TY  - JOUR
PY  - 2016//
TI  - Body mass index is an important predictor for suicide: results from a systematic review and meta-analysis
JO  - Suicide and life-threatening behavior
A1  - Perera, Stefan
A1  - Eisen, Rebecca B.
A1  - Dennis, Brittany B.
A1  - Bawor, Monica
A1  - Bhatt, Meha
A1  - Bhatnagar, Neera
A1  - Thabane, Lehana
A1  - de Souza, Russell
A1  - Samaan, Zainab
SP  - 697
EP  - 736
VL  - 46
IS  - 6
N2  - Public health concerns for the independent management of obesity and suicidal behavior are rising. Emerging evidence suggests body weight plays an important role in quantifying the risk of suicide. In light of these findings, we aimed to clarify the association between body mass index (BMI) and suicidal behavior by systematically reviewing and evaluating the literature. Studies were identified by searching MEDLINE, EMBASE, PsycINFO, and CINAHL from inception to January 2015, supplemented by hand and grey literature searches. Study screening, data extraction, and risk of bias assessment were conducted in duplicate. We included 38 observational studies. Meta-analyses supported an inverse association between BMI and completed suicide. Pooled summary estimates demonstrated that underweight was significantly associated with an increased risk of completed suicide (HR = 1.21, 95% CI 1.07 to 1.36, p = .002), and obesity (HR = 0.71, 95% CI 0.56 to 0.89, p = .003) and overweight (HR = 0.78, 95% CI 0.75 to 0.82, p < .0001) were significantly associated with a decreased risk of completed suicide relative to normal weight. A qualitative summary of the literature demonstrated conflicting evidence regarding the association between BMI and attempted suicide and revealed no association between BMI and suicidal ideation. BMI may be used to aid the assessment of suicide risk, especially that of completed suicide. However, unmeasured confounders and systematic biases of individual studies limit the quality of evidence.<br><br>© 2016 The American Association of Suicidology.<p />  <p>Language: en</p>
LA  - en
SN  - 0363-0234
UR  - http://dx.doi.org/10.1111/sltb.12244
ID  - ref1
ER  -