Castillejos Ma Carmen, Huertas Paloma, Martín Paloma, Moreno Küstner Berta
Arch Suicide Res. 2021 Oct-Dec;25(4):810-828. doi: 10.1080/13811118.2020.1765928. Epub 2020 Jul 3.
To conduct a systematic review and meta-analysis of the prevalence and variability in suicidality in the general adult population of Europe between 2008 and 2017.
Studies containing original data on suicidality were identified in five electronic databases. Point, 12-month and lifetime prevalences were calculated for various types of suicidality. Pooled prevalence rates were calculated using a random effects model. Subgroup analysis and multivariate meta-regression were also performed.
We identified 24 papers containing original data, which provided 97 prevalence rates for suicidality. The pooled point prevalence rate was 3.96% (2.37-5.56), pooled 12-month prevalence 2.9% (1.49-4.32), and pooled lifetime prevalence 5.55% (4.31-6.79). The subgroup analysis showed that lifetime prevalence figures for wishing to be dead and suicidal ideation were higher in areas with a population of less than 3,849 inhabitants and in Eastern Europe. Finally, the multivariate meta-regression showed differences with respect to the period and type of suicidality, lower and upper age thresholds, population size, and study area.
Our data showed that approximately 21% of European individuals have wished to be dead at some point during their lifetime. Studies like this are necessary to highlight the need for efforts to prevent and intervene in suicidality.
对2008年至2017年欧洲普通成年人群中自杀倾向的患病率及变异性进行系统评价和荟萃分析。
在五个电子数据库中识别包含自杀倾向原始数据的研究。计算了各种类型自杀倾向的时点患病率、12个月患病率和终生患病率。使用随机效应模型计算合并患病率。还进行了亚组分析和多变量meta回归。
我们识别出24篇包含原始数据的论文,这些论文提供了97个自杀倾向的患病率。合并时点患病率为3.96%(2.37 - 5.56),合并12个月患病率为2.9%(1.49 - 4.32),合并终生患病率为5.55%(4.31 - 6.79)。亚组分析表明,在居民人数少于3849人的地区和东欧,想死和自杀意念的终生患病率较高。最后,多变量meta回归显示在自杀倾向的时期和类型、年龄上下限、人口规模和研究地区方面存在差异。
我们的数据表明,约21%的欧洲人在其一生中的某个时刻曾有过想死的念头。这样的研究对于凸显预防和干预自杀倾向工作的必要性至关重要。