Evidence map›Paper›PMID 37470845›Full record

SynthesisEuropean child & adolescent psychiatry2024

Characteristics of single vs. multiple suicide attempters among adolescents: a systematic review and meta-analysis.

Berta Ezquerra, Adrián Alacreu-Crespo, Inmaculada Peñuelas-Calvo, Sofía Abascal-Peiró, Laura Jiménez-Muñoz, Dasha Nicholls, Enrique Baca-García, Alejandro Porras-Segovia

Abstract readSystematic ReviewMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in European child & adolescent psychiatry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
7.2field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 23 citations in OpenAlex.

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  10. Symptomatic networks in suicide attempt and reattempt: Relevance of psychiatric comorbidity.European psychiatry : the journal of the Association of European Psychiatrists · 2025
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 6 institutions in 4 countries.

Berta EzquerraDepartment of Psychiatry, Hospital Universitario Rey Juan Carlos, Móstoles, Spain.
Adrián Alacreu-CrespoDepartment of Psychology and Sociology, Area of Personality, Assessment and Psychological Treatment, Universidad of Zaragoza, Teruel, Spain.
Inmaculada Peñuelas-CalvoDepartment of Child and Adolescent Psychiatry, Hospital 12 de Octubre, Madrid, Spain. inmaculada.penuelas@salud.madrid.org.
Sofía Abascal-PeiróDepartment of Psychiatry, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain.
Laura Jiménez-MuñozInstituto de Investigación Sanitaria Fundación Jiménez Díaz, Madrid, Spain.
Dasha NichollsDivision of Psychiatry, Imperial College, London, UK.
Enrique Baca-GarcíaDepartment of Psychiatry, Hospital Universitario Rey Juan Carlos, Móstoles, Spain.
Alejandro Porras-SegoviaInstituto de Investigación Sanitaria Fundación Jiménez Díaz, Madrid, Spain. alexposeg@gmail.com.
Hospital Universitario Fundación Jiménez Díaz · ESCatholic University of the Maule · CLHospital Universitario Rey Juan Carlos · ESImperial College London · GBResearch Institute Hospital 12 de Octubre · ESUniversidad de Zaragoza · ES

Funding

Instituto de Salud Carlos III CM19/00026
6 · The paper itself

Abstract

There might be differential characteristics between those who have attempted suicide once in their lifetime (single attempters) and those who have attempted suicide two or more times (multiple attempters). We aimed to identify the factors that differentiate single and multiple attempters in child and adolescents. This study was conducted following the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines, and the review protocol was registered in PROSPERO. We conducted a systematic literature search in three databases to identify original studies exploring the characteristics of single attempters vs. multiple attempters among adolescents. We considered a wide range for the definition of adolescent, following most recent recommendations: 10-24 years. We carried out a meta-analysis. Fourteen studies were included in the systematic review and 13 in the meta-analysis with a total sample of with a total of 4286 participants. The factors statistically significantly associated with being a multiple attempter in the meta-analysis were: anxiety disorders, depression severity, alcohol abuse, substance abuse, aggressiveness, and hopelessness. Multiple attempters have a more severe clinical profile, with greater severity of symptoms. Knowledge of the risk factors associated with being a multiple attempter could help us to predict which patients are more likely to reattempt suicide and need further monitoring and a tailored treatment. Prevention programs tailored for the adolescent population, along with identification of early risk factors, could help to prevent suicidal behavior among this vulnerable population.

Indexed as

Suicide, AttemptedAdolescentAdolescent BehaviorHumansRisk FactorsAdolescentsMeta-analysisSuicideSuicide attemptSuicide ideation

Identifiers

PMID37470845
OpenAlexW4384819593

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.