Alnashwan Yara A, Rashid Ahmed Mustafa, Javaid Syed Sarmad, Kharoshah Magdy A, Arun M, Dsouza Haneil Larson, Atreya Alok, Menezes Ritesh George
Department of Pathology, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
Department of Medicine, Jinnah Sindh Medical University, Karachi, Pakistan.
Acta Inform Med. 2023 Mar;31(1):76-83. doi: 10.5455/aim.2023.31.76-83.
Suicide is a global health concern. There are reproductive health-related factors that are responsible for increasing the risk of female suicide. There are a number of studies examining the association between suicide and the menstrual cycle, but still, there are no conclusive findings.
We aimed to pool data from all the studies reporting data on suicides and the menstrual cycle phase to report the following outcomes: incidence of suicidal deaths in the menstrual, secretory, and proliferative phases, and to find out whether the burden of suicide in the menstrual phase in particular, was more at a young age (18-35 years) or middle age (36-50years).
The PubMed database was extensively searched from inception till 12 April 2022. The data for the number of events occurring for each outcome were pooled using random-effects model and forest plots were created.
Five articles were shortlisted for inclusion in our analysis. Incidence of suicide in the secretory phase was highest at 45.2% [95% CI, 0.367-0.537]. The incidence of suicide, when occurring in the menstrual phase, was reported to be 68.4% (95 CI, 0.317-1.052) and 31.6% (95 CI, -0.052.3-0.68) for young-aged and middle-aged victims, respectively.
Our results demonstrate that the menstrual phase has a lower risk of mortality due to suicide when compared to the other two phases of the menstrual cycle. Nevertheless, when suicide occurred in the menstrual phase, the incidence of suicide among the younger age-group was higher than for those in the middle age-group.
自杀是一个全球关注的健康问题。存在一些与生殖健康相关的因素会增加女性自杀风险。有多项研究探讨自杀与月经周期之间的关联，但仍未得出确凿结论。
我们旨在汇总所有报告自杀与月经周期阶段数据的研究，以报告以下结果：月经周期的分泌期、增殖期和月经期自杀死亡的发生率，并查明特别是在月经期，自杀负担在年轻年龄段（18 - 35岁）还是中年年龄段（36 - 50岁）更高。
对PubMed数据库从建库至2022年4月12日进行了广泛检索。使用随机效应模型汇总每个结果发生事件的数量数据，并绘制森林图。
五篇文章被筛选纳入我们的分析。分泌期自杀发生率最高，为45.2%[95%置信区间，0.367 - 0.537]。据报告，在月经期发生自杀时，年轻受害者的发生率为68.4%（95%置信区间，0.317 - 1.052），中年受害者的发生率为31.6%（95%置信区间， - 0.0523 - o.68）。
我们的结果表明，与月经周期的其他两个阶段相比，月经期因自杀导致死亡的风险较低。然而，当自杀发生在月经期时，年轻年龄组的自杀发生率高于中年年龄组。
