{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T15:45:38Z","timestamp":1782920738576,"version":"3.54.5"},"reference-count":46,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2014,10,31]],"date-time":"2014-10-31T00:00:00Z","timestamp":1414713600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Psychiatr Scand"],"published-print":{"date-parts":[[2015,3]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Recent studies of patients with a mix of psychiatric diagnoses have suggested a modest or weak association between suicidal ideation and later suicide. The aim of this study was to examine the extent to which the association between expressed suicidal ideation and later suicide varies according to psychiatric diagnosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A systematic meta\u2010analysis of studies that report the association between suicidal ideation and later suicide in patients with \u2018mood disorders\u2019, defined to include major depression, dysthymia and bipolar disorder, or \u2018schizophrenia spectrum psychosis\u2019, defined to include schizophrenia, schizophreniform disorder and delusional disorder.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Suicidal ideation was strongly associated with suicide among patients with schizophrenia spectrum psychosis [14 studies reporting on 567 suicides, <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a0=\u00a06.49, 95% confidence interval (<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>) 3.82\u201311.02]. The association between suicidal ideation and suicide among patients with mood disorders (11 studies reporting on 860 suicides, <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a0=\u00a01.49, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 0.92\u20132.42) was not significant. Diagnostic group made a significant contribution to between\u2010study heterogeneity (<jats:italic>Q<\/jats:italic>\u2010value\u00a0=\u00a016.2, df\u00a0=\u00a01, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001) indicating a significant difference in the strength of the associations between suicidal ideation and suicide between the two diagnostic groups. Meta\u2010regression and multiple meta\u2010regression suggested that methodological issues in the primary research did not explain the findings. Suicidal ideation was weakly but significantly associated with suicide among studies of patients with mood disorders over periods of follow\u2010up of &lt;10\u00a0years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Although our findings suggest that the association between suicidal ideation and later suicide is stronger in schizophrenia spectrum psychosis than in mood disorders this result should be interpreted cautiously due to the high degree of between\u2010study heterogeneity and because studies that used stronger methods of reporting had a weaker association between suicidal ideation and suicide.<\/jats:p><\/jats:sec>","DOI":"10.1111\/acps.12359","type":"journal-article","created":{"date-parts":[[2014,10,31]],"date-time":"2014-10-31T08:51:13Z","timestamp":1414745473000},"page":"162-173","source":"Crossref","is-referenced-by-count":74,"title":["Meta\u2010analysis of the association between suicidal ideation and later suicide among patients with either a schizophrenia spectrum psychosis or a mood disorder"],"prefix":"10.1111","volume":"131","author":[{"given":"C. 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