Social Determinants of Health Research Center, Saveh University of Medical Sciences, Saveh, Iran.
International Gaming Research Unit, Psychology Department, Nottingham Trent University, Nottingham, UK.
Community Ment Health J. 2023 Oct;59(7):1283-1299. doi: 10.1007/s10597-023-01111-3. Epub 2023 Mar 27.
The present systematic review and meta-analysis study aimed to determine sociodemographic characteristics, risky behaviors, mental health disorders, and substance use disorders associated with suicide behaviors including suicidal ideation and suicide attempts among homeless individuals. PubMed, Scopus, Web of Science, and Cochrane Library databases were searched to identify the relevant studies published between January 1, 1995 and November 1, 2022. After initial evaluation of 9,094 papers, a total of 23 studies met the eligibility criteria. Results of the present study showed that chronic physical illnesses, violent behaviors, mood and psychotic disorders, and substance use disorders were significantly associated with both suicidal ideation and suicide attempts, while being older, having a history of physical abuse, and having mood and post-traumatic stress disorders were associated with suicide attempts only. The present study's findings suggest a crucial need for facilitating access to mental healthcare plans and promoting mental healthcare seeking among homeless individuals.
本系统评价和荟萃分析研究旨在确定与无家可归者自杀行为（包括自杀意念和自杀未遂）相关的社会人口学特征、危险行为、心理健康障碍和物质使用障碍。检索了 PubMed、Scopus、Web of Science 和 Cochrane Library 数据库，以确定 1995 年 1 月 1 日至 2022 年 11 月 1 日期间发表的相关研究。在初步评估了 9094 篇论文后，共有 23 项研究符合入选标准。本研究结果表明，慢性躯体疾病、暴力行为、情绪和精神病障碍以及物质使用障碍与自杀意念和自杀未遂显著相关，而年龄较大、有躯体虐待史以及情绪和创伤后应激障碍仅与自杀未遂相关。本研究结果表明，迫切需要为无家可归者提供获得精神保健计划的机会，并促进他们寻求精神保健。
