@article{ref1,
title="Suicide and altitude: a systematic review of global literature",
journal="Public health nursing",
year="2022",
author="Brown, Anne and Hellem, Tracy and Schreiber, James and Buerhaus, Peter and Colbert, Alison",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVE: The purpose of this systematic review was to synthesize the existing global literature examining the relationship between altitude and suicide. <br><br>METHOD: Using the electronic databases PubMed, CINAHL, EMBASE, and PsychInofo published articles in English that addressed the relationship between altitude and suicide as a primary or secondary aim, and included human subjects, where identified. Studies were assessed for quality based on methodological approach and data relevance on a three-point scale (strong, moderate, or weak). <br><br>RESULTS: Of the 19 studies related to the purpose and aims, 17 reported evidence of a positive correlation between altitude and increased suicide. Vast design differences were employed within the literature, individual-level suicide data was identified as the preferred level of analysis. <br><br>DISCUSSION: The relationship between altitude and suicide is an evolving science with a small but growing body of literature suggesting altitude is associated with an increased risk of suicide. This review identifies the need for additional studies examining both individual-level suicide data and improving geographic precision. Public health nurses have a responsibility to carefully examine the quality of studies and the strength of the evidence when addressing variables associated with suicide.<p /> <p>Language: en</p>",
language="en",
issn="0737-1209",
doi="10.1111/phn.13090",
url="http://dx.doi.org/10.1111/phn.13090"
}