Duleeka Knipe|Robert Carroll|Kyla H Thomas|Anna Pease|David Gunnell|Chris Metcalfe
Association of socio-economic position and suicide/attempted suicide in low and middle income countries in South and South-East Asia – a systematic review
University of Bristol|University of Bristol|University of Bristol|University of Bristol|South Asian Clinical Toxicology Research Collaboration|University of Peradeniya|University of Bristol
forty percent worlds suicide deaths occur low middle income countries lamic asia recognition social factors socioeconomic position sep play important role determining suicidal risk high income countries less known association lamic objective systematic review synthesise existing evidence association sep attempted suicidesuicide risk lamic countries south south east asia web science medline medline process embase psycinfo article reference listsforward citations searched eligible studies epidemiological studies reporting association individual sep suicide attempted suicide included study quality assessed using adapted rating tool narrative synthesis conducted thirtyone studies nine countries identified 31 different measures sep reported education frequently recorded studies suggest lower levels sep associated increased risk suicideattempted suicide though findings always consistent within countries half studies included review moderatelow quality sep risk factors consistent association across studies asset based measures eg composite measures education measures financial difficulty subjective measures financial circumstance several studies show greater threefold increased risk lower sep groups largest consistent association subjective measures financial circumstance current evidence suggests lower sep increases likelihood suicideattempted suicide lamic south south east asia however findings severely limited study quality larger better quality studies therefore needed prospero 2014 crd42014006521