Adverse childhood experiences and suicidality in low-income and middle-income countries: a systematic review and meta-analysis DOI Creative Commons
Dawn-Li Blair, Mila Kingsbury, Heidi Eccles

et al.

BMJ Global Health, Journal Year: 2025, Volume and Issue: 10(5), P. e018129 - e018129

Published: May 1, 2025

Introduction Suicide is an important public health problem with a complex aetiology; this includes adverse childhood experiences (ACEs). Common to suicide and ACEs research lack of evidence from low-income middle-income countries (LMICs). This review aims evaluate associations between suicidality in LMICs. Methods In systematic meta-analysis, search for articles investigating any suicidal outcomes LMICs was conducted using Medline, Embase, PsycINFO, CINAHL Web Science on 2 December 2022; updated 14 January 2025. Cross-sectional or cohort study prior age 18 population-based, probabilistic total population, sampling were eligible inclusion. Suicidal across the spectrum Identified records underwent two-step screening by two independent reviewers; data extraction risk bias assessment Joanna Briggs Institute Critical Appraisal tools also completed duplicate. Random-effects models used calculate pooled ORs. Articles that could not be meta-analysed narratively synthesised. Reporting guided Preferred Items Systematic Reviews Meta-Analyses 2020 statement. Results Ultimately, 118 included; all low moderate none reported mortality. Six significantly associated increased odds outcomes: (1) bullying-victimisation, (2) emotional, verbal psychological abuse victim, (3) parental separation, divorce death, (4) physical violence (5) attack victim (6) sexual victim. Significant ORs ranged 1.19 2.61. Positive found subgroup sensitivity analyses. Narrative statistically significant positive non-significant outcomes. Conclusions are LMICs, highlighting need early intervention strategies multisector approaches reducing their potential impacts.

Language: Английский

Adverse childhood experiences and suicidality in low-income and middle-income countries: a systematic review and meta-analysis DOI Creative Commons
Dawn-Li Blair, Mila Kingsbury, Heidi Eccles

et al.

BMJ Global Health, Journal Year: 2025, Volume and Issue: 10(5), P. e018129 - e018129

Published: May 1, 2025

Introduction Suicide is an important public health problem with a complex aetiology; this includes adverse childhood experiences (ACEs). Common to suicide and ACEs research lack of evidence from low-income middle-income countries (LMICs). This review aims evaluate associations between suicidality in LMICs. Methods In systematic meta-analysis, search for articles investigating any suicidal outcomes LMICs was conducted using Medline, Embase, PsycINFO, CINAHL Web Science on 2 December 2022; updated 14 January 2025. Cross-sectional or cohort study prior age 18 population-based, probabilistic total population, sampling were eligible inclusion. Suicidal across the spectrum Identified records underwent two-step screening by two independent reviewers; data extraction risk bias assessment Joanna Briggs Institute Critical Appraisal tools also completed duplicate. Random-effects models used calculate pooled ORs. Articles that could not be meta-analysed narratively synthesised. Reporting guided Preferred Items Systematic Reviews Meta-Analyses 2020 statement. Results Ultimately, 118 included; all low moderate none reported mortality. Six significantly associated increased odds outcomes: (1) bullying-victimisation, (2) emotional, verbal psychological abuse victim, (3) parental separation, divorce death, (4) physical violence (5) attack victim (6) sexual victim. Significant ORs ranged 1.19 2.61. Positive found subgroup sensitivity analyses. Narrative statistically significant positive non-significant outcomes. Conclusions are LMICs, highlighting need early intervention strategies multisector approaches reducing their potential impacts.

Language: Английский

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