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      Rates and correlates of suicidal ideation among stroke survivors: a meta-analysis

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          Abstract

          A better understanding of the epidemiological impact of suicidal ideation after stroke is required to identify subjects needing personalised interventions.

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          Most cited references41

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          Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement.

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            Cross-national prevalence and risk factors for suicidal ideation, plans and attempts.

            Suicide is a leading cause of death worldwide; however, the prevalence and risk factors for the immediate precursors to suicide - suicidal ideation, plans and attempts - are not wellknown, especially in low- and middle-income countries. To report on the prevalence and risk factors for suicidal behaviours across 17 countries. A total of 84 850 adults were interviewed regarding suicidal behaviours and socio-demographic and psychiatric risk factors. The cross-national lifetime prevalence of suicidal ideation, plans, and attempts is 9.2% (s.e.=0.1), 3.1% (s.e.=0.1), and 2.7% (s.e.=0.1). Across all countries, 60% of transitions from ideation to plan and attempt occur within the first year after ideation onset. Consistent cross-national risk factors included being female, younger, less educated, unmarried and having a mental disorder. Interestingly, the strongest diagnostic risk factors were mood disorders in high-income countries but impulse control disorders in low- and middle-income countries. There is cross-national variability in the prevalence of suicidal behaviours, but strong consistency in the characteristics and risk factors for these behaviours. These findings have significant implications for the prediction and prevention of suicidal behaviours.
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              Global and regional burden of stroke during 1990–2010: findings from the Global Burden of Disease Study 2010

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                Author and article information

                Journal
                Journal of Neurology, Neurosurgery & Psychiatry
                J Neurol Neurosurg Psychiatry
                BMJ
                0022-3050
                1468-330X
                May 23 2017
                June 2017
                June 2017
                March 22 2017
                : 88
                : 6
                : 498-504
                Article
                10.1136/jnnp-2017-315660
                28331011
                b340d602-b5dc-409e-a41b-412e51527487
                © 2017
                History

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