UCI Sue & Bill Gross School of Nursing, University of California, Irvine, United States.
Department of Public Health, School of Health & Environmental and Occupational Hazards Control Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
J Affect Disord. 2024 Feb 1;346:9-20. doi: 10.1016/j.jad.2023.10.060. Epub 2023 Oct 18.
The objective of this meta-analysis was to determine the prevalence of depressive symptoms and suicidal behaviors among high-school students in Iran.
A comprehensive search strategy was conducted in the following original databases: PubMed, Web of Science (ISI), Scopus, Psycinfo, and national databases, including the Scientific Information Database (SID) and MagIran, from January 1988 through January 2023. Studies that reported the prevalence of depressive symptoms and suicidal behaviors among high school students in Iran were included. Two investigators extracted all relevant data independently. For deriving mean prevalence rates, random-effects meta-analyses were used. We assessed the quality of studies by the Joanna Briggs Institute (JBI).
Total of 67 studies (45,798 participants) were included in the syntheses on depressive symptoms and suicidal ideation. For depressive symptoms, the mean prevalence rate was 48 % (40 %, 55 %). 2804 participants were enrolled for assessing of the prevalence of suicide ideation, and the mean prevalence rate was 21 % (6 %, 36 %). The meta-analysis pooling of the prevalence estimates of suicide attempts was 18 % (15 %, 20 %).
Approximately half of the high school students experience depressive symptoms and, astonishingly, one in five high school students experiences suicidal ideation, so to identify strategies for preventing and treating depressive symptoms and suicidal behaviors in this special population, further research and policymaking are urgently needed.
本荟萃分析旨在确定伊朗高中生抑郁症状和自杀行为的流行率。
从 1988 年 1 月至 2023 年 1 月，我们在以下原始数据库中进行了全面的检索策略：PubMed、Web of Science（ISI）、Scopus、Psycinfo 和国家数据库，包括科学信息数据库（SID）和 MagIran。纳入报告伊朗高中生抑郁症状和自杀行为流行率的研究。两名调查员独立提取所有相关数据。对于得出平均流行率，使用随机效应荟萃分析。我们使用 Joanna Briggs 研究所（JBI）评估研究质量。
共有 67 项研究（45798 名参与者）纳入了抑郁症状和自杀意念的综合研究。对于抑郁症状，平均流行率为 48%（40%，55%）。有 2804 名参与者被纳入评估自杀意念的流行率，平均流行率为 21%（6%，36%）。荟萃分析汇总的自杀企图流行率为 18%（15%，20%）。
大约一半的高中生经历抑郁症状，令人惊讶的是，五分之一的高中生经历自杀意念，因此，迫切需要进一步研究和制定政策，以确定针对这一特殊人群预防和治疗抑郁症状和自杀行为的策略。
