The Prevalence of Suicidal Ideation and Attempt Among Young People with HIV/AIDS: a Systematic Review and Meta-Analysis
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The Prevalence of Suicidal Ideation and Attempt Among Young People with HIV/AIDS: a Systematic Review and Meta-Analysis Light Tsegay 1 & Getinet Ayano 2,3 Accepted: 17 September 2020/ # Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract
Studies have suggested that suicidal ideation and attempt are highly prevalent among young people with HIV/AIDS and have been linked with increased risk of complete suicide. However, thus far, there are no worldwide systematic reviews and meta-analysis of the prevalence of suicidal ideation and attempt among young people with HIV/AIDS. A systematic search of PubMed, Scopus, and Web was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Prevalence rates from individual studies were pooled by using a random-effect meta-analysis. The quality of included studies was assessed by the Joanna Briggs Institute’s quality assessment checklist. We used the Cochran’s Q and the I2 tests to measure heterogeneity across the studies. In total, 14 studies involving 4842 young people with HIV/AIDS were included in this meta-analysis. Our random effect metaanalysis indicated that roughly a quarter of young people with HIV/AIDS had lifetime suicidal ideations [24.38% (95% CI; 18.49–31.44)], and more than one in ten had current [10.33% (95% CI; 6.13–16.88)], and 6 month [13.03% (95% CI; 4.71–31.24)] suicidal ideations. Likewise, a significant proportion of young people with HIV/AIDS had current [3.75% (95% CI; 2.30–6.06)], 6 month [15.33% (95% CI; 10.00–22.78)], and lifetime [13.05% (95% CI; 7.55–21.61)] suicidal attempts. The pooled prevalence estimate of both suicidal ideation and attempts varied according to the sample size of the participants. This study found that a considerable proportion of young people with HIV/AIDS had suicidal ideation and attempt, suggesting the urgent needs of intervention strategies to relieve the suffering and possibly prevent death due to suicide. Keywords Suicidal ideation . Suicidal attempt . Young people . HIV . AIDS . Systematic review . Meta-analysis
* Light Tsegay [email protected] Extended author information available on the last page of the article
Psychiatric Quarterly
Background The global epidemiological data suggest that young people age 10–24 years consist of approximately 30% of the world population [1]. Worldwide, Human Immunodeficiency Virus (HIV) infection is highly prevalent among young people and is linked with an increased risk of mortality and morbidity [2–4]. According to the center for disease control and prevention (CDC) report, in 2015 roughly 22% of new HIV infection in the USA occurred in young people aged 13–24 years [5]. In addition, in 2016, the United Nations Program on HIV and AIDS (UNAIDS) reported that adolescents and young women were disproportionally affected by HIV accounting for one in five (20%) of the new global HIV infection [6]. The existing research evidence suggests that suicidal ideation and attempt are highly prevalent among young
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