School absenteeism as a risk factor for self-harm and suicidal ideation in children and adolescents: a systematic review and meta-analysis

Autor: Emmert Roberts, Katie Finning, Rina Dutta, Rosemary Sedgwick, Sophie Epstein, Johnny Downs, Catherine Polling, Tamsin Ford
Rok vydání: 2019
Předmět:
Adult
Male
medicine.medical_specialty
Adolescent
Epidemiology
Population
Suicide prevention
Article
Suicidal Ideation
Young Adult
03 medical and health sciences
0302 clinical medicine
Risk Factors
Absenteeism
School Mental Health
Developmental and Educational Psychology
Child and adolescent psychiatry
Humans
Self-harm
Medicine
0501 psychology and cognitive sciences
030212 general & internal medicine
Risk factor
Child
education
Suicidal ideation
education.field_of_study
School attendance
business.industry
05 social sciences
General Medicine
Odds ratio
Suicide
Psychiatry and Mental health
Cross-Sectional Studies
Meta-analysis
Pediatrics
Perinatology and Child Health
Female
Observational study
medicine.symptom
Child and adolescent mental health
business
Self-Injurious Behavior
050104 developmental & child psychology
Clinical psychology
Zdroj: European child & adolescent psychiatry
Epstein, S, Roberts, E, Sedgwick, R, Polling, C, Finning, K, Ford, T, Dutta, R & Downs, J 2019, ' School absenteeism as a risk factor for self-harm and suicidal ideation in children and adolescents : A systematic review and meta-analysis ', European Child and Adolescent Psychiatry . https://doi.org/10.1007/s00787-019-01327-3
ISSN: 1435-165X
1018-8827
DOI: 10.1007/s00787-019-01327-3
Popis: Self-harm and suicidal ideation in children and adolescents are common and are risk factors for completed suicide. Social exclusion, which can take many forms, increases the risk of self-harm and suicidal ideation. One important marker of social exclusion in young people is school absenteeism. Whether school absenteeism is associated with these adverse outcomes, and if so to what extent, remains unclear. To determine the association between school absenteeism and both self-harm (including completed suicide) and suicidal ideation in children and adolescents, we conducted a systematic review of observational studies. We conducted meta-analysis and report a narrative synthesis where this was not possible. Meta-analysis of cross-sectional studies showed that school absenteeism was associated with an increased risk of self-harm [pooled adjusted odds ratio (aOR) 1.37, 95% confidence interval 1.20–1.57, P = 0.01] and of suicidal ideation (pooled aOR 1.20, 95% CI 1.02–1.42, P = 0.03). A small number of studies showed that school absenteeism had a longitudinal association with both adverse outcomes. Heterogeneity in the exposure and outcome variables, study design and reporting was prominent and limited the extent to which it was appropriate to pool results. School absenteeism was associated with both self-harm and suicidal ideation in young people, but this evidence was derived from a small number of cross-sectional studies. Further research into the mechanisms of this association could help to inform self-harm and suicide prevention strategies at clinical, school and population levels.
Databáze: OpenAIRE
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