Prevalence of suicidal behaviour among students living in Muslim-majority countries: systematic review and meta-analysis

Author:

Arafat S. M. YasirORCID,Baminiwatta Anuradha,Menon Vikas,Singh RakeshORCID,Varadharajan NatarajanORCID,Guhathakurta Saptarshi,Mahesar Rameez Ali,Rezaeian Mohsen

Abstract

BackgroundAssessing suicidal behaviours among students would help to understand the burden and enhance suicide prevention.AimsWe aimed to determine the prevalence of suicidal behaviour among students living in Muslim-majority countries.MethodWe followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. A systematic search was conducted in Medline, EMBASE and PsycINFO. Meta-analyses were performed to pool the lifetime, 1-year and point prevalence rates for suicidal ideation, plans and attempts.ResultsFrom 80 studies, 98 separate samples were included in this analysis. The majority (n= 49) were from the Eastern Mediterranean, and 61 samples were of university students. The pooled prevalence of suicidal ideation was 21.9% (95% CI 17.4%–27.1%) for lifetime, 13.4% (95% CI 11.1%–16.1%) for the past year and 6.4% (95% CI 4.5%–9%) for current. The pooled prevalence of suicide plans was 6.4% (95% CI 3.7%–11%) for lifetime, 10.7% (95% CI 9.1%–12.4%) for the past year and 4.1% (95% CI 2.7%–6.2%) for current. The pooled prevalence of suicide attempts was 6.6% (95% CI 5.4%–8%) for lifetime and 4.9% (95% CI 3.6%–6.5%) for the past year. The lifetime prevalence of suicidal ideation was highest (46.2%) in South-East Asia, but the 12-month prevalence was highest (16.8%) in the Eastern Mediterranean.ConclusionsThe study revealed notably high rates of suicidal behaviours among students living in Muslim-majority countries. However, the quality of studies, differences in regional and cultural factors, stages of studentship and methods of measurement should be considered when generalising the study results.

Publisher

Royal College of Psychiatrists

Subject

Psychiatry and Mental health

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