Global prevalence of suicide in patients living with HIV/AIDS: A systematic review and meta-analysis

被引:11
作者
Rafiei, Sima [1 ]
Raoofi, Samira [2 ,12 ]
Kan, Fatemeh Pashazadeh [3 ]
Masoumi, Maryam [4 ]
Doustmehraban, Maryam [5 ]
Biparva, Akbar Javan [6 ]
Ashari, Arezou [7 ]
Vali, Negin [3 ]
Khani, Saghar [11 ]
Abdollahi, Bahare [8 ]
Shahrebabak, Elahe Sadat Vaziri Vaziri [3 ]
Heydari, Mohadeseh [3 ]
Momeni, Zeinab [9 ]
Kasaie, Zeynab Alsadat [3 ]
Beliad, Mohamadreza [10 ]
Ghashghaee, Ahmad [9 ]
机构
[1] Qazvin Univ Med Sci, Res Inst Prevent Noncommunicable Dis, Social Determinants Hlth Res Ctr, Qazvin, Iran
[2] Iran Univ Med Sci, Student Res Comm, Fac Hlth Management & Informat Sci Branch, Tehran, Iran
[3] Iran Univ Med Sci, Student Res Comm, Sch Nursing & Midwifery, Tehran, Iran
[4] Qom Univ Med Sci, Clin Res & Dev Ctr, Qom, Iran
[5] Qazvin Univ Med Sci, Social Determinants Hlth Res Ctr, Qazvin, Iran
[6] Tabriz Univ Med Sci, Student Res Comm, Sch Hlth Management & Med Informat, Iranian Ctr Excellence Hlth Management, Tabriz, Iran
[7] Shahid Beheshti Univ Med Sci, Sch Med, Dept Community Med, Tehran, Iran
[8] Iran Univ Med Sci, Student Res Comm, Tehran, Iran
[9] Univ Glasgow, Sch Med Dent & Nursing, Glasgow, Scotland
[10] Karaj Islamic Azad Univ, Fac Psychol, Karaj, Iran
[11] Iran Univ Med Sci, Student Res Comm, Sch Med, Tehran, Iran
[12] Iran Univ Med Sci, Sch Hlth Management & Informat Sci, Dept Hlth Serv Management, Tehran, Iran
关键词
Suicide; HIV patients; Prevalence; Systematic review; Meta-analysis; HIV-INFECTION; SEX WORKERS; RISK; BEHAVIOR; DEPRESSION; DISORDERS; IDEATION; QUALITY; CITY;
D O I
10.1016/j.jad.2022.11.061
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background: In fact, people living with HIV are at a greater risk of mental health disorders. Based on lack of necessary information in this area the present systematic review and meta-analysis study was conducted to determine the magnitude of committed suicides among HIV/AIDS people as well as their associated factors in a global setting. Method: Firstly we registered the protocol of study in PROSPRO. Then the publications were searched in the 4 main databases from January 2000 to April 2022. After removing duplication and inappropriate studies we applied inclusion and exclusion criteria. Finally 60 studies were included for analysis. Comprehensive meta -analysis software were used for analyzing. Results: After reviewing 60 articles published from January 2000 to April 2021 in 24 countries, the total prev-alence rate of suicide among 61,904 patients was estimated at 0.249 (95 % CI, 0.2-0.306). Findings indicated that the highest suicide prevalence was related to single patients estimated at 0.257 (95 % CI, 0.184-0.347). A gender-based meta-analysis depicted that the prevalence of suicide/ suicidal ideation was higher among females estimated at 0.22 (95 % CI, 0.15-0.29) compared with men at 0.17 (95 % CI, 0.11-0.23). Conclusion: Health planners and policymakers should develop suicide-prevention strategies aimed at female patients in younger age groups who live alone and are deprived of social support to effectively promote their self -efficacy in successful management of the disease. Integrating mental health services into anti-retroviral therapy for HIV/AIDS patients is also suggested in order to effectively design integrated programs for the management of individuals living with HIV/AIDS.
引用
收藏
页码:400 / 408
页数:9
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