@article{2987720, title = "Association between illegal use of substances and suicidal behavior in school students: An integrative review of empirical data", author = "Karanikola, M. and Zisimou, P. and Nystazaki, M. and Koutrouba, A. and Severinsson, E.", journal = "Journal of Child and Adolescent Psychiatric Nursing", year = "2019", volume = "32", number = "2", pages = "80-101", publisher = "Wiley-Blackwell Publishing Ltd", issn = "1073-6077, 1744-6171", doi = "10.1111/jcap.12228", keywords = "adolescent; child; drug dependence; female; human; male; suicidal ideation; suicide attempt, Adolescent; Child; Female; Humans; Male; Substance-Related Disorders; Suicidal Ideation; Suicide, Attempted", abstract = "Purpose: Investigation of the association between type of suicidal behavior and type and frequency of illegal use of substances (IUS) among school students (aged between 12 and 18 years), with a focus on gender differences. Design and Methods: A systematic review in PubMed, CINAHL, PsychINFO, and Scopus was performed. Identified articles were published between 2007 and 2018. Results: Twenty empirical studies confirmed the association between IUS and suicidality, strongly differentiated between males and females, highlighting the importance of gender-specific mediating factors. Conclusions: Mental health nurses need to document gender factors, frequency, and motivation of IUS when screening adolescents experiencing suicidal behavior and IUS. © 2019 Wiley Periodicals, Inc." }