Meta-analysis of risk factors associated with suicidal ideation after stroke
文献类型：期刊论文
| 作者 | Zhang, Shuangmei5,6; Wang, Anrong4; Zhu, Weifeng3; Qiu, Zhaoyang2; Zhang, Zhaoxu1 |
| 刊名 | ANNALS OF GENERAL PSYCHIATRY
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| 出版日期 | 2022-01-05 |
| 卷号 | 21 |
| 关键词 | Post-stroke suicide Stroke Suicide Meta-analysis Depression |
| DOI | 10.1186/s12991-021-00378-8 |
| 通讯作者 | Zhang, Zhaoxu(zhangzhaoxu55@163.com) |
| 英文摘要 | Background Over the past decade, increasing attention has been paid on post stroke suicide (PSS), which is one of complications of stroke. The rates of stroke and suicide are relatively high, especially in Asian populations. Thus, a deeper understanding of the prevalence and epidemiological impact of suicide after stroke is urgently needed. Clinical diagnosis and prevention of PSS are at the incipient stage, but the risk factors responsible for the occurrence of PSS in different regions and stages of the disease remain largely unknown. The present meta-analysis aimed to determine the incidence of PSS at different stages and time courses, and to identify the underlying risk factors for PSS. Methods We systematically searched the Cochrane library, Embase, PubMed, CNKI and Web of Science databases from their inception until April 2019.The research articles reporting on the risk factor for PSS were screened and included in the meta-analysis. The data from the included studies were extracted according to the predefined criteria. Results A total of 12 studies (n = 2,693,036) were included for meta-analyses. Of these studies, 7 reporting suicide prevalence were meta-analyzed. The pooled estimate of suicidal ideation rates after stroke was 12%, which could be influenced by multiple risk factors, including sex, smoking, depression, sleep disorders, previous stroke and low household income. Studies conducted in Asia demonstrated higher suicide prevalence (approximately 15%) compared to other regions. Smoking, low family income, depression, heart disease and sleep disorders were important risk factors for PSS. When compared to PSS of more than 1 year, the incidence of suicide within 1 year after stroke was more likely to be statistically significant. It was found that 4 out of every 1000 stroke survivors tended to commit suicide. The results of this meta-analysis showed that depression (OR = 2.32; p < 0.01) was significantly associated with suicidal ideation, regardless of stroke duration. Conclusion PSS is one of the common complications of stroke. Despite some limitations, we successfully identified the risk factors associated with suicidal ideation after stroke. Notably, depression was significantly associated with suicidal ideation, regardless of stroke duration. Targeting this risk factor may be helpful to improve stroke patient care and prevent suicidal ideation after stroke. Future research will be carried out to assess whether suicidal ideation or thoughts and actual suicide attempts are strongly predictive of suicide deaths after stroke (Registration No. CRD42019128813). |
| WOS关键词 | POSTSTROKE ; PREVALENCE ; SURVIVORS ; DISEASES ; RATES ; DEATH |
| 资助项目 | National Natural Science Foundation of China[81303 013] ; Zhuweifeng Guangdong Provincial Famous Chinese Medicine Studio Construction Project, Guangdong Chinese Medicine Office[2018(5)] ; Major Project of Science and Technology Project of Guangdong Province Traditional Chinese Medicine Bureau[20203015] ; Science and technology development plan of Shandong Province[2017G006021] |
| WOS研究方向 | Psychiatry |
| 语种 | 英语 |
| WOS记录号 | WOS:000739371900001 |
| 出版者 | BMC |
| 资助机构 | National Natural Science Foundation of China ; Zhuweifeng Guangdong Provincial Famous Chinese Medicine Studio Construction Project, Guangdong Chinese Medicine Office ; Major Project of Science and Technology Project of Guangdong Province Traditional Chinese Medicine Bureau ; Science and technology development plan of Shandong Province |
| 源URL | [http://ir.hfcas.ac.cn:8080/handle/334002/127229]  |
| 专题 | 中国科学院合肥物质科学研究院 |
| 通讯作者 | Zhang, Zhaoxu |
| 作者单位 | 1.Peking Univ, Peoples Hosp, Dept Neurol, Beijing 100044, Peoples R China 2.Shandong Univ Tradit Chinese, Coll Clin Med 1, Dept Neurol, Jinan 250014, Peoples R China 3.Guangzhou Med Univ, Affiliated Chinese Med Hosp, Dept Neurol, Guangzhou 510145, Peoples R China 4.Guangzhou Univ Tradit Chinese Med, Sci & Technol Innovat Ctr, Guangzhou 510145, Peoples R China 5.Chinese Acad Sci, Inst Canc & Basic Med IBMC, Hangzhou 310022, Peoples R China 6.Chinese Acad Sci, Canc Hosp, Zhejiang Canc Hosp, Dept Rehabil, Hangzhou 310022, Peoples R China |
| 推荐引用方式 GB/T 7714 | Zhang, Shuangmei,Wang, Anrong,Zhu, Weifeng,et al. Meta-analysis of risk factors associated with suicidal ideation after stroke[J]. ANNALS OF GENERAL PSYCHIATRY,2022,21. |
| APA | Zhang, Shuangmei,Wang, Anrong,Zhu, Weifeng,Qiu, Zhaoyang,&Zhang, Zhaoxu.(2022).Meta-analysis of risk factors associated with suicidal ideation after stroke.ANNALS OF GENERAL PSYCHIATRY,21. |
| MLA | Zhang, Shuangmei,et al."Meta-analysis of risk factors associated with suicidal ideation after stroke".ANNALS OF GENERAL PSYCHIATRY 21(2022). |
入库方式： OAI收割
来源：合肥物质科学研究院
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