Effects of social support on suicide-related behaviors in patients with severe mental illness: A systematic review and meta-analysis

Hu, Fei‐Hong; Zhao, Dan‐Yan; Fu, Xue‐Lei; Zhang, Wanqing; Tang, Wen; Hu, Shi‐Qi; Shen, Weixiao; Chen, Honglin

doi:10.1016/j.jad.2023.02.070

Cited by 19 publications

(5 citation statements)

References 52 publications

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“…The findings from the subgroup analysis consistently demonstrated that social support plays a protective role against suicidal ideation and attempts across diverse populations. These findings are consistent with previous systematic reviews and meta-analyses, which have also reported a significant inverse association between social support and suicidal behaviors in various populations, including older adults, 18 patients with cancer, 25 patients with severe mental illness, 23 and people affected by natural disasters. 22 These findings suggest that social support may serve as a safeguard against suicidal behaviors across diverse populations, regardless of age, gender, or health condition.…”

Section: Discussionsupporting

confidence: 92%

“…For example, Hu et al conducted a systematic review and meta-analysis to examine the effects of social support on suicidal behaviors in patients with severe mental illness. 23 Furthermore, Carrasco-Barrios et al performed another systematic review and meta-analysis to investigate the determinants of suicidality in the European general population, with a limited number of studies. 24 Moreover, Du et al conducted a third systematic review and meta-analysis to evaluate the association between social support and suicidal ideation in patients with cancer.…”

Section: Introductionmentioning

confidence: 99%

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The Role of Social Support in Preventing Suicidal Ideations and Behaviors: A Systematic Review and Meta-Analysis

Darvishi,

Poorolajal,

Azmi-Naei

et al. 2024

J Res Health Sci

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Background: Numerous epidemiological studies have explored the relationship between social support and suicidal behaviors; however, the overall impact remains unclear. Therefore, a systematic assessment of the association between social support and suicide is necessary. Study Design: This is a systematic review study. Methods: We conducted a comprehensive search of PubMed, Web of Science, and Scopus databases until March 2023 and screened reference lists for relevant studies. Epidemiological studies that investigated the associations between social support and suicidal behaviors were included. Furthermore, between-study heterogeneity was investigated using I2 statistics. In addition, the likelihood of publication bias was evaluated using the Begg and Egger tests, and a trim-and-fill analysis was conducted. The overall effect size was calculated as an odds ratio (OR) with 95% confidence intervals (CIs) using a random-effects model. Results: Out of the 21004 identified studies, 118 studies (involving 692266 participants) met the eligibility criteria. The analysis of data revealed a significant inverse association between social support and suicidal ideation (OR: 0.79, 95% CI: 0.76-0.82), suicide plans (OR: 0.86, 95% CI: 0.79-0.95), suicide attempts (OR: 0.96, 95% CI: 0.94-0.98), and suicide death (OR: 0.85, 95% CI: 0.75-0.96). Moreover, significant heterogeneity was observed across studies, but there was little concern regarding the presence of publication bias. Conclusion: Our meta-analysis provides clear evidence for a significant inverse association between social support and suicidal behaviors. However, the observational nature of the included studies and the significant heterogeneity observed across studies highlight the need for further research, including prospective studies and intervention trials, to explore the complex relationship between social support and suicidal behaviors.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

The Role of Social Support in Preventing Suicidal Ideations and Behaviors: A Systematic Review and Meta-Analysis

Darvishi,

Poorolajal,

Azmi-Naei

et al. 2024

J Res Health Sci

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“…Otsuka et al (2022) examined the effect of modification of social support on the association between psychological distress and risk of suicide death and they affirmed that social support had a relation with lower suicide death among participants with moderate or low risk of suicide. A systematic review (Hu et al, 2023) researched studies on the moderating effect of social support on suicide risk among patients with mental illness and concluded that both quantitative and qualitative studies supported the negative effect of social support on suicide risk. A bunch of studies documented similar evidence supporting the protective effect of social support as a moderator on suicidal attempts (Agyemang et al, 2022; Datta & Nakhaie, 2022; Demir & Sümer, 2022; Mitchell et al, 2021; Pickover et al, 2021; Shah et al, 2021; Shin et al, 2021; Su et al, 2022).…”

Section: Literature Reviewmentioning

confidence: 99%

Social support, psychological strain, and suicidality: Evidence from Chinese universities

Wang

Zhang

2023

Psychology in the Schools

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This study aimed to apply psychological strain theory to explore the relationship between psychological strain and suicidality among Chinese young adults with a moderating effect of perceived social support. A questionnaire was administered with the Multidimensional Scale of Perceived Social Support, Suicidal Behaviors Questionnaire‐Revised, and Psychological Strain Scale among 13,250 college students across China. The main determinants of suicidal behavior were examined with multiple linear regression. Two steps of multiple regression were employed to define the moderating effect of social support. A positive relationship between psychological strain and suicidality was reported in the study, and social support was confirmed as a moderating factor between psychological strain and suicidal behavior.

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“…Moreover, complications of surgery, such as vocal cord paralysis, hypocalcaemia and surgical scarring, might destroy patients’ careers, such as comperes, singers, performers or models; furthermore, surgery could also adversely affect day-to-day life 13 16. Otherwise, socioeconomic disparities, gender and social support were indeed closely related with suicidal ideation, especially cancer-associated suicidal ideation 17–19. Currently, the overdiagnosis and overtreatment of thyroid cancer has gradually become a topical issue, and an increasing number of researchers have called for the downgrading of cancer screening and treatment 20–22…”

Section: Introductionmentioning

confidence: 99%

Risk of suicide in patients with thyroid cancer: protocol for a systematic review and meta-analysis

Li,

Zhang,

Wang

et al. 2024

BMJ Open

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IntroductionIn recent years, the incidence of thyroid cancer has increased manyfold and young adults, who have a greater financial burden and occupational stress, comprise a large number. Previous studies have shown mixed results, even distinct results, on suicide rates among thyroid cancer survivors. As the overdiagnosis and overtreatment of thyroid cancer has gradually become a topical issue, the study aims to summarise the risk of suicide among patients with thyroid cancer to provide robust evidence of the effects of thyroid cancer on suicide.Methods and analysisA total of six databases (MEDLINE, Embase, Web of Science Core Collection, PsycINFO, CINAHL and Google Scholar) will be searched according to MeSH, subheadings, and free words, and the planned search date is 31 Jnauary 2024. The search strategy had three parts, such as suicide, cancer and epidemiological studies, moreover, we will collect the detailed suicide information by reviewers’ extraction. Standard mortality ratio (SMR) was used as the outcome measure, when SMRs were not available, the risk ratio, HR and detailed number of suicides were extracted to calculate the SMRs.Ethics and disseminationThe Institutional Review Board of Peking University People’s Hospital provided ethical approval exemption and approved the data collection and subsequent analyses in accordance with the Declaration of Helsinki as revised in 2013.PROSPERO registration numberCRD42023445542.

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Effects of social support on suicide-related behaviors in patients with severe mental illness: A systematic review and meta-analysis

Cited by 19 publications

References 52 publications

The Role of Social Support in Preventing Suicidal Ideations and Behaviors: A Systematic Review and Meta-Analysis

The Role of Social Support in Preventing Suicidal Ideations and Behaviors: A Systematic Review and Meta-Analysis

Social support, psychological strain, and suicidality: Evidence from Chinese universities

Risk of suicide in patients with thyroid cancer: protocol for a systematic review and meta-analysis

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