Association of suicidal behavior with exposure to suicide and suicide attempt: A systematic review and multilevel meta-analysis

NTM Hill; J Robinson; J Pirkis; K Andriessen; K Krysinska; A Payne; A Boland; A Clarke; A Milner; K Witt; S Krohn; A Lampit

Journal article

Association of suicidal behavior with exposure to suicide and suicide attempt: A systematic review and multilevel meta-analysis

NTM Hill, J Robinson, J Pirkis, K Andriessen, K Krysinska, A Payne, A Boland, A Clarke, A Milner, K Witt, S Krohn, A Lampit

Plos Medicine | Published : 2020

DOI: 10.1371/JOURNAL.PMED.1003074

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Abstract

Background Exposure to suicidal behavior may be associated with increased risk of suicide, suicide attempt, and suicidal ideation and is a significant public health problem. However, evidence to date has not reliably distinguished between exposure to suicide versus suicide attempt, nor whether the risk differs across suicide-related outcomes, which have markedly different public health implications. Our aim therefore was to quantitatively assess the independent risk associated with exposure to suicide and suicide attempt on suicide, suicide attempt, and suicidal ideation outcomes and to identify moderators of this risk using multilevel meta-analysis. Methods and findings We systematically se..

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University of Melbourne Researchers

Jo Robinson Author

Jane Pirkis Author

Karl Andriessen Author

Karolina Krysinska Author

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Grants

Awarded by American Foundation for Suicide Prevention

Funding Acknowledgements

NH is a PhD student and was supported by the Australian Rotary Health PhD Partnership Scholarship (https://australianrotaryhealth.org.au).JR was supported by a National Health and Medical Research Council (NHMRC) Career Development Fellowship (APP1142348, https://www.nhmrc.gov.au).KA was supported by a NHMRC Early Career Fellowship (APP1157796, https://www.nhmrc.gov.au).AM was supported by a Victorian Health and Medical Research Fellowship, Department of Health and Human Services (https://www.vic.gov.au).KW was supported by a post-doctoral fellowship awarded by the American Foundation for Suicide Prevention (PDF-0-145-16, https://afsp.org).SK was supported by the German Federal Ministry for Education and Research (BMBF grant 13GW0206D, https://www.bmbf.de).AL was supported by a NHMRC-Australian Research Council Dementia Research Development Fellowship (APP1108520, https://www.nhmrc.gov.au).The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.