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Rates and risk factors for suicidal ideation,suicide attempts and suicide deaths in persons with HIV:a systematic review and meta-analysis

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General Psychiatry 2021年第2期34卷 60-68页

作者： Matt Pelton Matt Ciarletta Holly Wisnousky nicholas lazzara Monica Manglani Djibril M Ba Vernon M Chinchillli Ping Du Anna E Ssentongo Paddy Ssentongo Department of Public Health Sciences The Pennsylvania State University College of MedicineHersheyPennsylvaniaUSA Department of Surgery The Pennsylvania State University College of MedicineHersheyPennsylvaniaUSA Center for Neural Engineering Department of Engineering Science and MechanicsThe Pennsylvania State UniversityUniversity ParkPennsylvaniaUSA

Background People living with HIV/AIDS(PLWHA)must contend with a significant burden of ***,current studies of this demographic have yielded wide variations in the incidence of suicidality(defined as suicidal ideation,suicide attempt and suicide deaths).Aims This systematic review and meta-analysis aimed to assess the lifetime incidence and prevalence of suicidality in *** Publications were identified from PubMed(MEDLINE),SCOPUS,OVID(MEDLINE),Joanna Briggs Institute EBP and Cochrane Library databases(from inception to before 1 February 2020).The search strategy included a combination of Medical Subject Headings associated with suicide and *** independently screened records,extracted outcome measures and assessed study *** were pooled using a random-effects *** and meta-regression analyses were conducted to explore the associated risk factors and to identify the sources of *** outcomes were lifetime incidence of suicide completion and lifetime incidence and prevalence of suicidal ideation and suicide *** A total of 185199 PLWHA were identified from 40 studies(12 cohorts,27 cross-sectional and 1 nested case-control).The overall incidence of suicide completion in PLWHA was 10.2/1000 persons(95%CI:4.5 to 23.1),translating to 100-fold higher suicide deaths than the global general population rate of 0.11/1000 *** lifetime prevalence of suicide attempts was 158.3/1000 persons(95%CI:106.9 to 228.2)and of suicidal ideation was 228.3/1000 persons(95%CI:150.8 to 330.1).Meta-regression revealed that for every 10-percentage point increase in the proportion of people living with HIV with advanced disease(AIDS),the risk of suicide completion increased by 34 per 1000 *** quality of evidence by Grading of Recommendations,Assessment,Development and Evaluations for the suicide deaths was graded as‘moderate’*** The risk of suicide death is 100-fold higher in people living wit

关键词： lifetime suicide analysis

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