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Internalizing and externalizing symptoms and suicidal behaviour in young people: a systematic review and meta‐analysis of longitudinal studies

Soto‐Sanz, V., Castellví, P., Piqueras, J. A., Rodríguez‐Marín, J., Rodríguez‐Jiménez, T., Miranda‐Mendizábal, A., Parés‐Badell, O., Almenara, J., Alonso, I., Blasco, M. J., Cebrià, A., Gabilondo, A., Gili, M., Lagares, C., Roca, M., Alonso, J.·2019·Acta Psychiatrica Scandinavica
DOI 10.1111/acps.13036
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Abstract

Objective: To assess internalizing and externalizing symptoms as risk factors for suicidal behaviour and suicide among adolescents and young adults. Method: We conducted a systematic review of articles published until January 2017. We identified 26 883 potential papers; 1701 full‐text articles were assessed for eligibility, of which 1479 were excluded because of methodological reasons. Diverse meta‐analyses were performed for each group of symptoms. Odds ratios (OR s) and 95% confidence intervals (95% CI) or beta coefficients for categorical variables, and effect size (ES) were calculated for continuous variables. 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). Conclusion: Reported internalizing and externalizing symptoms are predictors of suicide behaviour 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.

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Metadata

Authors
Soto‐Sanz, V., Castellví, P., Piqueras, J. A., Rodríguez‐Marín, J., Rodríguez‐Jiménez, T., Miranda‐Mendizábal, A., Parés‐Badell, O., Almenara, J., Alonso, I., Blasco, M. J., Cebrià, A., Gabilondo, A., Gili, M., Lagares, C., Roca, M., & Alonso, J.
Affiliations
  • Department of Health Psychology Miguel Hernandez University of Elche Alicante Spain
  • University of Jaen Jaen Spain
  • Health Services Research Group IMIM (Hospital del Mar Medical Research Institute) Barcelona Spain
  • Area of Preventive Medicine and Public Health University of Cadiz Cadiz Spain
  • Department of Mental Health Corporació Sanitaria Parc Taulí Sabadell Spain
  • Outpatient Mental Health Care Network Osakidetza‐Basque Health Service País Vasco Spain
  • Institut Universitari d'Investigació en Ciències de la Salut (IUNICS‐IDISPA) University of Balearic Islands Palma de Mallorca Spain
  • Department of Statistics and Operative Research University of Cádiz Cádiz Spain
ORCID
Venue
Acta Psychiatrica Scandinavica
Publisher
Wiley
Published
2019-05-24
Volume
140
Issue
1
Pages
5-19
ISSN
  • 0001-690X
  • 1600-0447
DOI
10.1111/acps.13036
Cited by
112
References
14
Language
en
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Funders
  • Instituto de Salud Carlos III (CD12/0044)
  • European Regional Development Fund (PI13/00343)
  • Ministerio de Educación, Cultura y Deporte (ECD/465/2012)

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