Abstract
Suicide signs have been identified by expert consensus and are relied on by service providers, community helpers’ and family members to identify suicidal men. Whether signs that are reported in suicide literature accurately describe male presentations of suicidality is unclear. A systematic review of the literature was conducted to identify male-specific signs of current suicidality and identify gaps in the literature for future research. Searches through Medline, CINAHL, PsychInfo and the Behavioral Sciences Collection, guided by the PRISMA-P statement, identified 12 studies that met the study eligibility criteria. Although the results generally reflected suicide signs identified by expert consensus, there is little research that has examined male-specific signs of the current suicidal state. This review highlights the need for scientific research to clarify male presentation of suicidality. Implications for future research to improve the prompt identification of suicidal men are discussed.
Highlights
Suicide is a leading cause of death worldwide, with 8 females and 15 males per 100 000 taking their own life by suicide in 2012 [1]
This systematic review of the literature was guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocol (PRISMA-P) statement, which provides an evidence-based protocol for developing systematic reviews and meta-analyses [21]
The 12 studies included a total of 8963 participants; 8394 participants had experienced some degree of suicidal ideation and/or behaviour, and 185 were informants for someone who died by suicide (Table 2)
Summary
Suicide is a leading cause of death worldwide, with 8 females and 15 males per 100 000 taking their own life by suicide in 2012 [1]. In higher socio-economic countries, such as Australia, there is a pronounced gender disparity with men three times more likely to take their own lives than women [1,2] Factors contributing to this gender disparity include: men having increased access to more lethal means than women [3]; traditional male gender roles [4]; and male socialisation, including the reluctance to seek help [5]. Identified by expert consensus, widely accepted suicide signs include hopelessness, anger, recklessness, feeling trapped, social withdrawal, agitation, and mood changes [8]. They are commonly used as a tool to educate front-line community workers, mental-health professionals, and telephone crisis line operators for identifying people with current suicidality [9].
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