Prevalence of suicidal ideation, suicide attempts and suicide deaths in people living with HIV: Are there differences between geographic locations or sexes? : An overview of systematic reviews with meta-analysis
Soc Psychiatry Psychiatr Epidemiol. 2025 May 9. doi: 10.1007/s00127-025-02916-1. Online ahead of print.
ABSTRACT
BACKGROUND: Preventing suicide is an important clinical and research priority according to the World Health Organization across lifespan.
OBJECTIVE: This study summarizes the prevalence of suicidal ideation, attempts, and suicide deaths among people living with HIV (PLWH) and explores geographic and sex-based differences in metaanalyses.
METHODS: An overview of systematic reviews was conducted using CINAHL, Embase, PsycINFO, and PubMed, covering inception to 16th August 2024.AMSTAR 2 evaluated methodological quality, and review overlap was calculated.
RESULTS: Twelve systematic reviews were included, with the highest overlap for suicide attempts in Africa (CCA = 13%). Meta-analyses showed pooled prevalence of suicidal ideation ranging from 13.8 to 22.1% in Africa, 27.1-30.1% in Asia, 33.7% in Europe, 14.3% in North America, and 27.5% in South America. Suicide attempts ranged from 3.7 to 12.5% in Africa, 3.6-11.2% in Asia, and 20.09% in the Americas. Among males, suicidal ideation prevalence was 40% in PLWH, suicide attempts 16.8%, and suicide deaths 1.5% PLWH. Among females, suicidal ideation was 32.8%, suicide attempts 29.0%, and suicide deaths 1.2% in PLWH.
CONCLUSION: Suicidal ideation and attempts are prevalent in PLWH, with notable geographic and sex-based differences.
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