Associations of migraines with suicide ideation or attempts: A meta-analysis

Front Public Health. 2023 Mar 24:11:1140682. doi: 10.3389/fpubh.2023.1140682. eCollection 2023.

Abstract

Objective: Whether migraine is associated with a higher risk of suicide ideation and/or attempts remains controversial. Therefore, we aimed to evaluate these potential associations in migraine patients by performing a meta-analysis of previously published data.

Methods: We searched for studies published up to 31 June 2022 that compared the risk of suicide ideation/attempt in migraineurs and non-migraineurs in PubMed, EMBASE, and Web of Science databases. Sixteen studies fulfilled the eligibility criteria. We applied Random-effects models to calculate pooled adjusted odds ratios (AORs) and 95% confidence intervals (CIs) in patients with migraine.

Results: Migraine patients were at a significantly increased risk of suicide ideation (AOR 1.33, 95% CI 1.15-1.54) and suicide attempts (AOR 1.70, 95% CI 1.42-2.03). The increase in risk may be greater in adults (>19 years) than in younger individuals.

Conclusion: The available evidence indicates a significant association of migraines with suicide ideation and attempts. Future work should confirm and extend these findings, as well as explore whether they are affected by ethnicity or geography.

Keywords: association; meta-analysis; migraine; suicide attempt; suicide ideation.

Publication types

  • Meta-Analysis

MeSH terms

  • Adult
  • Data Management
  • Databases, Factual
  • Humans
  • Suicidal Ideation*
  • Suicide, Attempted*