Parental education and youth suicidal behaviours: a systematic review and meta-analysis.
Parental education and youth suicidal behaviours: a systematic review and meta-analysis.
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父母教育与青少年自杀行为：一项系统回顾和荟萃分析。
DOI：
10.1017/s204579602200004x
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发表时间：
2022-03-30
影响因子：
8.1
通讯作者：
Dazzan P
中科院分区：
文献类型：
--
作者：
Chen PJ;Mackes N;Sacchi C;Lawrence AJ;Ma X;Pollard R;Matter M;Morgan C;Harding S;Schumann G;Pariante C;Mehta MA;Montana G;Nosarti C;Dazzan P
较低的父母教育水平与不良的青少年心理健康结果有关。然而，父母教育与青少年自杀行为之间的关系仍不清楚。我们探讨了父母的教育和青年自杀意念和企图之间的关联，并研究是否社会文化背景温和的这种协会。我们对1900年至2020年12月期间在PubMed、PsycINFO、Medline和Embase中进行的系统性文献检索进行了系统性综述和荟萃分析，并对0-18岁受试者的研究进行了研究，并提供了父母教育与青少年自杀意念和企图（包括死亡）之间相关性的定量数据。仅考虑在同行评审期刊上以英文发表的文章。两位作者独立评估了文章的合格性。一位作者提取了数据[例如，每个父母教育水平的病例和非病例数量，优势比（OR）或β系数形式的效应量]。然后，我们使用随机效应模型计算合并OR，并使用调节分析来研究异质性。我们在荟萃分析中共纳入了59篇文章（63个研究样本，共计2 738 374名受试者）。父母文化程度较低与青年自杀企图有关[OR = 1.12，95%CI = 1.04-1.21]，但与自杀意念无关（OR = 1.05，95%CI = 0.98-1.12）。地理区域和国家收入水平调节了这种关联。在北方美洲，父母受教育程度较低与青少年自杀企图风险增加相关（OR = 1.26，95%CI = 1.10-1.45），但在东亚和东南亚，风险降低（OR = 0.72，95%CI = 0.54-0.96）。在高收入国家（HIC）中存在父母教育水平较低与青年自杀意念风险增加的相关性（OR = 1.14，95%CI = 1.05-1.25），而在低收入和中等收入国家（LMIC）中不存在相关性（OR = 0.91，95%CI = 0.77-1.08）。青少年自杀行为和父母教育之间的关联似乎在不同的地理和经济背景下，这表明，文化，心理或生物因素可能在解释这种关联中发挥作用。虽然有高度异质性的研究回顾，这一证据表明，家庭的社会人口特征在青年自杀的作用可能不是普遍的。这突出表明，在我们日益多元文化的社会中，在对青年自杀行为进行临床评估和管理时，以及在制定青年自杀预防和干预战略时，需要考虑文化和家庭因素。
Lower parental education has been linked to adverse youth mental health outcomes. However, the relationship between parental education and youth suicidal behaviours remains unclear. We explored the association between parental education and youth suicidal ideation and attempts, and examined whether sociocultural contexts moderate such associations. We conducted a systematic review and meta-analysis with a systematic literature search in PubMed, PsycINFO, Medline and Embase from 1900 to December 2020 for studies with participants aged 0–18, and provided quantitative data on the association between parental education and youth suicidal ideation and attempts (death included). Only articles published in English in peer-reviewed journals were considered. Two authors independently assessed eligibility of the articles. One author extracted data [e.g. number of cases and non-cases in each parental education level, effect sizes in forms of odds ratios (ORs) or beta coefficients]. We then calculated pooled ORs using a random-effects model and used moderator analysis to investigate heterogeneity. We included a total of 59 articles (63 study samples, totalling 2 738 374 subjects) in the meta-analysis. Lower parental education was associated with youth suicidal attempts [OR = 1.12, 95% Confidence Interval (CI) = 1.04–1.21] but not with suicidal ideation (OR = 1.05, 95% CI = 0.98–1.12). Geographical region and country income level moderated the associations. Lower parental education was associated with an increased risk of youth suicidal attempts in Northern America (OR = 1.26, 95% CI = 1.10–1.45), but with a decreased risk in Eastern and South-Eastern Asia (OR = 0.72, 95% CI = 0.54–0.96). An association of lower parental education and increased risk of youth suicidal ideation was present in high- income countries (HICs) (OR = 1.14, 95% CI = 1.05–1.25), and absent in low- and middle-income countries (LMICs) (OR = 0.91, 95% CI = 0.77–1.08). The association between youth suicidal behaviours and parental education seems to differ across geographical and economical contexts, suggesting that cultural, psychosocial or biological factors may play a role in explaining this association. Although there was high heterogeneity in the studies reviewed, this evidence suggests that the role of familial sociodemographic characteristics in youth suicidality may not be universal. This highlights the need to consider cultural, as well as familial factors in the clinical assessment and management of youth's suicidal behaviours in our increasingly multicultural societies, as well as in developing prevention and intervention strategies for youth suicide.