School absenteeism as a risk factor for self-harm and suicidal ideation in children and adolescents: a systematic review and meta-analysis.
Self-harm and suicidal ideation in children and adolescents are common and are risk factors for completed suicide. Social exclusion, which can take many forms, increases the risk of self-harm and suicidal ideation. One important marker of social exclusion in young people is school absenteeism. Wheth...
| Publicado en: | European Child & Adolescent Psychiatry Vol. 29; no. 9; pp. 1175 - 1195 |
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| Autores principales: | , , , , , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
Springer Nature
Sep2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=145717111&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 145717111 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10188827 EJ3 jtl: European Child & Adolescent Psychiatry issn: 10188827 maglogo: N pubinfo: dt: Sep2020 vid: 29 iid: 9 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 145717111 143963148 145717111 145717111 10.1007/s00787-019-01327-3 145717111 ppf: 1175 ppct: 20 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: School absenteeism as a risk factor for self-harm and suicidal ideation in children and adolescents: a systematic review and meta-analysis. aug: au: Epstein, Sophie Roberts, Emmert Sedgwick, Rosemary Polling, Catherine Finning, Katie Ford, Tamsin Dutta, Rina Downs, Johnny affil: NIHR Maudsley Biomedical Research Centre, South London and Maudsley NHS Foundation Trust, London, UK sug: subj: Absenteeism Evaluation Schools Injuries, Self-Inflicted Risk Factors Suicidal Ideation Risk Factors Risk Assessment Human Systematic Review Meta Analysis Medline Psycinfo Embase ERIC Database School Mental Health Services Student Attitudes Descriptive Statistics Confidence Intervals Odds Ratio Child Adolescence Child: 6-12 years Adolescent: 13-18 years ab: Self-harm and suicidal ideation in children and adolescents are common and are risk factors for completed suicide. Social exclusion, which can take many forms, increases the risk of self-harm and suicidal ideation. One important marker of social exclusion in young people is school absenteeism. Whether school absenteeism is associated with these adverse outcomes, and if so to what extent, remains unclear. To determine the association between school absenteeism and both self-harm (including completed suicide) and suicidal ideation in children and adolescents, we conducted a systematic review of observational studies. We conducted meta-analysis and report a narrative synthesis where this was not possible. Meta-analysis of cross-sectional studies showed that school absenteeism was associated with an increased risk of self-harm [pooled adjusted odds ratio (aOR) 1.37, 95% confidence interval 1.20–1.57, P = 0.01] and of suicidal ideation (pooled aOR 1.20, 95% CI 1.02–1.42, P = 0.03). A small number of studies showed that school absenteeism had a longitudinal association with both adverse outcomes. Heterogeneity in the exposure and outcome variables, study design and reporting was prominent and limited the extent to which it was appropriate to pool results. School absenteeism was associated with both self-harm and suicidal ideation in young people, but this evidence was derived from a small number of cross-sectional studies. Further research into the mechanisms of this association could help to inform self-harm and suicide prevention strategies at clinical, school and population levels. pubtype: Academic Journal doctype: meta analysis research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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