目标:拥有美容乳房植入物会增加女性自杀的机会,这是一个全球性的挑战。这项系统评价评估了接受美容乳房植入物的女性可能的自杀风险。方法:这项荟萃分析是基于系统评价和荟萃分析(PRISMA)的首选报告项目进行的。在目前的系统评价和荟萃分析中,我们系统地搜索了所有用英语或波斯语撰写的文章,这些文章估计了美容隆胸女性的自杀意念患病率.我们系统地搜索了不同的数据库,包括MEDLINE(PubMed),WebofScience,Embase,科克伦,图书馆ProQuest,Scopus,和谷歌学者,从成立到2021年3月。还搜索了参考资料。自杀意念,自杀计划,或者自杀企图是结果。为了确定自杀意念的总汇总患病率,我们使用了随机效应模型。为了检查每一项研究中的偏见风险,我们应用了乔安娜·布里格斯研究所的批判性评估方法。结果:我们在最初的搜索中确定了218条引文。在省略重复引用并根据标题和摘要选择排除不相关研究之后,选择42项研究进行全文分析。最后,11研究,共有324,332名妇女被纳入系统审查和批判性评估。这些研究中有8项符合荟萃分析的条件。使用美容乳房植入物的女性自杀频率为0.2%(95%CI:0.1%至0.4%;P<0.001)(Q值:168.143,I2:95.83)。大多数纳入的研究质量中等。结论:隆胸美容与自杀风险可能存在相关性,在有精神病史的情况下,这可能会更强。关于乳房植入物对自杀风险的可能影响的证据仍然没有定论,未来需要精心设计的研究。
Objective: Having cosmetic breast implants increases a woman\'s chance of suicide, which is now a global challenge. This systematic
review evaluated the possible risk of suicide among women who undergo cosmetic breast implants. Method : This meta-analysis was done based on Preferred Reporting Items for Systematic
Review and Meta-Analyses (PRISMA). In the current systematic
review and meta-analysis, we systematically searched for all articles written in both English or Persian that estimated the prevalence of suicidal ideation in women who had cosmetic breast implants. We systematically searched different databases, including MEDLINE (PubMed), Web of Science, Embase, Cochrane, Library ProQuest, Scopus, and Google Scholar, from inception to March 2021. There was also a search for references. Suicidal ideation, a suicide plan, or suicide attempts were the outcomes. In order to determine the total pooled prevalence of suicidal ideation, we utilized a random-effects model. To examine the risks of bias in each study, we applied the Joanna Briggs Institute Critical Appraisal method. Results: We identified 218 citations in our initial search. After omitting duplicated citations and excluding irrelevant studies according to the title and abstract selection, 42 studies were chosen for the full text analysis. Finally, 11 research, examining a total of 324,332 women were incorporated into the systematic
review and critical appraisal assessment. Eight of these studies were found to be eligible for meta-analysis. The frequency of suicide in women with cosmetic breast implant was 0.2% (95% CI: 0.1% to 0.4%; P < 0.001) (Q-value: 168.143, I2:95.83). Most of the included studies had moderate quality. Conclusion: There might be a correlation between cosmetic breast implants and suicide risk, which could be stronger in the presence of a history of mental illnesses. The evidence about the possible effects of breast implants on the risk of suicide is still inconclusive, and there is a need for future well-designed studies on this topic.