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The aim of this systematic review and meta-analysis is to achieve a greater understanding of suicidality in the general population of Europe by studying associated factors and their statistical significance with suicidality, as well as the effect of the temporal moment in which suicidality is observed in a relationship. A search strategy was carried out in electronic databases: Proquest\u2019s Psychology Database, Scopus, PsycINFO, Medline and Embase. Odds ratios (ORs), publication bias, influential studies on heterogeneity and analysis moderators were calculated. Twenty-six studies were included after meeting the inclusion criteria. Factors statistically associated with suicidality are female gender, age over 65 years, unemployment, low social support, adulthood adversity, childhood adversity, family history of mental disorder, any affective disorder, major depression, anxiety\/stress\/somatoform disorders, tobacco and substance use, any mental disorder and body mass index. As a limitation, a high heterogeneity between studies was found. Factors associated with suicidality in the general population are relevant for understanding the suicidal phenomenon.<\/jats:p>","DOI":"10.3390\/ijerph17114115","type":"journal-article","created":{"date-parts":[[2020,6,9]],"date-time":"2020-06-09T08:49:11Z","timestamp":1591692551000},"page":"4115","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":66,"title":["Determinants of Suicidality in the European General Population: A Systematic Review and Meta-Analysis"],"prefix":"10.3390","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9454-1032","authenticated-orcid":false,"given":"Mar\u00eda Teresa","family":"Carrasco-Barrios","sequence":"first","affiliation":[{"name":"Department of Personality, Assessment and Psychological Treatment, University of Malaga, 29010 Malaga, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6638-3751","authenticated-orcid":false,"given":"Paloma","family":"Huertas","sequence":"additional","affiliation":[{"name":"Department of Personality, Assessment and Psychological Treatment, University of Malaga, 29010 Malaga, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paloma","family":"Mart\u00edn","sequence":"additional","affiliation":[{"name":"Department of Personality, Assessment and Psychological Treatment, University of Malaga, 29010 Malaga, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos","family":"Mart\u00edn","sequence":"additional","affiliation":[{"name":"Primary Care Center of Marquesado, \u00c1rea Nordeste de Granada, 18512 Granada, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7943-6584","authenticated-orcid":false,"given":"M\u00aa Carmen","family":"Castillejos","sequence":"additional","affiliation":[{"name":"Department of Personality, Assessment and Psychological Treatment, University of Malaga, 29010 Malaga, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9261-6253","authenticated-orcid":false,"given":"Eleni","family":"Petkari","sequence":"additional","affiliation":[{"name":"Social and Behavioural Sciences, European University Cyprus 6th Diogenous st., Nicosia 2063, Cyprus"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9541-215X","authenticated-orcid":false,"given":"Berta","family":"Moreno-K\u00fcstner","sequence":"additional","affiliation":[{"name":"Department of Personality, Assessment and Psychological Treatment, University of Malaga, 29010 Malaga, Spain"},{"name":"Biomedical Research Institute of Malaga (IBIMA), 29010 M\u00e1laga, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2020,6,9]]},"reference":[{"key":"ref_1","unstructured":"(2019, December 10). World Health Organization Suicide. Available online: https:\/\/www.who.int\/es\/news-room\/fact-sheets\/detail\/suicide."},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Tarrier, N., Gooding, P., Pratt, D., Kelly, J., Awenat, Y., and Maxwell, J. (2013). Cognitive Behavioural Prevention of Suicide in Psychosis, Routledge.","DOI":"10.4324\/9780203066881"},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"Nock, M.K. (2009). Nonsuicidal self-injury: Definition and classification. Understanding Nonsuicidal Self-Injury: Origins, Assessment, and Treatment, American Psychological Association.","DOI":"10.1037\/11875-000"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"337","DOI":"10.1001\/archpsyc.1997.01830160065009","article-title":"Coming to terms with the terms of risk","volume":"54","author":"Kraemer","year":"1997","journal-title":"Arch. Gen. Psychiatr."},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Li, Y., Li, Y., and Cao, J. (2012). Factors associated with suicidal behaviors in mainland China: A meta-analysis. BMC Public Health, 12.","DOI":"10.1186\/1471-2458-12-524"},{"key":"ref_6","doi-asserted-by":"crossref","unstructured":"Lim, K.S., Wong, C.H., McIntyre, R.S., Wang, J., Zhang, Z., Tran, B.X., Tan, W., Ho, C.S., and Ho, R.C. (2019). Global lifetime and 12-month prevalence of suicidal behavior, deliberate self-harm and non-suicidal self-injury in children and adolescents between 1989 and 2018: A meta-analysis. Int. J. Environ. Res. Public Health, 16.","DOI":"10.3390\/ijerph16224581"},{"key":"ref_7","first-page":"1","article-title":"Identifying suicide risk among college students: A systematic review","volume":"1","author":"Li","year":"2019","journal-title":"Death Stud."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"491","DOI":"10.1111\/bdi.12053","article-title":"Suicide in prisoners with bipolar disorder and other psychiatric disorders: A systematic review","volume":"15","author":"Fazel","year":"2013","journal-title":"Bipolar Disord."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1111\/j.1600-0447.2010.01672.x","article-title":"Systematic review and meta-analysis of the clinical factors associated with the suicide of psychiatric in-patients","volume":"124","author":"Large","year":"2011","journal-title":"Acta Psychiatr. Scand."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1192\/bjp.2018.27","article-title":"Depression and hopelessness as risk factors for suicide ideation, attempts and death: Meta-analysis of longitudinal studies","volume":"212","author":"Ribeiro","year":"2018","journal-title":"Br. J. Psychiatr."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1016\/j.jad.2019.05.013","article-title":"A systematic review and meta-analysis of the association between alexithymia and suicide ideation and behaviour","volume":"254","author":"Hemming","year":"2019","journal-title":"J. Affect. Disord."},{"key":"ref_12","first-page":"246","article-title":"Self-esteem and suicidal behaviour in youth: A meta-analysis of longitudinal studies","volume":"31","author":"Piqueras","year":"2019","journal-title":"Psicothema"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1016\/j.jad.2018.10.115","article-title":"Mental disorders as risk factors for suicidal behavior in young people: A meta-analysis and systematic review of longitudinal studies","volume":"245","author":"Gili","year":"2019","journal-title":"J. Affect. Disord."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"56","DOI":"10.3389\/fpsyt.2018.00056","article-title":"Serious suicide attempts: Systematic review of psychological risk factors","volume":"9","author":"Gvion","year":"2018","journal-title":"Front. Psychiatr."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1016\/0165-0327(93)90084-W","article-title":"Suicidal behavior in bipolar and unipolar affective disorders: A meta-analysis","volume":"27","author":"Lester","year":"1993","journal-title":"J. Affect. Disord."},{"key":"ref_16","first-page":"917","article-title":"The association between anxiety disorders and suicidal behaviors: A systematic review and meta-analysis","volume":"30","author":"Kanwar","year":"2013","journal-title":"Depress. Anxiety"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"681","DOI":"10.2174\/1570159X16666180620155941","article-title":"Suicide Risk in Obsessive-Compulsive Disorder and Exploration of Risk Factors: A Systematic Review","volume":"17","author":"Albert","year":"2018","journal-title":"Curr. Neuropharmacol."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"282","DOI":"10.1093\/pubmed\/fdv148","article-title":"Substance use disorder and risk of suicidal ideation, suicide attempt and suicide death: A meta-analysis","volume":"38","author":"Poorolajal","year":"2016","journal-title":"J. Public Health Bangk."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"765","DOI":"10.1017\/S0033291717002136","article-title":"Psychosis as a risk factor for suicidal thoughts and behaviors: A meta-analysis of longitudinal studies","volume":"48","author":"Huang","year":"2018","journal-title":"Psychol. Med."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"133","DOI":"10.4103\/IJPSYM.IJPSYM_367_18","article-title":"Suicide risk in comorbid bipolar disorder and obsessive-compulsive disorder: A systematic review","volume":"41","author":"Amerio","year":"2019","journal-title":"Indian J. Psychol. Med."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"1672","DOI":"10.1016\/j.euroneuro.2013.06.002","article-title":"The role of inflammatory cytokines in suicidal behavior: A systematic review","volume":"23","author":"Serafini","year":"2013","journal-title":"Eur. Neuropsychopharmacol."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"144","DOI":"10.1001\/jamaneurol.2018.3487","article-title":"Association of Concussion with the Risk of Suicide: A Systematic Review and Meta-analysis","volume":"76","author":"Fralick","year":"2019","journal-title":"JAMA Neurol."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"621","DOI":"10.1007\/s40257-017-0281-1","article-title":"Risk of Suicidality in People with Psoriasis: A Systematic Review and Meta-Analysis of Cohort Studies","volume":"18","author":"Chi","year":"2017","journal-title":"Am. J. Clin. Dermatol."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"615","DOI":"10.1016\/j.jad.2018.05.028","article-title":"Body mass index and risk of suicide: A systematic review and meta-analysis","volume":"238","author":"Amiri","year":"2018","journal-title":"J. Affect. Disord."},{"key":"ref_25","doi-asserted-by":"crossref","unstructured":"Hunt, T., Wilson, C.J., Caputi, P., Woodward, A., and Wilson, I. (2017). Signs of current suicidality in men: A systematic review. PLoS ONE, 12.","DOI":"10.1371\/journal.pone.0174675"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"1145","DOI":"10.1001\/jamapediatrics.2018.2731","article-title":"Estimating the Risk of Attempted Suicide among Sexual Minority Youths","volume":"172","author":"Krausz","year":"2018","journal-title":"JAMA Pediatr."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"774","DOI":"10.1016\/S2215-0366(16)30066-9","article-title":"Suicide and poverty in low-income and middle-income countries: A systematic review","volume":"3","author":"Iemmi","year":"2016","journal-title":"The Lancet Psychiatr."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"585","DOI":"10.1016\/j.jad.2015.11.003","article-title":"The impact of intimate partner relationships on suicidal thoughts and behaviours: A systematic review","volume":"190","author":"Kazan","year":"2016","journal-title":"J. Affect. Disord."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1192\/bjp.bp.113.128405","article-title":"Suicide by occupation: Systematic review and meta-analysis","volume":"203","author":"Milner","year":"2013","journal-title":"Br. J. Psychiatr."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1016\/j.jad.2017.03.035","article-title":"Longitudinal association between self-injurious thoughts and behaviors and suicidal behavior in adolescents and young adults: A systematic review with meta-analysis","volume":"215","author":"Almenara","year":"2017","journal-title":"J. Affect. Disord."},{"key":"ref_31","first-page":"1","article-title":"Bipolarity and suicidal ideation in children and adolescents: A systematic review with meta-analysis","volume":"16","author":"Luz","year":"2017","journal-title":"Ann. Gen. Psychiatr."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1016\/j.cpr.2014.01.006","article-title":"Life events and suicidal ideation and behavior: A systematic review","volume":"34","author":"Liu","year":"2014","journal-title":"Clin. Psychol. Rev."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1136\/oemed-2016-103726","article-title":"Workplace bullying and the association with suicidal ideation\/thoughts and behaviour: A systematic review","volume":"74","author":"Leach","year":"2017","journal-title":"Occup. Environ. Med."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1136\/oemed-2017-104531","article-title":"Psychosocial job stressors and suicidality: A meta-analysis and systematic review","volume":"75","author":"Milner","year":"2018","journal-title":"Occup. Environ. Med."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"723","DOI":"10.1016\/j.jad.2019.07.082","article-title":"A systematic review on the relationship between childhood exposure to external cause parental death, including suicide, on subsequent suicidal behaviour","volume":"257","author":"Hua","year":"2019","journal-title":"J. Affect. Disord."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1017\/S2045796017000397","article-title":"Exposure to parental psychopathology and offspring\u2019s risk of suicide-related thoughts and behaviours: A systematic review","volume":"28","author":"Goodday","year":"2019","journal-title":"Epidemiol. Psychiatr. Sci."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"1021","DOI":"10.1016\/j.scitotenv.2018.07.098","article-title":"Ambient temperature, sunlight duration, and suicide: A systematic review and meta-analysis","volume":"646","author":"Gao","year":"2019","journal-title":"Sci. Total Environ."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1192\/bjp.2018.295","article-title":"Association between particulate matter air pollution and risk of depression and suicide: Systematic review and meta-analysis","volume":"215","author":"Gu","year":"2019","journal-title":"Br. J. Psychiatr."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"60","DOI":"10.4103\/2224-3151.206167","article-title":"Suicide and depression in the World Health Organization South-East Asia Region: A systematic review","volume":"6","author":"Ahmed","year":"2017","journal-title":"WHO South-East Asia J. Public Health"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1186\/s13643-018-0901-8","article-title":"A systematic review of the risk factors for suicidal ideation, suicidal attempt and completed suicide among children and adolescents in sub-Saharan Africa between 1986 and 2018: Protocol for a systematic review of observational studies","volume":"7","author":"Rukundo","year":"2018","journal-title":"Syst. Rev."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12889-017-4371-z","article-title":"Social determinants of depression and suicidal behaviour in the Caribbean: A systematic review","volume":"17","author":"Brown","year":"2017","journal-title":"BMC Public Health"},{"key":"ref_42","first-page":"257","article-title":"The epidemiology of suicide behaviors among the countries of the eastern Mediterranean region of WHO: A systematic review","volume":"53","author":"Malakouti","year":"2015","journal-title":"Acta Med. Iran."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1093\/epirev\/mxn002","article-title":"Suicide and suicidal behavior","volume":"30","author":"Nock","year":"2008","journal-title":"Epidemiol. Rev."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1037\/bul0000084","article-title":"Risk factors for suicidal thoughts and behaviors: A meta-analysis of 50 years of research","volume":"143","author":"Franklin","year":"2017","journal-title":"Psychol. Bull."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"15","DOI":"10.5093\/ejpalc2018a2","article-title":"Sociodemographic variables most associated with suicidal behaviour and suicide methods in Europe and America. A systematic review","volume":"10","year":"2018","journal-title":"Eur. J. Psychol. Appl. Leg. Context"},{"key":"ref_46","doi-asserted-by":"crossref","unstructured":"Huang, X., Ribeiro, J.D., Musacchio, K.M., and Franklin, J.C. (2017). Demographics as predictors of suicidal thoughts and behaviors: A meta-analysis. PLoS ONE, 12.","DOI":"10.1371\/journal.pone.0180793"},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1111\/sltb.12427","article-title":"Are Eating Disorders and Related Symptoms Risk Factors for Suicidal Thoughts and Behaviors? A Meta-analysis","volume":"49","author":"Smith","year":"2019","journal-title":"Suicide Life Threat. Behav."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"1607","DOI":"10.1002\/jclp.22625","article-title":"Is externalizing psychopathology a robust risk factor for suicidal thoughts and behaviors? A meta-analysis of longitudinal studies","volume":"74","author":"Witte","year":"2018","journal-title":"J. Clin. Psychol."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"941","DOI":"10.1177\/2167702619838464","article-title":"Predicting Imminent Suicidal Thoughts and Nonfatal Attempts: The Role of Complexity","volume":"7","author":"Ribeiro","year":"2019","journal-title":"Clin. Psychol. Sci."},{"key":"ref_50","first-page":"213","article-title":"Measures of frequency used in cohorts studies to evaluate the suicidal behaviour in young people (12\u201326 years): A systematic review","volume":"12","author":"Gabilondo","year":"2019","journal-title":"Rev. Psiquiatr. Salud Ment."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1037\/a0034094","article-title":"Familism and psychological health: The intervening role of closeness and social support","volume":"20","author":"Campos","year":"2014","journal-title":"Cult. Divers. Ethn. Minor. Psychol."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1080\/17437199.2011.569936","article-title":"The impact of familism on physical and mental health among Hispanics in the United States","volume":"8","author":"Perez","year":"2011","journal-title":"Health Psychol. Rev."},{"key":"ref_53","first-page":"215","article-title":"Suicidality and sexual orientation in five continents: Asia, Australia, Europe, North America, and South America","volume":"7","author":"Mathy","year":"2002","journal-title":"Int. J. Sex. Gend. Stud."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1177\/0091217415589306","article-title":"Prevalence of suicidal ideation and suicide attempts in the general population of China: A meta-Analysis","volume":"49","author":"Cao","year":"2015","journal-title":"Int J. Psychiatr. Med."},{"key":"ref_55","unstructured":"Castillejos, C., Huertas, P., Mart\u00edn, P., and Moreno-K\u00fcstner, B. Prevalence of suicidal behaviour in the European general population: A systematic review and meta-analysis. Arch. Suicide Res., In press."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"503","DOI":"10.1016\/j.jad.2020.01.115","article-title":"Prevalence and correlates of suicidality in Andalusia (Spain): Results of the epidemiological study PISMA-ep","volume":"266","author":"Huertas","year":"2020","journal-title":"J. Affect. Disord."},{"key":"ref_57","doi-asserted-by":"crossref","unstructured":"Shamseer, L., Moher, D., Clarke, M., Ghersi, D., Liberati, A., Petticrew, M., Shekelle, P., Stewart, L.A., and The PRISMA-P Group (2015). Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015: Elaboration and explanation. BMJ.","DOI":"10.1136\/bmj.g7647"},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"176","DOI":"10.1111\/j.1524-475X.2004.04006.x","article-title":"A process for systematically reviewing the literature: Providing the research evidence for public health nursing interventions","volume":"1","author":"Thomas","year":"2004","journal-title":"Worldviews Evid. Based Nurs."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"1539","DOI":"10.1002\/sim.1186","article-title":"Quantifying heterogeneity in a meta-analysis","volume":"21","author":"Higgins","year":"2002","journal-title":"Stat. Med."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"441","DOI":"10.1016\/j.jad.2013.04.037","article-title":"Suicidal behaviours in South East London: Prevalence, risk factors and the role of socio-economic status","volume":"150","author":"Aschan","year":"2013","journal-title":"J. Affect. Disord."},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"465","DOI":"10.1017\/S0033291700030415","article-title":"Measuring psychiatric disorder in the community: A standardized assessment for use by lay interviewers","volume":"22","author":"Lewis","year":"1992","journal-title":"Psychol. Med."},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"272","DOI":"10.1037\/0022-006X.76.2.272","article-title":"Validating the primary care posttraumatic stress disorder screen and the posttraumatic stress disorder checklist with soldiers returning from combat","volume":"76","author":"Bliese","year":"2008","journal-title":"J. Consult. Clin. Psychol."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"228","DOI":"10.1192\/bjp.183.3.228","article-title":"Standardised Assessment of Personality\u2014Abbreviated Scale (SAPAS): Preliminary validation of a brief screen for personality disorder","volume":"183","author":"Moran","year":"2003","journal-title":"Br. J. Psychiatr."},{"key":"ref_64","unstructured":"World Health Organization (1992). AUDIT The Alcohol Use Disorders Identification Test: Guidelines for Use in Primary Health Care, WHO."},{"key":"ref_65","first-page":"1","article-title":"The Prevalence of Death Ideation and Attempted Suicide and the Associated Risk Factors in Isparta, Turkey","volume":"23","author":"Atay","year":"2012","journal-title":"Turkish J. Psychiatr."},{"key":"ref_66","unstructured":"First, M.B., Williams, J.B.W., Gibbon, M., and Spitzer, R.L. (1997). Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I), American Psychiatric Press Inc."},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"1135","DOI":"10.1176\/appi.ajp.2009.09030310","article-title":"Suicide attempts, gender, and sexual abuse: Data from the 2000 British psychiatric morbidity survey","volume":"166","author":"Bebbington","year":"2009","journal-title":"Am. J. Psychiatr."},{"key":"ref_68","doi-asserted-by":"crossref","unstructured":"Bl\u00fcml, V., Kapusta, N.D., Doering, S., Br\u00e4hler, E., Wagner, B., and Kersting, A. (2013). Personality Factors and Suicide Risk in a Representative Sample of the German General Population. PLoS ONE, 8.","DOI":"10.1371\/journal.pone.0076646"},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"1092","DOI":"10.1001\/archinte.166.10.1092","article-title":"A brief measure for assessing generalized anxiety disorder: The GAD-7","volume":"166","author":"Spitzer","year":"2006","journal-title":"Arch. Intern. Med."},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"606","DOI":"10.1046\/j.1525-1497.2001.016009606.x","article-title":"The PHQ-9: Validity of a brief depression severity measure","volume":"16","author":"Kroenke","year":"2001","journal-title":"J. Gen. Intern. Med."},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1016\/j.jad.2014.11.002","article-title":"Gender differences in mental disorders and suicidality in Europe: Results from a large cross-sectional population-based study","volume":"173","author":"Boyd","year":"2015","journal-title":"J. Affect. Disord."},{"key":"ref_72","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1016\/j.jad.2015.07.042","article-title":"Examination of the population attributable risk of different risk factor domains for suicidal thoughts and behaviors","volume":"187","author":"Bruffaerts","year":"2015","journal-title":"J. Affect. Disord."},{"key":"ref_73","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1002\/mpr.168","article-title":"The World Mental Health (WMH) Survey Initiative Version of the World Health Organization (WHO) Composite International Diagnostic Interview (CIDI)","volume":"13","author":"Kessler","year":"2004","journal-title":"Int. J. Methods Psychiatr. Res."},{"key":"ref_74","doi-asserted-by":"crossref","first-page":"1015","DOI":"10.1007\/s00127-016-1238-z","article-title":"Enduring financial crisis in Greece: Prevalence and correlates of major depression and suicidality","volume":"51","author":"Economou","year":"2016","journal-title":"Soc. Psychiatr. Psychiatr. Epidemiol."},{"key":"ref_75","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1002\/wps.20016","article-title":"Suicidal ideation and reported suicide attempts in Greece during the economic crisis","volume":"12","author":"Economou","year":"2013","journal-title":"World Psychiatr."},{"key":"ref_76","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1097\/NMD.0b013e31825322cf","article-title":"Prevalence of suicidal ideation and related risk factors in the German general population","volume":"200","author":"Forkmann","year":"2012","journal-title":"J. Nerv. Ment. Dis."},{"key":"ref_77","doi-asserted-by":"crossref","first-page":"1115","DOI":"10.1007\/s00127-012-0621-7","article-title":"Household composition and suicidal behaviour in the adult population of Belgium","volume":"48","author":"Gisle","year":"2013","journal-title":"Soc. Psychiatr. Psychiatr. Epidemiol."},{"key":"ref_78","doi-asserted-by":"crossref","first-page":"705","DOI":"10.1016\/0277-9536(91)90150-B","article-title":"The MOS social support survey","volume":"32","author":"Sherbourne","year":"1991","journal-title":"Soc. Sci. Med."},{"key":"ref_79","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1007\/s00127-008-0401-6","article-title":"Are factors associated with suicidal ideation true risk factors? A 3-year prospective follow-up study in a general population","volume":"44","author":"Hintikka","year":"2009","journal-title":"Soc. Psychiatr. Psychiatr. Epidemiol."},{"key":"ref_80","first-page":"1","article-title":"Employment status and suicidal ideation during economic recession","volume":"9","author":"Ghilagaber","year":"2015","journal-title":"Health Sci. J."},{"key":"ref_81","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1016\/j.jad.2011.04.014","article-title":"High and low suicidality in Europe: A fine-grained comparison of France and Spain within the ESEMeD surveys","volume":"133","author":"Boyd","year":"2011","journal-title":"J. Affect. Disord."},{"key":"ref_82","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1016\/j.euroneuro.2014.08.010","article-title":"Is cognitive impairment associated with suicidality? A population-based study","volume":"25","author":"Lara","year":"2015","journal-title":"Eur. Neuropsychopharmacol."},{"key":"ref_83","doi-asserted-by":"crossref","first-page":"822","DOI":"10.1177\/0004867416687398","article-title":"Sleep problems and suicide associated with mood instability in the Adult Psychiatric Morbidity Survey, 2007","volume":"51","author":"McDonald","year":"2017","journal-title":"Aust. N. Z. J. Psychiatr."},{"key":"ref_84","doi-asserted-by":"crossref","first-page":"498","DOI":"10.1016\/j.eurpsy.2010.11.006","article-title":"Victims of bullying in childhood and suicide attempts in adulthood","volume":"26","author":"Meltzer","year":"2011","journal-title":"Eur. Psychiatr."},{"key":"ref_85","doi-asserted-by":"crossref","first-page":"441","DOI":"10.1007\/s00038-011-0232-1","article-title":"Development and validation of the stressful life event questionnaire","volume":"56","author":"Roohafza","year":"2011","journal-title":"Int. J. Public Health"},{"key":"ref_86","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1016\/j.jad.2010.02.108","article-title":"Type-D personality and depersonalization are associated with suicidal ideation in the German general population aged 35\u201374: Results from the Gutenberg Heart Study","volume":"125","author":"Michal","year":"2010","journal-title":"J. Affect. Disord."},{"key":"ref_87","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1002\/da.1055","article-title":"Mini-SPIN: A brief screening assessment for generalized social anxiety disorder","volume":"14","author":"Connor","year":"2001","journal-title":"Depress. Anxiety"},{"key":"ref_88","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1016\/S0165-1781(00)00100-1","article-title":"The Cambridge Depersonalisation Scale: A new instrument for the measurement of depersonalisation","volume":"93","author":"Sierra","year":"2000","journal-title":"Psychiatr. Res."},{"key":"ref_89","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1097\/01.psy.0000149256.81953.49","article-title":"DS14: Standard assessment of negative affectivity, social inhibition, and Type D personality","volume":"67","author":"Denollet","year":"2005","journal-title":"Psychosom. Med."},{"key":"ref_90","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.jad.2014.03.045","article-title":"Factors associated with suicidal ideation and attempts in Spain for different age groups. Prevalence before and after the onset of the economic crisis","volume":"163","author":"Miret","year":"2014","journal-title":"J. Affect. Disord."},{"key":"ref_91","doi-asserted-by":"crossref","unstructured":"O\u2019Neill, S., Ferry, F., Murphy, S., Corry, C., Bolton, D., Devine, B., Ennis, E., and Bunting, B. (2014). Patterns of suicidal ideation and behavior in Northern Ireland and associations with conflict related trauma. PLoS ONE, 9.","DOI":"10.1371\/journal.pone.0091532"},{"key":"ref_92","doi-asserted-by":"crossref","first-page":"195","DOI":"10.3109\/08039488.2015.1077887","article-title":"Prevalence and sociodemographic characteristics of self-reported suicidal behaviours in Latvia in 2010: A population-based study","volume":"70","author":"Pulmanis","year":"2016","journal-title":"Nord. J. Psychiatr."},{"key":"ref_93","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1111\/appy.12214","article-title":"Childhood trauma and suicide risk in the population living in Zonguldak Province","volume":"8","author":"Atasoy","year":"2016","journal-title":"Asia Pac. Psychiatr."},{"key":"ref_94","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1016\/S0145-2134(02)00541-0","article-title":"Development and validation of a brief screening version of the Childhood Trauma Questionnaire","volume":"27","author":"Bernsteina","year":"2003","journal-title":"Child. Abuse Negl."},{"key":"ref_95","doi-asserted-by":"crossref","first-page":"561","DOI":"10.1001\/archpsyc.1961.01710120031004","article-title":"An inventory for measuring depression","volume":"4","author":"Beck","year":"1961","journal-title":"Arch. Gen. Psychiatr."},{"key":"ref_96","doi-asserted-by":"crossref","first-page":"893","DOI":"10.1037\/0022-006X.56.6.893","article-title":"An inventory for measuring clinical anxiety: Psychometric properties","volume":"56","author":"Beck","year":"1988","journal-title":"J. Consult. Clin. Psychol."},{"key":"ref_97","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1016\/j.comppsych.2007.08.004","article-title":"Prevalence of suicide ideation, plans, and attempts and related risk factors in Italy: Results from the European Study on the Epidemiology of Mental Disorders-World Mental Health study","volume":"49","author":"Scocco","year":"2008","journal-title":"Compr. Psychiatr."},{"key":"ref_98","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1017\/S0033291713000317","article-title":"Trends in suicidal ideation in England: The National Psychiatric Morbidity Surveys of 2000 and 2007","volume":"44","author":"Spiers","year":"2014","journal-title":"Psychol. Med."},{"key":"ref_99","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1016\/j.cegh.2014.12.002","article-title":"Tobacco smoking and suicidal thoughts and attempts: Relationships from a general population survey","volume":"3","author":"Tempier","year":"2015","journal-title":"Clin. Epidemiol. Glob. Health"},{"key":"ref_100","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1016\/j.jad.2012.11.005","article-title":"Prevalence and risk factors for first onset of suicidal behaviors in the Netherlands Mental Health Survey and Incidence Study-2","volume":"147","year":"2013","journal-title":"J. Affect. Disord."},{"key":"ref_101","first-page":"975","article-title":"Extreme obesity is associated with suicidal behavior and suicide attempts in adults: Results of a population-based representative sample","volume":"30","author":"Wagner","year":"2013","journal-title":"Depress. Anxiety"},{"key":"ref_102","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1016\/j.cpr.2015.02.009","article-title":"Gender differences in the prevalence of nonsuicidal self-injury: A meta-analysis","volume":"38","author":"Bresin","year":"2015","journal-title":"Clin. Psychol. Rev."},{"key":"ref_103","doi-asserted-by":"crossref","first-page":"110","DOI":"10.1080\/07448481.2010.483714","article-title":"A Meta-analysis of Gender Differences in Attitudes Toward Seeking Professional Psychological Help","volume":"59","author":"Nam","year":"2010","journal-title":"J. Am. Coll. Health"},{"key":"ref_104","doi-asserted-by":"crossref","first-page":"166","DOI":"10.1080\/13607863.2015.1083945","article-title":"A systematic review of physical illness, functional disability, and suicidal behaviour among older adults","volume":"20","author":"Cheung","year":"2016","journal-title":"Aging Ment. Health"},{"key":"ref_105","first-page":"523","article-title":"Risk factors for suicide in bipolar disorder: A systematic review","volume":"26","author":"PereiraAlencar","year":"2015","journal-title":"J. Affect. Disord."},{"key":"ref_106","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1007\/s00038-018-1196-1","article-title":"Gender differences in suicidal behavior in adolescents and young adults: Systematic review and meta-analysis of longitudinal studies","volume":"64","author":"Alayo","year":"2019","journal-title":"Int. J. Public Health"},{"key":"ref_107","doi-asserted-by":"crossref","first-page":"1331","DOI":"10.1542\/peds.2013-2166","article-title":"Childhood Sexual Abuse and Suicidal Behavior: A Meta-analysis","volume":"133","author":"Devries","year":"2014","journal-title":"Pediatrics"},{"key":"ref_108","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1016\/j.jad.2017.03.060","article-title":"Associations between suicidal behavior and childhood abuse and neglect: A meta-analysis","volume":"220","author":"Liu","year":"2017","journal-title":"J. Affect. Disord."},{"key":"ref_109","doi-asserted-by":"crossref","first-page":"722","DOI":"10.3390\/ijerph9030722","article-title":"A systematic review of social factors and suicidal behavior in older adulthood","volume":"9","author":"Duberstein","year":"2012","journal-title":"Int. J. Environ. Res. Public Health"},{"key":"ref_110","doi-asserted-by":"crossref","first-page":"432","DOI":"10.1177\/070674371305800709","article-title":"Sense of belonging and suicide: A systematic review","volume":"58","author":"Hatcher","year":"2013","journal-title":"Can. J. Psychiatr."},{"key":"ref_111","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1016\/j.jpsychires.2016.02.019","article-title":"Do reasons for living protect against suicidal thoughts and behaviors A systematic review of the literature","volume":"77","author":"Bakhiyi","year":"2016","journal-title":"J. Psychiatr. Res."},{"key":"ref_112","doi-asserted-by":"crossref","unstructured":"American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders (DSM-5\u00ae), American Psychiatric Pub.","DOI":"10.1176\/appi.books.9780890425596"},{"key":"ref_113","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1016\/j.jad.2014.05.066","article-title":"Attempted suicide in people with co-occurring bipolar and substance use disorders: Systematic review and meta-analysis","volume":"167","author":"Bartoli","year":"2014","journal-title":"J. Affect. Disord."},{"key":"ref_114","doi-asserted-by":"crossref","unstructured":"Darvishi, N., Farhadi, M., Haghtalab, T., and Poorolajal, J. (2015). Alcohol-related risk of suicidal ideation, suicide attempt, and completed suicide: A meta-analysis. PLoS ONE, 10.","DOI":"10.1371\/journal.pone.0126870"},{"key":"ref_115","doi-asserted-by":"crossref","unstructured":"Poorolajal, J., and Darvishi, N. (2016). Smoking and Suicide: A Meta-Analysis. PLoS ONE, 11.","DOI":"10.1371\/journal.pone.0156348"},{"key":"ref_116","doi-asserted-by":"crossref","unstructured":"Sankaranarayanan, A., Mancuso, S., Wilding, H., Ghuloum, S., and Castle, D. (2015). Smoking, suicidality and psychosis: A systematic meta-Analysis. PLoS ONE, 10.","DOI":"10.1371\/journal.pone.0141024"},{"key":"ref_117","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1016\/j.jad.2012.05.048","article-title":"Body mass index and suicidal behaviors: A critical review of epidemiological evidence","volume":"148","author":"Zhang","year":"2013","journal-title":"J. Affect. Disord."},{"key":"ref_118","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s13643-015-0038-y","article-title":"Association between body mass index and suicidal behaviors: A systematic review protocol","volume":"4","author":"Perera","year":"2015","journal-title":"Syst. Rev."},{"key":"ref_119","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1016\/j.ajp.2017.05.008","article-title":"What predicts medical lethality of suicide attempts in Asian youths?","volume":"29","author":"Choo","year":"2017","journal-title":"Asian J. Psychiatr."},{"key":"ref_120","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1016\/j.chiabu.2017.12.015","article-title":"Population attributable fractions of psychopathology and suicidal behaviour associated with childhood adversities in Northern Ireland","volume":"77","author":"McLafferty","year":"2018","journal-title":"Child. Abus. Negl."},{"key":"ref_121","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1016\/j.psychres.2018.02.024","article-title":"The moderating impact of childhood adversity profiles and conflict on psychological health and suicidal behaviour in the Northern Ireland population","volume":"262","author":"McLafferty","year":"2018","journal-title":"Psychiatr. Res."},{"key":"ref_122","doi-asserted-by":"crossref","first-page":"164","DOI":"10.1111\/acps.12972","article-title":"The association of religiosity with suicidal ideation and suicide attempts in the United Kingdom","volume":"139","author":"Jacob","year":"2018","journal-title":"Acta Psychiatr. Scand."},{"key":"ref_123","first-page":"1","article-title":"The strain theory of suicide","volume":"13","author":"Zhang","year":"2019","journal-title":"J. Pac. Rim Psychol."},{"key":"ref_124","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12888-016-1105-1","article-title":"Profile differences between overdose and non-overdose suicide attempts in a multi-ethnic Asian society","volume":"16","author":"Ho","year":"2016","journal-title":"BMC Psychiatr."},{"key":"ref_125","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1016\/j.ajp.2013.03.011","article-title":"Characteristics of overdose and non-overdose suicide attempts in a multi-ethnic Asian society","volume":"6","author":"Mak","year":"2013","journal-title":"Asian J. 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