open access publication

Article, 2024

Physical activity, suicidal ideation, suicide attempt and death among individuals with mental or other medical disorders: A systematic review of observational studies

Neuroscience & Biobehavioral Reviews, ISSN 1873-7528, 0149-7634, Volume 158, Page 105547, 10.1016/j.neubiorev.2024.105547

Contributors

Fabiano, Nicholas T 0000-0002-6873-5105 [1] Gupta, Arnav [2] [3] Wong, Stanley 0000-0002-7316-5370 [4] Tran, Jason [4] Mohammad, Ibrahim Y Z 0000-0002-9783-4225 [4] Bal, Shan [5] Fiedorowicz, Jess G 0000-0003-2057-4071 [1] [6] Firth, Joseph 0000-0002-0618-2752 [7] [8] Stubbs, Brendon 0000-0001-7387-3791 [9] [10] Vancampfort, Davy 0000-0002-4592-8625 [11] Schuch, Felipe Barreto 0000-0002-5190-4515 [12] [13] [14] Carr, Lucas J 0000-0001-5462-073X [15] Shorr, Risa [6] Cortese, Samuele 0000-0001-5877-8075 [16] [17] Manchia, Mirko 0000-0003-4175-6413 [18] [19] Hartman, Catharina Annette [20] [21] Høye, Anne 0000-0002-7253-6483 [22] [23] Fusar-Poli, Paolo 0000-0003-3582-6788 [10] [24] [25] Koyanagi, Ai 0000-0002-9565-5004 [26] [27] [28] Vieta, Eduard 0000-0002-0548-0053 [29] Nielsen, René Ernst 0000-0002-7982-6352 [30] [31] Holt, Richard I G 0000-0001-8911-6744 [17] [32] Correll, Christoph Ulrich 0000-0002-7254-5646 [33] [34] [35] Du Rietz, Ebba 0000-0002-3427-0792 [36] Taipale, Heidi T 0000-0002-3281-934X [36] [37] Lehto, Kelli 0000-0003-2735-7643 [38] Larrson, Henrik [39] Nordentoft, Merete [40] Dragioti, Elena 0000-0001-9019-4125 [41] [42] Skonieczna-Żydecka, Karolina 0000-0002-3430-9079 [43] Solmi, Marco 0000-0003-4877-7233 (Corresponding author) [1] [6] [35] group, on behalf of the ECNP Physical And meNtal Health [1]

Affiliations

  1. [1] University of Ottawa
    2. [NORA names: Canada; America, North; OECD];
  2. [2] Kent State University
    3. [NORA names: United States; America, North; OECD];
  3. [3] University of Calgary
    4. [NORA names: Canada; America, North; OECD];
  4. [4] University of Toronto
    5. [NORA names: Canada; America, North; OECD];
  5. [5] McMaster University
    6. [NORA names: Canada; America, North; OECD];

Abstract

A growing body of research has demonstrated the potential role for physical activity as an intervention across mental and other medical disorders. However, the association between physical activity and suicidal ideation, attempts, and deaths has not been systematically appraised in clinical samples. We conducted a PRISMA 2020-compliant systematic review searching MEDLINE, EMBASE, and PsycINFO for observational studies investigating the influence of physical activity on suicidal behavior up to December 6, 2023. Of 116 eligible full-text studies, seven (n = 141691) were included. Depression was the most frequently studied mental condition (43%, k = 3), followed by chronic pain as the most common other medical condition (29%, k = 2). Two case-control studies examined suicide attempts and found an association between physical activity and a reduced frequency of such attempts. However, in studies examining suicidal ideation (k = 3) or suicide deaths (k = 2), no consistent associations with physical activity were observed. Overall, our systematic review found that physical activity may be linked to a lower frequency of suicide attempts in non-prospective studies involving individuals with mental disorders.

Keywords

Embase, MEDLINE, PsycINFO, activity, associated with physical activity, association, attempt, behavior, body of research, case-control study, chronic pain, clinical samples, conditions, death, depression, disorders, frequency, frequency of suicide attempts, full-text studies, growing body, growing body of research, ideation, individuals, influence, influence of physical activity, intervention, medical conditions, medical disorders, mental condition, mental disorders, non-prospective studies, observational study, pain, physical activity, reduced frequency, research, review, review of observational studies, samples, searching MEDLINE, study, suicidal behavior, suicidal ideation, suicide, suicide attempts, suicide deaths, systematic review, systematic review of observational studies, systematic review searching Medline

Funders

  • Department of Health and Social Care
  • Takeda (United States)
  • National Institute for Health and Care Research
  • UK Research and Innovation
  • Otsuka (United States)
  • NIHR Academy
  • Coordenação de Aperfeicoamento de Pessoal de Nível Superior
  • Estonian Research Council

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