Climate change and suicide epidemiology: a systematic review and meta-analysis of gender variations in global suicide rates

BackgroundClimate change is reshaping public health, introducing extreme weather conditions and environmental stressors—such as high temperatures, atmospheric pollution, desertification, and storms (rain, thunder, and hail)—that critically impact mental health. Evidence increasingly links these fact...

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Main Authors: Dan-Dan Chen, Jin-Heng Tu, Ke-Nan Ling, Xiao-Hong Jin, Hai-Yan Huang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Public Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2024.1463676/full
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author Dan-Dan Chen
Jin-Heng Tu
Ke-Nan Ling
Xiao-Hong Jin
Hai-Yan Huang
author_facet Dan-Dan Chen
Jin-Heng Tu
Ke-Nan Ling
Xiao-Hong Jin
Hai-Yan Huang
author_sort Dan-Dan Chen
collection DOAJ
description BackgroundClimate change is reshaping public health, introducing extreme weather conditions and environmental stressors—such as high temperatures, atmospheric pollution, desertification, and storms (rain, thunder, and hail)—that critically impact mental health. Evidence increasingly links these factors to higher rates of suicide-related outcomes, including suicidal ideation, attempts, and self-harm. Such interactions underscore the importance of understanding how climate-driven mental health risks vary by environmental factor and gender, as gender-specific vulnerabilities shape responses to climate stressors.MethodsBy April 16, 2024, we conducted a comprehensive search of PubMed, Web of Science, Cochrane Library, PsycINFO, Scopus, ProQuest, and Embase. Two researchers independently reviewed studies and collected demographic data, systematically tracking and recording rates of suicidal ideation, suicide attempts, suicide deaths, self-harm, and anxiety. Data were rigorously cross-verified for accuracy and consistency.ResultsThe meta-analysis demonstrated significant associations between climate change variables and mental health outcomes. High temperatures and air pollution were linked to increased suicide attempts (OR: 1.40, 95% CI: 1.34–1.45) and suicide deaths (OR: 1.51, 95% CI: 1.44–1.58), particularly among males. Conversely, atmospheric pollution and desertification correlated with a reduced likelihood of suicidal ideation (OR: 0.73, 95% CI: 0.63–0.85). These findings highlight gender-specific mental health impacts, with females exhibiting higher rates of anxiety and self-harm, underscoring the urgent need for targeted interventions addressing climate-induced mental health risks.ConclusionsThis systematic review and meta-analysis reveal significant gender-specific mental health impacts of climate change, with females experiencing higher rates of anxiety, self-harm, and suicidal ideation, while males show greater incidences of suicide attempts and deaths. These findings emphasize the urgent need for targeted interventions and the integration of mental health services into climate policies to address these gender disparities.Systematic review registrationThis study is registered with PROSPERO [PROSPERO (york.ac.uk)] under the identifier [CRD42024534961].
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spelling doaj-art-a2069759aa984054a6f30716d22443952025-01-08T06:11:54ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-01-011210.3389/fpubh.2024.14636761463676Climate change and suicide epidemiology: a systematic review and meta-analysis of gender variations in global suicide ratesDan-Dan Chen0Jin-Heng Tu1Ke-Nan Ling2Xiao-Hong Jin3Hai-Yan Huang4School of Nursing and Rehabilitation, Nantong University, Nantong, ChinaSchool of Nursing and Rehabilitation, Nantong University, Nantong, ChinaSchool of Nursing and Rehabilitation, Nantong University, Nantong, ChinaDepartment of Obstetrics and Gynecology, Affiliated Hospital of Nantong University, Nantong, ChinaDepartment of Obstetrics and Gynecology, Affiliated Hospital of Nantong University, Nantong, ChinaBackgroundClimate change is reshaping public health, introducing extreme weather conditions and environmental stressors—such as high temperatures, atmospheric pollution, desertification, and storms (rain, thunder, and hail)—that critically impact mental health. Evidence increasingly links these factors to higher rates of suicide-related outcomes, including suicidal ideation, attempts, and self-harm. Such interactions underscore the importance of understanding how climate-driven mental health risks vary by environmental factor and gender, as gender-specific vulnerabilities shape responses to climate stressors.MethodsBy April 16, 2024, we conducted a comprehensive search of PubMed, Web of Science, Cochrane Library, PsycINFO, Scopus, ProQuest, and Embase. Two researchers independently reviewed studies and collected demographic data, systematically tracking and recording rates of suicidal ideation, suicide attempts, suicide deaths, self-harm, and anxiety. Data were rigorously cross-verified for accuracy and consistency.ResultsThe meta-analysis demonstrated significant associations between climate change variables and mental health outcomes. High temperatures and air pollution were linked to increased suicide attempts (OR: 1.40, 95% CI: 1.34–1.45) and suicide deaths (OR: 1.51, 95% CI: 1.44–1.58), particularly among males. Conversely, atmospheric pollution and desertification correlated with a reduced likelihood of suicidal ideation (OR: 0.73, 95% CI: 0.63–0.85). These findings highlight gender-specific mental health impacts, with females exhibiting higher rates of anxiety and self-harm, underscoring the urgent need for targeted interventions addressing climate-induced mental health risks.ConclusionsThis systematic review and meta-analysis reveal significant gender-specific mental health impacts of climate change, with females experiencing higher rates of anxiety, self-harm, and suicidal ideation, while males show greater incidences of suicide attempts and deaths. These findings emphasize the urgent need for targeted interventions and the integration of mental health services into climate policies to address these gender disparities.Systematic review registrationThis study is registered with PROSPERO [PROSPERO (york.ac.uk)] under the identifier [CRD42024534961].https://www.frontiersin.org/articles/10.3389/fpubh.2024.1463676/fullclimate changesuicide epidemiologygender variationsenvironmental healthsuicide risk factors
spellingShingle Dan-Dan Chen
Jin-Heng Tu
Ke-Nan Ling
Xiao-Hong Jin
Hai-Yan Huang
Climate change and suicide epidemiology: a systematic review and meta-analysis of gender variations in global suicide rates
Frontiers in Public Health
climate change
suicide epidemiology
gender variations
environmental health
suicide risk factors
title Climate change and suicide epidemiology: a systematic review and meta-analysis of gender variations in global suicide rates
title_full Climate change and suicide epidemiology: a systematic review and meta-analysis of gender variations in global suicide rates
title_fullStr Climate change and suicide epidemiology: a systematic review and meta-analysis of gender variations in global suicide rates
title_full_unstemmed Climate change and suicide epidemiology: a systematic review and meta-analysis of gender variations in global suicide rates
title_short Climate change and suicide epidemiology: a systematic review and meta-analysis of gender variations in global suicide rates
title_sort climate change and suicide epidemiology a systematic review and meta analysis of gender variations in global suicide rates
topic climate change
suicide epidemiology
gender variations
environmental health
suicide risk factors
url https://www.frontiersin.org/articles/10.3389/fpubh.2024.1463676/full
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