{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T19:44:35Z","timestamp":1791229475429,"version":"4.1.0"},"reference-count":70,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2023,5,12]],"date-time":"2023-05-12T00:00:00Z","timestamp":1683849600000},"content-version":"vor","delay-in-days":131,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100018529","name":"Alkermes","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100018529","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,1,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Subsequent to a diagnosis of a brain tumor, psychological distress has been associated with negative effects on mental health as well as suicidality. The magnitude of such impact has been understudied in the literature. We conducted a systematic review to examine the impact of a brain tumor on suicidality (both ideation and attempts).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In accordance with the PRISMA guidelines, we searched for relevant peer-reviewed journal articles on PubMed, Scopus, and Web of Science databases from inception to October 20, 2022. Studies investigating suicide ideation and\/or attempt among patients with brain tumors were included.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Our search yielded 1,998 articles which were screened for eligibility. Seven studies consisting of 204,260 patients were included in the final review. Four studies comprising 203,906 patients (99.8%) reported elevated suicidal ideation and suicide attempt incidence compared with the general population. Prevalence of ideation and attempts ranged from 6.0% to 21.5% and 0.03% to 3.33%, respectively. Anxiety, depression, pain severity, physical impairment, glioblastoma diagnosis, male sex, and older age emerged as the primary risk factors associated with increased risk of suicidal ideation and attempts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Suicidal ideation and attempts are increased in patients and survivors of brain tumors compared to the general population. Early identification of patients exhibiting these behaviors is crucial for providing timely psychiatric support in neuro-oncological settings to mitigate potential harm. Future research is required to understand pharmacological, neurobiological, and psychiatric mechanisms that predispose brain tumor patients to suicidality.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/noajnl\/vdad058","type":"journal-article","created":{"date-parts":[[2023,5,12]],"date-time":"2023-05-12T05:39:59Z","timestamp":1683869999000},"source":"Crossref","is-referenced-by-count":18,"title":["Suicidal ideation and attempts in brain tumor patients and survivors: A systematic review"],"prefix":"10.1093","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2458-0447","authenticated-orcid":false,"given":"Mohammad","family":"Mofatteh","sequence":"first","affiliation":[{"name":"School of Medicine, Dentistry and Biomedical Sciences, Queen\u2019s University Belfast , UK"},{"name":"Neuro International Collaboration (NIC) , London , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5177-8344","authenticated-orcid":false,"given":"Mohammad Sadegh","family":"Mashayekhi","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, University of British Columbia , Vancouver, British Columbia , Canada"},{"name":"Neuro International Collaboration (NIC) , Vancouver, British Columbia , Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5240-4275","authenticated-orcid":false,"given":"Saman","family":"Arfaie","sequence":"additional","affiliation":[{"name":"Department of Neurology and Neurosurgery, McGill University , Montreal, Quebec , Canada"},{"name":"Department of Molecular and Cell Biology, University of California Berkeley , California , USA"},{"name":"Neuro International Collaboration (NIC) , Montreal, Quebec , Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yimin","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Neurology, Foshan Sanshui District People\u2019s Hospital , Foshan , China"},{"name":"Neuro International Collaboration (NIC) , Foshan , China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Armaan K","family":"Malhotra","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, Hospital for Sick Children , Toronto, Ontario , Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7131-079X","authenticated-orcid":false,"given":"Mohammed Ali","family":"Alvi","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, Department of Surgery, University of Toronto , Toronto, Ontario , Canada"},{"name":"Department of Neurologic Surgery, Mayo Clinic , Rochester, MN , USA"},{"name":"Neuro International Collaboration (NIC) , Toronto, Ontario , Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas","family":"Sader","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, University of Calgary , Alberta , Canada"},{"name":"Neuro International Collaboration (NIC) , Calgary, Alberta , Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Violet","family":"Antonick","sequence":"additional","affiliation":[{"name":"University of Vermont , Burlington, Vermont , USA"},{"name":"Neuro International Collaboration (NIC) , Vermont , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mostafa","family":"Fatehi Hassanabad","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, University of British Columbia , Vancouver, British Columbia , Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7442-7539","authenticated-orcid":false,"given":"Alireza","family":"Mansouri","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Penn State Milton S. 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