Internalizing and externalizing symptoms and suicidal behaviour in young people: a systematic review and meta-analysis of longitudinal studies

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• dc.contributor.author Soto-Sanz, Victoria
• dc.contributor.author Castellvi Obiols, Pere
• dc.contributor.author Piqueras, José Antonio
• dc.contributor.author Rodríguez-Marín, Jesús
• dc.contributor.author Rodríguez Jimenez, Tiscar
• dc.contributor.author Miranda-Mendizábal, Andrea
• dc.contributor.author Parés Badell, Oleguer
• dc.contributor.author Almenara, José
• dc.contributor.author Alonso, Iciar
• dc.contributor.author Blasco Cubedo, Maria Jesús
• dc.contributor.author Cebrià, Ana Isabel
• dc.contributor.author Gabilondo Cuéllar, Andrea
• dc.contributor.author Gili, Margalida
• dc.contributor.author Lagares, Carolina
• dc.contributor.author Roca, Miquel
• dc.contributor.author Alonso Caballero, Jordi
• dc.date.accessioned 2019-11-04T08:43:18Z
• dc.date.available 2019-11-04T08:43:18Z
• dc.date.issued 2019
• dc.description.abstract OBJECTIVE: To assess internalizing and externalizing symptoms as risk factors for suicidal behaviour and suicide among adolescents and young adults. METHOD: We conducted a systematic review of articles published until January 2017. We identified 26 883 potential papers; 1701 full-text articles were assessed for eligibility, of which 1479 were excluded because of methodological reasons. Diverse meta-analyses were performed for each group of symptoms. Odds ratios (ORs) and 95% confidence intervals (95% CI) or beta coefficients for categorical variables, and effect size (ES) were calculated for continuous variables. RESULTS: Finally, 41 studies were included, involving participants aged 12-26 years for a systematic review, and 24 articles were included for meta-analysis. The meta-analysis showed that youths with any internalizing (ES = 0.93) or externalizing symptoms (ES = 0.76 and OR = 2.59) were more likely to attempt suicide in future. This effect was also seen in depression symptoms (OR = 6.58 and ES = 1.00), legal problems (OR = 3.36), and anxiety (ES = 0.65). CONCLUSION: Reported internalizing and externalizing symptoms are predictors of suicide behaviour in young people; therefore, the detection and management of these symptoms in young populations could be a crucial strategy for preventing suicidality in this group.
• dc.format.mimetype application/pdf
• dc.identifier.citation Soto-Sanz V, Castellví P, Piqueras JA, Rodríguez-Marín J, Rodríguez-Jiménez T, Miranda-Mendizábal A et al. Internalizing and externalizing symptoms and suicidal behaviour in young people: a systematic review and meta-analysis of longitudinal studies. Acta Psychiatr Scand. 2019 Jul;140(1):5-19. DOI: 10.1111/acps.13036
• dc.identifier.doi http://dx.doi.org/10.1111/acps.13036
• dc.identifier.issn 0001-690X
• dc.identifier.uri http://hdl.handle.net/10230/42584
• dc.language.iso eng
• dc.publisher Wiley-Blackwell
• dc.relation.ispartof Acta Psychiatrica Scandinavica. 2019 Jul;140(1):5-19
• dc.rights This is the pre-peer reviewed version of the following article: Soto-Sanz V, Castellví P, Piqueras JA, Rodríguez-Marín J, Rodríguez-Jiménez T, Miranda-Mendizábal A. et al. Internalizing and externalizing symptoms and suicidal behaviour in young people: a systematic review and meta-analysis of longitudinal studies. Acta Psychiatr Scand. 2019 Jul;140(1):5-19, which has been published in final form at http://dx.doi.org/10.1111/acps.13036. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.subject.keyword Externalizing symptoms
• dc.subject.keyword Internalizing symptoms
• dc.subject.keyword Meta-analysis
• dc.subject.keyword Suicidal behaviour
• dc.subject.keyword Systematic review
• dc.subject.keyword Youths
• dc.title Internalizing and externalizing symptoms and suicidal behaviour in young people: a systematic review and meta-analysis of longitudinal studies
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/acceptedVersion