TY  - JOUR
PY  - 2019//
TI  - Internalizing and externalizing symptoms and suicidal behavior in young people: a systematic review and meta-analysis of longitudinal studies
JO  - Acta psychiatrica Scandinavica
A1  - Soto-Sanz, Victoria
A1  - Castellví, Pere
A1  - Piqueras, José Antonio
A1  - Rodríguez-Marín, Jesús
A1  - Rodríguez-Jiménez, Tiscar
A1  - Miranda-Mendizábal, Andrea
A1  - Parés-Badell, Oleguer
A1  - Almenara, José
A1  - Alonso, Iciar
A1  - Blasco, Maria Jesús
A1  - Cebria, Annabel
A1  - Gabilondo, Andrea
A1  - Gili, Margalida
A1  - Lagares, Carolina
A1  - Roca, Miquel
A1  - Alonso, Jordi
SP  - 5
EP  - 19
VL  - 140
IS  - 1
N2  - 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>
LA  - en
SN  - 0001-690X
UR  - http://dx.doi.org/10.1111/acps.13036
ID  - ref1
ER  -