Suicide attempts in XXXX : comprehensive review of 101 reports.

@entity1 @entity162 @entity1605
OBJECTIVE: Assess reported risk of suicide attempts by @entity1 with @entity162 ( @entity1605 ). METHOD: Systematic searching yielded 101 reports from 22 countries (79  937 subjects). We analyzed for risk (%) and incidence rates (%/year) of attempts, comparing sex and diagnostic types, including by meta-analysis. RESULTS: Attempt risk averaged 31.1% [CI: 27.9-34.3] of subjects, or 4.24 [3.78-4.70]%/year. In @entity1605 -I (43 studies) and @entity1605 subjects (30 studies), risks (29.9%, 31.4%) and incidence rates (4.01, 4.11%/year) were similar and not different by meta-analysis. Among @entity1 vs. @entity1 , risks (33.7% vs. 25.5%) and incidence (4.50 vs. 3.21%/year) were greater (also supported by meta-analysis: RR  =  1.35 [CI: 1.25-1.45], P  <  0.0001). Neither measure was related to reporting year, % @entity1 /study, or to onset or current age. Risks were greater with longer exposure, whereas incidence rates decreased with longer time at risk, possibly through 'dilution' by longer exposure. CONCLUSION: This systematic update of international experience underscores high risks of suicide attempts among @entity1 with @entity1605 ( @entity1605 -I  =  @entity1605 ; @entity1  >  @entity1 ). Future studies should routinely include exposure times and incidence rates by diagnostic type and sex for those who attempt suicide or not.
