艾滋病毒感染者中自杀意念、自杀未遂和自杀死亡的患病率：地理位置或性别之间存在差异吗？：一项荟萃分析系统评价综述
Prevalence of suicidal ideation, suicide attempts and suicide deaths in people living with HIV: Are there differences between geographic locations or sexes? : An overview of systematic reviews with meta-analysis.
作者信息
Hernández-Rodríguez Juan-Carlos, Infante-Cano Marta, García-Muñoz Cristina, Matias-Soto Javier, Villar-Alises Olga, Pineda-Escobar Saul, Martinez-Calderon Javier
机构信息
Dermatology Department, Virgen del Rocío University Hospital, Seville, Spain.
CTS-1088: Enfermedades Inmunomediadas (IMIDS) Research Group, Andalusia, Spain.
出版信息
Soc Psychiatry Psychiatr Epidemiol. 2025 May 9. doi: 10.1007/s00127-025-02916-1.
BACKGROUND
Preventing suicide is an important clinical and research priority according to the World Health Organization across lifespan.
OBJECTIVE
This study summarizes the prevalence of suicidal ideation, attempts, and suicide deaths among people living with HIV (PLWH) and explores geographic and sex-based differences in metaanalyses.
METHODS
An overview of systematic reviews was conducted using CINAHL, Embase, PsycINFO, and PubMed, covering inception to 16th August 2024.AMSTAR 2 evaluated methodological quality, and review overlap was calculated.
RESULTS
Twelve systematic reviews were included, with the highest overlap for suicide attempts in Africa (CCA = 13%). Meta-analyses showed pooled prevalence of suicidal ideation ranging from 13.8 to 22.1% in Africa, 27.1-30.1% in Asia, 33.7% in Europe, 14.3% in North America, and 27.5% in South America. Suicide attempts ranged from 3.7 to 12.5% in Africa, 3.6-11.2% in Asia, and 20.09% in the Americas. Among males, suicidal ideation prevalence was 40% in PLWH, suicide attempts 16.8%, and suicide deaths 1.5% PLWH. Among females, suicidal ideation was 32.8%, suicide attempts 29.0%, and suicide deaths 1.2% in PLWH.
CONCLUSION
Suicidal ideation and attempts are prevalent in PLWH, with notable geographic and sex-based differences.
背景
根据世界卫生组织的说法，预防自杀是一项贯穿一生的重要临床和研究重点。
目的
本研究总结了艾滋病毒感染者（PLWH）中自杀意念、自杀未遂和自杀死亡的发生率，并在荟萃分析中探讨了地理和性别差异。
方法
使用CINAHL、Embase、PsycINFO和PubMed对系统评价进行概述，涵盖从创刊到2024年8月16日的文献。AMSTAR 2评估方法学质量，并计算综述的重叠率。
结果
纳入了12项系统评价，非洲自杀未遂的重叠率最高（共同覆盖面积 = 13%）。荟萃分析显示，非洲自杀意念的合并发生率为13.8%至22.1%，亚洲为27.1% - 30.1%，欧洲为33.7%，北美为14.3%，南美为27.5%。非洲自杀未遂的发生率为3.7%至12.5%，亚洲为3.6% - 11.2%，美洲为20.09%。在男性艾滋病毒感染者中，自杀意念发生率为40%，自杀未遂为16.8%，自杀死亡为1.5%。在女性艾滋病毒感染者中，自杀意念为32.8%，自杀未遂为29.0%，自杀死亡为1.2%。
结论
艾滋病毒感染者中自杀意念和自杀未遂很普遍，存在显著的地理和性别差异。
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