Internalizing and externalizing symptoms and suicidal behaviour in young people: a systematic review and meta-analysis of longitudinal studies
Author
Soto-Sanz, Victoria
Castellví Obiols, Pere
Piqueras, José Antonio
Rodríguez-Marín, Jesús
Rodríguez Jimenez, Tiscar
Miranda-Mendizábal, Andrea
Parés Badell, Oleguer
Almenara, José
Alonso, Iciar
Blasco Cubedo, Maria Jesús
Cebrià, Ana Isabel
Gabilondo Cuéllar, Andrea
Gili, Margalida
Lagares, Carolina
Roca, Miquel
Alonso Caballero, Jordi
Publication date
2019-07ISSN
0001-690X
Abstract
Objective: To assess internalizing and externalizing symptoms as risk factors for suicidal behaviour and suicide among adolescents and young adults. Method: We conducted a systematic review of articles published until January 2017. We identified 26 883 potential papers; 1701 full-text articles were assessed for eligibility, of which 1479 were excluded because of methodological reasons. Diverse meta-analyses were performed for each group of symptoms. Odds ratios (ORs) and 95% confidence intervals (95% CI) or beta coefficients for categorical variables, and effect size (ES) were calculated for continuous variables. Results: Finally, 41 studies were included, involving participants aged 12-26 years for a systematic review, and 24 articles were included for meta-analysis. The meta-analysis showed that youths with any internalizing (ES = 0.93) or externalizing symptoms (ES = 0.76 and OR = 2.59) were more likely to attempt suicide in future. This effect was also seen in depression symptoms (OR = 6.58 and ES = 1.00), legal problems (OR = 3.36), and anxiety (ES = 0.65). Conclusion: Reported internalizing and externalizing symptoms are predictors of suicide behaviour in young people; therefore, the detection and management of these symptoms in young populations could be a crucial strategy for preventing suicidality in this group.
Document Type
Article
Document version
Accepted version
Language
English
Subject (CDU)
61 - Medical sciences
616.89 - Psychiatry. Pathological psychiatry. Psychopathology
Keywords
Símptomes externalitzadors
Símptomes d’interiorització
Metaanàlisi
Comportament suïcida
Revisió sistemàtica
Joves
Síntomas externalizadores
Síntomas de interiorización
Metaanálisis
Comportamiento suicida
Revisión sistemática
Jóvenes
Outsourcing symptoms
Symptoms of internalization
Meta-analysis
Suicidal behavior
Systematic review
Teens
Pages
44
Publisher
Wiley-Blackwell
Collection
140; 1
Is part of
Acta Psychiatrica Scandinavica
Citation
Soto-Sanz, Victoria; Castellvi Obiols, Pere; Piqueras, José Antonio [et al.]. Internalizing and externalizing symptoms and suicidal behaviour in young people: a systematic review and meta-analysis of longitudinal studies. Acta Psychiatrica Scandinavica, 2019, 140(1), p. 5-19. Disponible en: <https://onlinelibrary.wiley.com/doi/10.1111/acps.13036>. Fecha de acceso: 22 oct. 2021. DOI: 10.1111/acps.13036
This item appears in the following Collection(s)
- Ciències de la Salut [740]
Rights
This is the pre-peer reviewed version of the following article: Soto-Sanz V, Castellví P, Piqueras JA, Rodríguez-Marín J, Rodríguez-Jiménez T, Miranda-Mendizábal A. et al. Internalizing and externalizing symptoms and suicidal behaviour in young people: a systematic review and meta-analysis of longitudinal studies. Acta Psychiatr Scand. 2019 Jul;140(1):5-19, which has been published in final form at http://dx.doi.org/10.1111/acps.13036. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.