@article{ref1,
title="Internalizing and externalizing symptoms and suicidal behavior in young people: a systematic review and meta-analysis of longitudinal studies",
journal="Acta psychiatrica Scandinavica",
year="2019",
author="Soto-Sanz, Victoria and Castellví, Pere and Piqueras, José Antonio and Rodríguez-Marín, Jesús and Rodríguez-Jiménez, Tiscar and Miranda-Mendizábal, Andrea and Parés-Badell, Oleguer and Almenara, José and Alonso, Iciar and Blasco, Maria Jesús and Cebria, Annabel and Gabilondo, Andrea and Gili, Margalida and Lagares, Carolina and Roca, Miquel and Alonso, Jordi",
volume="140",
number="1",
pages="5-19",
abstract="OBJECTIVE: To assess internalizing and externalizing symptoms as risk factors for suicidal behavior and suicide among adolescents and young adults. <br><br>METHOD: We conducted a systematic review of articles published until January 2017. We identified 26883 potential papers; 1701 full text articles were assessed for eligibility, of which 1479 were excluded due to 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. <br><br>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). <br><br>CONCLUSION: Reported internalizing and externalizing symptoms are predictors of suicide behavior 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. This article is protected by copyright. All rights reserved.<br><br>This article is protected by copyright. All rights reserved.<p /> <p>Language: en</p>",
language="en",
issn="0001-690X",
doi="10.1111/acps.13036",
url="http://dx.doi.org/10.1111/acps.13036"
}