volume 212 issue 5 pages 279-286

Depression and hopelessness as risk factors for suicide ideation, attempts and death: meta-analysis of longitudinal studies

Publication typeJournal Article
Publication date2018-03-28
scimago Q1
wos Q1
SJR2.471
CiteScore12.8
Impact factor7.6
ISSN00071250, 14721465
PubMed ID:  29587888
Psychiatry and Mental health
Abstract
Background

Many studies have documented robust relationships between depression and hopelessness and subsequent suicidal thoughts and behaviours; however, much weaker and non-significant effects have also been reported. These inconsistencies raise questions about whether and to what degree these factors confer risk for suicidal thoughts and behaviours.

Aims

This study aimed to evaluate the magnitude and clinical utility of depression and hopelessness as risk factors for suicide ideation, attempts and death.

Method

We conducted a meta-analysis of published studies from 1971 to 31 December 2014 that included at least one longitudinal analysis predicting suicide ideation, attempt or death using any depression or hopelessness variable.

Results

Overall prediction was weaker than anticipated, with weighted mean odds ratios of 1.96 (1.81–2.13) for ideation, 1.63 (1.55–1.72) for attempt and 1.33 (1.18–1.49) for death. Adjusting for publication bias further reduced estimates. Effects generally persisted regardless of sample severity, sample age or follow-up length.

Conclusions

Several methodological constraints were prominent across studies; addressing these issues would likely be fruitful moving forward.

Declaration of interest

None.

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GOST |
Cite this
GOST Copy
Ribeiro J. D. et al. Depression and hopelessness as risk factors for suicide ideation, attempts and death: meta-analysis of longitudinal studies // British Journal of Psychiatry. 2018. Vol. 212. No. 5. pp. 279-286.
GOST all authors (up to 50) Copy
Ribeiro J. D., Huang X., Fox K. R., Franklin J. C. Depression and hopelessness as risk factors for suicide ideation, attempts and death: meta-analysis of longitudinal studies // British Journal of Psychiatry. 2018. Vol. 212. No. 5. pp. 279-286.
RIS |
Cite this
RIS Copy
TY - JOUR
DO - 10.1192/bjp.2018.27
UR - https://doi.org/10.1192/bjp.2018.27
TI - Depression and hopelessness as risk factors for suicide ideation, attempts and death: meta-analysis of longitudinal studies
T2 - British Journal of Psychiatry
AU - Ribeiro, Jessica D.
AU - Huang, Xieyining
AU - Fox, Kathryn R.
AU - Franklin, Joseph C.
PY - 2018
DA - 2018/03/28
PB - Royal College of Psychiatrists
SP - 279-286
IS - 5
VL - 212
PMID - 29587888
SN - 0007-1250
SN - 1472-1465
ER -
BibTex |
Cite this
BibTex (up to 50 authors) Copy
@article{2018_Ribeiro,
author = {Jessica D. Ribeiro and Xieyining Huang and Kathryn R. Fox and Joseph C. Franklin},
title = {Depression and hopelessness as risk factors for suicide ideation, attempts and death: meta-analysis of longitudinal studies},
journal = {British Journal of Psychiatry},
year = {2018},
volume = {212},
publisher = {Royal College of Psychiatrists},
month = {mar},
url = {https://doi.org/10.1192/bjp.2018.27},
number = {5},
pages = {279--286},
doi = {10.1192/bjp.2018.27}
}
MLA
Cite this
MLA Copy
Ribeiro, Jessica D., et al. “Depression and hopelessness as risk factors for suicide ideation, attempts and death: meta-analysis of longitudinal studies.” British Journal of Psychiatry, vol. 212, no. 5, Mar. 2018, pp. 279-286. https://doi.org/10.1192/bjp.2018.27.
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