International Nursing College, Hainan Medical University, Haikou, Hainan, China.
Key Laboratory of Emergency and Trauma of Ministry of Education, Hainan Medical University, Haikou, Hainan, China.
Top Stroke Rehabil. 2021 Oct;28(7):545-555. doi: 10.1080/10749357.2020.1846933. Epub 2020 Nov 13.
: The prevalence of suicidal ideation (SI) among stroke survivors has been the subject of several studies, but systematic review data regarding the prevalence of SI among stroke patients are still scarce.: To estimate the pooled prevalence of SI among stroke survivors.: A comprehensive search strategy was established across the following electronic databases; Web of Science, PubMed, the Cochrane Library, Chinese Wanfang database and Chinese National Knowledge Infrastructure (CNKI). The 95% confidence interval (CI) given in each identified study was used to assess the outcomes. Cochran's Q test and I statistic were used to evaluate heterogeneity. The quality of the final evidence was evaluated using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach. We calculated the pooled prevalence of SI among stroke survivors before subgroup analysis and meta-regression was used to find the partial source of heterogeneity.: Twenty-one studies with a total of 17,189 participants were included in this study and the pooled prevalence of SI among stroke survivors was 12.25% (95%CI: 9.91-15.07%). Substantial heterogeneity was detected in the estimation of prevalence. The evidence was graded as very low for the overall outcome and the single item subgroup, while it was graded as low for the stable scale subgroup.: This meta-analysis suggests a high prevalence of SI among stroke survivors. Routine screening of SI after stroke is needed to plan interventions aimed at reducing suicide risk.
: 中风幸存者自杀意念（SI）的发生率一直是多项研究的主题，但有关中风患者 SI 发生率的系统评价数据仍然很少。: 旨在评估中风幸存者中 SI 的总体发生率。: 我们制定了一项全面的搜索策略，涵盖了以下电子数据库：Web of Science、PubMed、Cochrane 图书馆、中国万方数据库和中国国家知识基础设施（CNKI）。每个确定研究中给出的 95%置信区间（CI）用于评估结果。Cochran's Q 检验和 I 统计量用于评估异质性。使用推荐评估、制定和评估（GRADE）方法评估最终证据的质量。我们在进行亚组分析之前计算了中风幸存者中 SI 的总体发生率，并使用荟萃回归来寻找部分异质性的来源。: 这项研究共纳入了 21 项研究，总计 17189 名参与者，中风幸存者中 SI 的总体发生率为 12.25%（95%CI：9.91-15.07%）。在对发生率的估计中存在很大的异质性。总体结果和单项亚组的证据被评为极低，而稳定量表亚组的证据被评为低。: 这项荟萃分析表明，中风幸存者中 SI 的发生率很高。中风后需要对 SI 进行常规筛查，以便计划旨在降低自杀风险的干预措施。
