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All Journal Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia Cermin Dunia Kedokteran
Cathleen, Fabiola
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Biochemistry, Genetics & Molecular Biology Education Health Professions Medicine & Pharmacology Public Health

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Ide Bunuh Diri sebagai Faktor Risiko Bunuh Diri di Asia: Telaah Sistematis dan Meta-analisis dari Studi Kasus-Kontrol Cathleen, Fabiola; Ivano Kalaij, Ayers Gilberth; Soelaeman, Muhamad Faza; Raharja, Sarah Latifa
Majalah Kedokteran Indonesia Vol 73 No 3 (2023): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.73.3-2023-990

Abstract

Introduction: Suicide has become the third leading cause of death among individuals in their productive years, underscoring the pressing requirement for effective preventive measures and risk assessment strategies. Earlier studies have indicated that suicidal ideation may play a role as a risk factor of completing suicide. To bolster this understanding, we conducted a systematic review and meta-analysis focusing on the relationship between suicidal ideation and completed suicide within Asian populations. Methods: This review adopted a systematic approach, adhering to the four-phased PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) flow diagram and checklist. Case-control studies were selected, focusing on samples of individuals aged 15-44 years who had received psychiatric care. Exclusion criteria included language barriers, incomplete or inaccessible texts, publications older than 2000, and participants with co-existing medical conditions that could interfere with the results. To assess the quality and potential bias of the included studies, the Oxford’s Critical Appraisal Skills Programme (CASP) Case-Control Checklist and critical appraisal worksheet were utilized. Result: The search process yielded a total of 641 records, from which six studies were finally included in the meta-analysis. We found a statistically significant association between suicidal ideation and suicide (aOR 4.20; 95%CI 3.00-5.88, p less than 0.00001) with low heterogenity among the studies. The most common bias identified was related to the acceptability of case recruitment. Conclusion: Suicidal ideation can act as a predictor of suicide risk in Asian populations. Incorporating the assessment of suicidal ideation in suicide prevention initiatives is critical for promptly identifying and intervening with individuals at risk.
Otalgia sebagai Prediktor Terbentuknya Kolesteatoma pada Otitis Media Supuratif Kronis Cathleen, Fabiola
Cermin Dunia Kedokteran Vol 51 No 5 (2024): Kedokteran Umum
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v51i5.1098

Abstract

With its locally invasive nature, cholesteatoma has the potential to cause fatal complications. However, many remain undetected until advanced stages. Otalgia is suggested as the indicator of impending intratemporal or intracranial complication and is commonly presented before episodes of characteristic foul-smelling purulent discharge. As an earlier diagnosis of this condition is needed, this study aims to find whether the presence of otalgia has a prognostic value of cholesteatoma formation in adult patients with chronic suppurative otitis media. Literature searching using Pubmed, Cochrane, and ScienceDirect was done from the 12th to 16th of March 2022. Two articles were selected and appraised using the Center of Evidence-Based Medicine Oxford tool for prognostic study. Both studies retrospectively found no statistically significant patient characteristics or clinical presentation findings including otalgia that might guide the distinction between chronic suppurative otitis media on first hospital admission with and without cholesteatoma. Even though all studies have good validity, applicability, and precise prognostic estimates owing to their narrow 95%CI, considerable discrepancies between the two studies exist, therefore clinical interpretation remains questionable. Otalgia does not have a significant prognostic role in cholesteatoma formation in patients with chronic suppurative otitis media.
Co-Authors Ivano Kalaij, Ayers Gilberth Raharja, Sarah Latifa Soelaeman, Muhamad Faza