Huo Meilin, Yang Zhen, Yang Li, Chen Sitong
Department of Physical Education, Huaide College of Changzhou University, Changzhou, China.
Department of Movement Sciences, KU Leuven, Leuven, Belgium.
Front Psychol. 2024 Jun 4;15:1341795. doi: 10.3389/fpsyg.2024.1341795. eCollection 2024.
Suicide-related outcomes among adolescents have become a serious public health problem worldwide. Emerging evidence suggests that sports participation may interact with suicide-related outcomes. The objective of this systematic review is to systematically review and summarize the association between sports participation and suicide-related outcomes among adolescents.
A systematic review according to PRISMA Statement (International Platform of Registered Systematic Review and Meta-Analysis Protocols registration: INPLASY202330072) https://inplasy.com/inplasy-2023-3-0072/.
The literature search was conducted in three electronic databases: Web of Science, PubMed, and EBSCOhost.
A total of 16 studies (12 cross-sectional studies, 4 prospective studies) met the inclusion criteria were evaluated. Strong consistent evidence was found for the negative association between suicidal ideation, suicide attempts, and sports participation among adolescents. There was insufficient evidence to support consistency in the association between sports participation and suicide plans, and no evidence regarding gender differences between sports participation and these suicide-related outcomes. Furthermore, there was heterogeneity in the measures of sports participation and suicide-related outcomes across the included studies.
Evidence suggests that more sports participations are associated with lower suicidal ideation and suicide attempts in adolescents. However, the directionality of the observed associations should be examined based on more high-quality longitudinal studies in the future.
青少年自杀相关结局已成为全球严重的公共卫生问题。新出现的证据表明，体育活动参与可能与自杀相关结局相互作用。本系统评价的目的是系统评价和总结青少年体育活动参与与自杀相关结局之间的关联。
根据PRISMA声明进行的系统评价（国际注册系统评价和Meta分析方案平台注册：INPLASY202330072）https://inplasy.com/inplasy-2023-3-0072/。
在三个电子数据库中进行文献检索：科学网、PubMed和EBSCOhost。
共评估了16项符合纳入标准的研究（12项横断面研究，4项前瞻性研究）。发现了强有力的一致证据，表明青少年自杀意念、自杀未遂与体育活动参与之间存在负相关。没有足够的证据支持体育活动参与与自杀计划之间关联的一致性，也没有证据表明体育活动参与与这些自杀相关结局之间存在性别差异。此外，纳入研究中体育活动参与和自杀相关结局的测量存在异质性。
证据表明，更多地参与体育活动与青少年较低的自杀意念和自杀未遂相关。然而，未来应基于更多高质量的纵向研究来检验所观察到的关联的方向性。
