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Gender differences in suicidal behavior in adolescents and young adults: systematic review and meta-analysis of longitudinal studies

Author

Listed:
  • Andrea Miranda-Mendizabal

    (IMIM-Institut Hospital del Mar d´Investigacions Mèdiques
    Pompeu Fabra University (UPF))

  • Pere Castellví

    (IMIM-Institut Hospital del Mar d´Investigacions Mèdiques
    Jaen University)

  • Oleguer Parés-Badell

    (IMIM-Institut Hospital del Mar d´Investigacions Mèdiques)

  • Itxaso Alayo

    (IMIM-Institut Hospital del Mar d´Investigacions Mèdiques
    CIBER Epidemiología y Salud Pública (CIBERESP))

  • José Almenara

    (University of Cádiz)

  • Iciar Alonso

    (Morales Meseguer Hospital)

  • Maria Jesús Blasco

    (IMIM-Institut Hospital del Mar d´Investigacions Mèdiques
    Pompeu Fabra University (UPF)
    CIBER Epidemiología y Salud Pública (CIBERESP))

  • Annabel Cebrià

    (Corporació Sanitaria Parc Taulí)

  • Andrea Gabilondo

    (Osakidetza-Basque Health Service
    BioDonosti Health Research Institute)

  • Margalida Gili

    (University of Balearic Islands
    University of Balearic Islands)

  • Carolina Lagares

    (University of Cádiz)

  • José Antonio Piqueras

    (Miguel Hernandez University of Elche)

  • Tiscar Rodríguez-Jiménez

    (Miguel Hernandez University of Elche)

  • Jesús Rodríguez-Marín

    (Miguel Hernandez University of Elche)

  • Miquel Roca

    (University of Balearic Islands
    University of Balearic Islands)

  • Victoria Soto-Sanz

    (Miguel Hernandez University of Elche)

  • Gemma Vilagut

    (IMIM-Institut Hospital del Mar d´Investigacions Mèdiques
    CIBER Epidemiología y Salud Pública (CIBERESP))

  • Jordi Alonso

    (IMIM-Institut Hospital del Mar d´Investigacions Mèdiques
    Pompeu Fabra University (UPF)
    CIBER Epidemiología y Salud Pública (CIBERESP))

Abstract

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.

Suggested Citation

  • Andrea Miranda-Mendizabal & Pere Castellví & Oleguer Parés-Badell & Itxaso Alayo & José Almenara & Iciar Alonso & Maria Jesús Blasco & Annabel Cebrià & Andrea Gabilondo & Margalida Gili & Carolina Lag, 2019. "Gender differences in suicidal behavior in adolescents and young adults: systematic review and meta-analysis of longitudinal studies," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 64(2), pages 265-283, March.
    • Handle: RePEc:spr:ijphth:v:64:y:2019:i:2:d:10.1007_s00038-018-1196-1
    DOI: 10.1007/s00038-018-1196-1
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    References listed on IDEAS

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    1. Karen M Devries & Joelle Y Mak & Loraine J Bacchus & Jennifer C Child & Gail Falder & Max Petzold & Jill Astbury & Charlotte H Watts, 2013. "Intimate Partner Violence and Incident Depressive Symptoms and Suicide Attempts: A Systematic Review of Longitudinal Studies," PLOS Medicine, Public Library of Science, vol. 10(5), pages 1-11, May.
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    2. Villarreal-Otálora, Tatiana & Boyas, Javier F. & Alvarez-Hernandez, Luis R. & Fatehi, Mariam, 2020. "Ecological factors influencing suicidal ideation-to-action among Latinx adolescents: An exploration of sex differences," Children and Youth Services Review, Elsevier, vol. 118(C).
    3. Guillermo Gómez Delgado & Antonio Ponce Rojo & Jaime Eduardo Ramírez Mireles & Felipe de Jesús Carmona-Moreno & Claudia Cecilia Flores Salcedo & Aurea Mercedes Hernández Romero, 2024. "Suicide Risk Factors in High School Students," IJERPH, MDPI, vol. 21(8), pages 1-25, August.
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    5. Javzan Badarch & Bayar Chuluunbaatar & Suvd Batbaatar & Edit Paulik, 2022. "Suicide Attempts among School-Attending Adolescents in Mongolia: Associated Factors and Gender Differences," IJERPH, MDPI, vol. 19(5), pages 1-10, March.
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    8. Md Irteja Islam & Lisa Sharwood & Verity Chadwick & Tuguy Esgin & Alexandra Martiniuk, 2022. "Protective Factors against Self-Harm and Suicidality among Australian Indigenous Adolescents: A Strengths-Based Analysis of the Longitudinal Study of Indigenous Children," IJERPH, MDPI, vol. 19(15), pages 1-17, July.
    9. Ascensión Fumero & Rosario J. Marrero & Alicia Pérez-Albéniz & Eduardo Fonseca-Pedrero, 2021. "Adolescents’ Bipolar Experiences and Suicide Risk: Well-being and Mental Health Difficulties as Mediators," IJERPH, MDPI, vol. 18(6), pages 1-16, March.
    10. Richardson, Cara & Robb, Kathryn A. & O'Connor, Rory C., 2021. "A systematic review of suicidal behaviour in men: A narrative synthesis of risk factors," Social Science & Medicine, Elsevier, vol. 276(C).
    11. José Antonio Piqueras & Victoria Soto-Sanz & Jesús Rodríguez-Marín & Carlos García-Oliva, 2019. "What is the Role of Internalizing and Externalizing Symptoms in Adolescent Suicide Behaviors?," IJERPH, MDPI, vol. 16(14), pages 1-13, July.
    12. Marcela Gracia-Leiva & Alicia Puente-Martínez & Silvia Ubillos-Landa & José Luis González-Castro & Darío Páez-Rovira, 2020. "Off- and Online Heterosexual Dating Violence, Perceived Attachment to Parents and Peers and Suicide Risk in Young Women," IJERPH, MDPI, vol. 17(9), pages 1-20, May.
    13. Sadhbh J. Byrne & India Bellairs-Walsh & Simon M. Rice & Sarah Bendall & Michelle Lamblin & Emily Boubis & Brianna McGregor & Meghan O’Keefe & Jo Robinson, 2021. "A Qualitative Account of Young People’s Experiences Seeking Care from Emergency Departments for Self-Harm," IJERPH, MDPI, vol. 18(6), pages 1-17, March.
    14. Hyunlye Kim & Kwang-Hi Park & Suin Park, 2021. "Gender Differences in Lifestyle and Mental Health among Senior High School Students in South Korea," IJERPH, MDPI, vol. 18(20), pages 1-13, October.
    15. Adriana Díez-Gómez & Alicia Pérez-Albéniz & Carla Sebastián-Enesco & Eduardo Fonseca-Pedrero, 2020. "Suicidal Behavior in Adolescents: A Latent Class Analysis," IJERPH, MDPI, vol. 17(8), pages 1-11, April.
    16. Muela, Alexander & García-Ormaza, Jon & Sansinenea, Eneko, 2024. "Suicidal behavior and deliberate self-harm: A major challenge for youth residential care in Spain," Children and Youth Services Review, Elsevier, vol. 158(C).
    17. Alicia Edith Hermosillo-de-la-Torre & Stephania Montserrat Arteaga-de-Luna & Denise Liliana Acevedo-Rojas & Angélica Juárez-Loya & José Alberto Jiménez-Tapia & Francisco Javier Pedroza-Cabrera & Catal, 2021. "Psychosocial Correlates of Suicidal Behavior among Adolescents under Confinement Due to the COVID-19 Pandemic in Aguascalientes, Mexico: A Cross-Sectional Population Survey," IJERPH, MDPI, vol. 18(9), pages 1-17, May.
    18. Tide Garnow & Eva-Lena Einberg & Anna-Karin Edberg & Pernilla Garmy, 2021. "Sadness and Other Health Complaints among Swedish Adolescents: A Cross-Sectional Study," IJERPH, MDPI, vol. 18(8), pages 1-10, April.
    19. Ethel Santacruz & Derlis Duarte-Zoilan & Gilda Benitez Rolandi & Felicia Cañete & Dins Smits & Noël C. Barengo & Guillermo Sequera, 2024. "Epidemiology of Suicide Mortality in Paraguay from 2005 to 2019: A Descriptive Study," IJERPH, MDPI, vol. 21(3), pages 1-11, February.
    20. María Teresa Carrasco-Barrios & Paloma Huertas & Paloma Martín & Carlos Martín & Mª Carmen Castillejos & Eleni Petkari & Berta Moreno-Küstner, 2020. "Determinants of Suicidality in the European General Population: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 17(11), pages 1-24, June.
    21. Maha Sulaiman Younis & Riyadh Khudhiar Lafta, 2021. "The plight of women in Iraq: Gender disparity, violence, and mental health," International Journal of Social Psychiatry, , vol. 67(8), pages 977-983, December.
    22. Vinícius Serafini Roglio & Eduardo Nunes Borges & Francisco Diego Rabelo-da-Ponte & Felipe Ornell & Juliana Nichterwitz Scherer & Jaqueline Bohrer Schuch & Ives Cavalcante Passos & Breno Sanvicente-Vi, 2020. "Prediction of attempted suicide in men and women with crack-cocaine use disorder in Brazil," PLOS ONE, Public Library of Science, vol. 15(5), pages 1-19, May.

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