title: Exposure to violence, a risk for suicide in youths and young adults. A meta-analysis of longitudinal studies.
abstract: OBJECTIVE
  To assess the association and magnitude of the effect of early exposure to different types of interpersonal violence (IPV) with suicide attempt and suicide death in youths and young adults.
  
  
  METHODS
  We searched six databases until June 2015. Inclusion criteria were as follows: (1) assessment of any type of IPV as risk factor of suicide attempt or suicide: (i) child maltreatment [childhood physical, sexual, emotional abuse, neglect], (ii) bullying, (iii) dating violence, and (iv) community violence; (2) population-based case-control or cohort studies; and (3) subjects aged 12-26 years. Random models were used for meta-analyses (Reg: CRD42013005775).
  
  
  RESULTS
  From 23 682 articles, 29 articles with 143 730 subjects for meta-analyses were included. For victims of any IPV, OR of subsequent suicide attempt was 1.99 (95% CI: 1.73-2.28); for child maltreatment, 2.25 (95% CI: 1.85-2.73); for bullying, 2.39 (95% CI: 1.89-3.01); for dating violence, 1.65 (95% CI: 1.40-1.94); and for community violence, 1.48 (95% CI: 1.16-1.87). Young victims of IPV had an OR of suicide death of 10.57 (95% CI: 4.46-25.07).
  
  
  CONCLUSIONS
  Early exposure to IPV confers a risk of suicide attempts and particularly suicide death in youths and young adults. Future research should address the effectiveness of preventing and detecting early any type of IPV exposure in early ages.
authors.affiliation: Health Services Research Group, IMIM-Institut Hospital del Mar d'Investigacions Mèdiques, Barcelona, Spain.|CIBER Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain.
authors.forename: P
authors.initials: P
authors.lastname: Castellví
authors.affiliation: Health Services Research Group, IMIM-Institut Hospital del Mar d'Investigacions Mèdiques, Barcelona, Spain.|Department of Health & Experimental Sciences, Pompeu Fabra University (UPF), Barcelona, Spain.
authors.forename: A
authors.initials: A
authors.lastname: Miranda-Mendizábal
authors.affiliation: Health Services Research Group, IMIM-Institut Hospital del Mar d'Investigacions Mèdiques, Barcelona, Spain.
authors.forename: O
authors.initials: O
authors.lastname: Parés-Badell
authors.affiliation: Area of Preventive Medicine and Public Health, University of Cadiz, Cadiz, Spain.
authors.forename: J
authors.initials: J
authors.lastname: Almenara
authors.affiliation: Morales Meseguer Hospital, Murcia, Spain.
authors.forename: I
authors.initials: I
authors.lastname: Alonso
authors.affiliation: Health Services Research Group, IMIM-Institut Hospital del Mar d'Investigacions Mèdiques, Barcelona, Spain.|CIBER Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain.|Department of Health & Experimental Sciences, Pompeu Fabra University (UPF), Barcelona, Spain.
authors.forename: M J
authors.initials: MJ
authors.lastname: Blasco
authors.affiliation: Department of Mental Health, Corporació Sanitaria Parc Taulí, Sabadell, Spain.
authors.forename: A
authors.initials: A
authors.lastname: Cebrià
authors.affiliation: Outpatient Mental Health Care Network, Osakidetza-Basque Health Service, Donostia-San Sebastián, Spain.|Mental Health and Psychiatric Care Research Unit, BioDonostia Health Research Institute, Donostia-San Sebastián, Spain.
authors.forename: A
authors.initials: A
authors.lastname: Gabilondo
authors.affiliation: Institut Universitari d'Investigació en Ciències de la Salut (IUNICS-IDISPA), University of Balearic Islands, Palma de Mallorca, Spain.|Network of Preventive Activities and Health Promotion, University of Balearic Islands, Palma de Mallorca, Spain.
authors.forename: M
authors.initials: M
authors.lastname: Gili
authors.affiliation: Department of Statistics and Operative Research, University of Cádiz, Cádiz, Spain.
authors.forename: C
authors.initials: C
authors.lastname: Lagares
authors.affiliation: Department of Health Psychology, Miguel Hernandez University of Elche, Elche, Spain.
authors.forename: J A
authors.initials: JA
authors.lastname: Piqueras
authors.affiliation: Institut Universitari d'Investigació en Ciències de la Salut (IUNICS-IDISPA), University of Balearic Islands, Palma de Mallorca, Spain.|Network of Preventive Activities and Health Promotion, University of Balearic Islands, Palma de Mallorca, Spain.
authors.forename: M
authors.initials: M
authors.lastname: Roca
authors.affiliation: Department of Health Psychology, Miguel Hernandez University of Elche, Elche, Spain.
authors.forename: J
authors.initials: J
authors.lastname: Rodríguez-Marín
authors.affiliation: Department of Health Psychology, Miguel Hernandez University of Elche, Elche, Spain.
authors.forename: T
authors.initials: T
authors.lastname: Rodríguez-Jimenez
authors.affiliation: Department of Health Psychology, Miguel Hernandez University of Elche, Elche, Spain.
authors.forename: V
authors.initials: V
authors.lastname: Soto-Sanz
authors.affiliation: Health Services Research Group, IMIM-Institut Hospital del Mar d'Investigacions Mèdiques, Barcelona, Spain.|CIBER Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain.|Department of Health & Experimental Sciences, Pompeu Fabra University (UPF), Barcelona, Spain.
authors.forename: J
authors.initials: J
authors.lastname: Alonso
mesh_terms: D000293:Adolescent; D000328:Adult; D058445:Bullying / Q000706:statistics & numerical data*; D002648:Child; D002649:Child Abuse / Q000706:statistics & numerical data*; D000069581:Exposure to Violence / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D012307:Risk Factors; D013405:Suicide / Q000706:statistics & numerical data*; D013406:Suicide, Attempted / Q000706:statistics & numerical data*; D055815:Young Adult
keywords: child and adolescent psychiatry; meta-analysis; suicide; trauma