Substance use and suicidal ideation and behaviour in low- and middle-income countries: a systematic review

摘要: Understanding relationships between substance use and suicidal ideation behaviour (SIB) has important public health implications for suicide prevention in low- middle-income countries (LMICs), where 75% of suicides occur. This systematic review explored the associations SIB LMICs. We searched five databases using a combination keywords use, LMICs to identify English-written quantitative studies published January 2006 February 2016. Data were extracted provide an overview what is known about topic, highlight gaps literature, explore current knowledge prevention. Studies included assessed methodological quality Scottish Intercollegiate Guidelines Network checklist. Analysis (N = 108) demonstrated consistent positive association across all substances (i.e. alcohol, tobacco, cannabis, illicit drugs, non-medical prescription drugs), dimensions intoxication, pathological use) ideation, non-fatal behaviour, suicide). Most available research evidence comes from upper-middle-income countries, only 22% lower-middle-income low-income countries. focused on alcohol while neglecting such as opioids, sedatives, stimulants, misuse medication, inhalants, hallucinogens. employed cross-sectional design, conducted within risk-factor paradigm, provided little information potential interaction variables. Public policy should take account fact that: potentially modifiable risk factor; assessment management integral care at-risk patients; reducing consumption hazardous prevention; needs be expanded include more theory driven that focuses dimensions, employing sophisticated statistical methods.