TY - JOUR PY - 2019// TI - Gender differences in suicidal behavior in adolescents and young adults: systematic review and meta-analysis of longitudinal studies JO - International journal of public health A1 - Miranda-Mendizábal, Andrea A1 - Castellví, Pere A1 - Parés-Badell, Oleguer A1 - Alayo, Itxaso A1 - Almenara, José A1 - Alonso, Iciar A1 - Blasco, Maria Jesús A1 - Cebria, Annabel A1 - Gabilondo, Andrea A1 - Gili, Margalida A1 - Lagares, Carolina A1 - Piqueras, José Antonio A1 - Rodríguez-Jiménez, Tiscar A1 - Rodríguez-Marín, Jesús A1 - Roca, Miquel A1 - Soto-Sanz, Victoria A1 - Vilagut, Gemma A1 - Alonso, Jordi SP - 265 EP - 283 VL - 64 IS - 2 N2 - OBJECTIVES: To assess the association between gender and suicide attempt/death and identify gender-specific risk/protective factors in adolescents/young adults.

METHODS: Systematic review (5 databases until January 2017). Population-based longitudinal studies considering non-clinical populations, aged 12-26 years, assessing associations between gender and suicide attempts/death, or evaluating their gender risk/protective factors, were included. Random effect meta-analyses were performed.

RESULTS: Sixty-seven studies were included. Females presented higher risk of suicide attempt (OR 1.96, 95% CI 1.54-2.50), and males for suicide death (HR 2.50, 95% CI 1.8-3.6). Common risk factors of suicidal behaviors for both genders are previous mental or substance abuse disorder and exposure to interpersonal violence. Female-specific risk factors for suicide attempts are eating disorder, posttraumatic stress disorder, bipolar disorder, being victim of dating violence, depressive symptoms, interpersonal problems and previous abortion. Male-specific risk factors for suicide attempt are disruptive behavior/conduct problems, hopelessness, parental separation/divorce, friend's suicidal behavior, and access to means. Male-specific risk factors for suicide death are drug abuse, externalizing disorders, and access to means. For females, no risk factors for suicide death were studied.

CONCLUSIONS: More evidence about female-specific risk/protective factors of suicide death, for adolescent/young adults, is needed.

Language: en

LA - en SN - 1661-8556 UR - http://dx.doi.org/10.1007/s00038-018-1196-1 ID - ref1 ER -