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Published in: Social Psychiatry and Psychiatric Epidemiology 4/2015

01-04-2015 | Review

Suicidality and posttraumatic stress disorder (PTSD) in adolescents: a systematic review and meta-analysis

Authors: Maria Panagioti, Patricia A. Gooding, Kalliopi Triantafyllou, Nicholas Tarrier

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 4/2015

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Abstract

Purpose

There is growing evidence in the literature that a diagnosis of Posttraumatic Stress Disorder (PTSD) is an important contributory factor to suicidality in adolescents. However, there is no existing review of the literature examining the relationship between PTSD and suicidality in adolescents. This study aims to provide the first systematic review and meta-analysis of the association between PTSD and suicidality in adolescents.

Methods

Five bibliographic databases (Medline, EMBASE, PsycINFO, Web of Science and PILOT) were screened for suitable articles. Twenty-eight studies (which provided 28 independent samples) were included in the review. The overall meta-analyses of the association between PTSD and suicidality were followed by subgroup and meta-regression analyses.

Results

A highly significant positive association was found between PTSD and suicidality (d = 0.701, 95 % CI 0.555–0.848). The subgroup and meta-regression analyses showed that the association between PTSD and suicidality persisted whilst adjusting for various sources of between-study heterogeneity, such as, different levels of severity of suicidality, target groups, and methodological quality of the studies.

Conclusions

Suicidality in adolescents with PTSD is a major problem which requires further research effort. The implications of these results are discussed.
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Metadata
Title
Suicidality and posttraumatic stress disorder (PTSD) in adolescents: a systematic review and meta-analysis
Authors
Maria Panagioti
Patricia A. Gooding
Kalliopi Triantafyllou
Nicholas Tarrier
Publication date
01-04-2015
Publisher
Springer Berlin Heidelberg
Published in
Social Psychiatry and Psychiatric Epidemiology / Issue 4/2015
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-014-0978-x

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