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Association Between Atopic Dermatitis and Suicidality: A Systematic Review and Meta-analysis
Jeena K Sandhu1, Kevin K Wu2, Thanh-Lan Bui3
1Currently a medical student at the University of Missouri-Kansas City School of Medicine, Kansas City.
Patients with atopic dermatitis (AD) have a significantly increased risk of suicidal ideation and suicide attempts. Dermatologists should screen AD patients for suicidality and refer them for mental health support.
Area of Science:
- Dermatology and Psychiatry
- Epidemiology
- Mental Health Research
Background:
- Atopic dermatitis (AD) is a chronic inflammatory skin condition.
- AD is linked to various psychiatric comorbidities.
- The association between AD and suicidality requires further investigation.
Purpose of the Study:
- To conduct a systematic review and meta-analysis.
- To evaluate the association between atopic dermatitis and suicidality.
- To synthesize existing literature on AD and suicidal behaviors.
Main Methods:
- Systematic search of PubMed, Embase, PsycINFO, and Cochrane databases.
- Inclusion of observational studies evaluating suicidal ideation, attempts, and completed suicide in AD patients.
- Quality assessment using the Newcastle-Ottawa Scale.
Main Results:
- Analysis of 15 studies with over 4.7 million participants.
- Patients with AD showed a 44% increased likelihood of suicidal ideation.
- Patients with AD demonstrated a 36% increased likelihood of suicide attempts compared to controls.
Conclusions:
- Atopic dermatitis is associated with a significantly elevated risk of suicidal ideation and attempts.
- Dermatology providers must be vigilant in screening AD patients for suicidality.
- Prompt mental health referrals are crucial for patients with AD experiencing suicidal thoughts or behaviors.
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