicide in future. This effect was also seen in depression symptoms (OR = 6.58 and ES = 1.00), legal problems (OR = 3.36), and anxiety (ES = 0.65). CONCLUSION: Reported internalizing and externalizing symptoms are predictors of suicide behaviour in young people; therefore, the detection and management of these symptoms in young populations could be a crucial strategy for preventing suicidality in this group.
Authors: Brandee Feola; Sir Norman T Melancon; Jacqueline A Clauss; Madison P Noall; Adaora Mgboh; Elizabeth A Flook; Margaret M Benningfield; Jennifer Urbano Blackford Journal: Dev Psychobiol Date: 2021-12 Impact factor: 3.038
Authors: Valérie La Buissonnière Ariza; Sophie C Schneider; Sandra L Cepeda; Jeffrey J Wood; Philip C Kendall; Brent J Small; Karen S Wood; Connor Kerns; Kirti Saxena; Eric A Storch Journal: Child Psychiatry Hum Dev Date: 2021-01-18
Authors: José Antonio Piqueras; Victoria Soto-Sanz; Jesús Rodríguez-Marín; Carlos García-Oliva Journal: Int J Environ Res Public Health Date: 2019-07-14 Impact factor: 3.390
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