Evidence map›Paper›PMID 40621539›Full record

ReviewPakistan journal of medical sciences2025

The epidemiology of suicidal behaviors among the countries of the South Asia: A systematic review and meta analysis.

Nazish Imran, Ahmed Waqas, Sania Mumtaz Tahir, Roop Kiran Khan, Maryam Ayub, Hareem Arshad, Bariah Rafiq, Sadiq Naveed

Abstract readReview
In one paragraph

Review in Pakistan journal of medical sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

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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

3 citing papers in PubMed.

  1. Review
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  3. Article
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.

Nazish ImranNazish Imran, FRCPsych, MRCPsych, MHPE, PhD. Professor, Head Department of Child & Family Psychiatry, King Edward Medical University, Lahore, Pakistan.
Ahmed WaqasAhmed Waqas, PhD. Institute of Population Health, University of Liverpool, Liverpool, UK.
Sania Mumtaz TahirSania Mumtaz Tahir, MBBS, FCPS, Fellow. Child & Family Psychiatry Department, King Edward Medical University, Lahore, Pakistan.
Roop Kiran KhanRoop Kiran khan, MBBS, FCPS. Senior Registrar, Academic Department of Psychiatry and Behavioral Sciences, King Edward Medical University, Lahore, Pakistan.
Maryam AyubMaryam Ayub, FCPS, MRCPsych, Fellow. Child & Family Psychiatry Department, King Edward Medical University, Lahore, Pakistan.
Hareem ArshadHareem Arshad, MD Resident Physician, Penn State Health Milton S. Hershey Medical Center, Hershey, PA.
Bariah RafiqBariah Rafiq, MBBS Senior House Officer, Dublin North City Mental Health Services, Ireland.
Sadiq NaveedSadiq Naveed, MD, MPH Psychi atry Program Director, Eastern Connecticut Health Network, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite the alarming suicide burden, South Asia lacks sufficient literature and research. The objective of this systematic review and meta-analysis was to appraise the current evidence and estimate the prevalence of suicidal behaviors (ideation, plan, attempts, completed suicide and non-suicidal self-injury (NSSI)) among countries in South Asia. We systematically searched PubMed, PsycINFO, Web of Science, Scopus, and CINAHL for observational and longitudinal studies involving statistical analysis of suicidal behaviors in south Asian countries as per the PRISMA guidelines, without any limitations concerning age, gender, language, or year of publication. A random-effects model was used to synthesize prevalence data, and mixed-effects regression models were employed for subgroup analyses. Main outcome was lifetime, period and point prevalence of completed suicide, suicidal ideation, plan, and Non suicidal behaviors. A total of 27 studies representing data pertaining to suicidality and related behaviors in South Asian countries were included. The point prevalence of suicidal ideation was 16.7% (95% CI: 11.5% to 23.5%), suicidal plan was 13.6% (13.0% to 14.2%) and attempted suicide was 5.6% (95% CI: 3.5% - 9.0%). The 12-month period prevalence for suicidal ideation was noted to be 11.8% (95% CI: 5.5% to 23.6%), plan 3.6% (95% CI: 2.1% to 6.0%). Suicidal attempts 3.0% (95% CI: 1.6% to 5.5%), completed suicides 0.1% (95% CI: 0% to 0.8%) and non-suicidal behaviors 6.5% (95% CI: 0.7% to 39.5%). Lifetime prevalence ranged from suicidal thoughts 15.9% (95% CI:15.0% to 16.8%), suicidal plan 7.9% (95% CI: 6.2% to 10.1%), attempts 3.1% (95% CI: 1.2% to 7.8%) and non-suicidal behaviors 44.8% (95% CI: 41.2% to 48.4%). We found evidence of significant heterogeneity for suicidal behaviors in the studies included. The epidemiological burden of suicidal behaviors among countries in South Asia appears to be very high. Knowledge about the epidemiology of such behaviors is important for policymaking and to inform context specific interventions to reduce loss of lives caused by suicidal behaviors.

Indexed as

Meta-analysisNon suicidal behaviorsSouth AsiaSuicidal behaviorSuicidal ideationSuicideSuicide attemptsSystematic review

Identifiers

PMID40621539
PMCPMC12223722

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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.