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目的:本研究旨在探索养老机构内60岁及以上老人自杀意念的发生状况.方法:在电子数据库中检索相关文献,按纳入标准进行筛选.计算养老机构老人自杀意念的合并发生率,探讨不同特征老人间自杀意念的流行差异.结果:最终纳入10篇文献,共2628名研究对象,其自杀意念在5.6％到53.5％之间,合并发生率为21.O％(95％CI:14.3％-27.6％).亚组分析结果显示,年龄在80岁及以上的丧偶女性的自杀意念发生率较高.结论:养老机构内老人自杀意念的发生率处于较高水平,需引起公共卫生等相关部门的重视,进一步研究其影响因素及干预措施.“,”Objictive:This study aims to find the status and prevalence of suicldal ideation among the population aged 60 years and over living in nursing homes.Methods:The relevant studies were searched in electronic databases(PubMed,Medline,Web of Science,Embase,Wanfang Database,Chinese National Knowledge Infrastructure,Chongqing VIP Data-base and China Biomedical Database),bibliographies of retrieved articles were also searched.The pooled prevalence of sui-cidal ideation among nursing home elderly was calculated.The difference in prevalence of suicidal ideation among elderly with different characteristics was explored.Results:A total of 10 studies were included with 2628 subjects.The prevalence of suicidal ideation among elderly 1iving in nursing homes ranged from 5.6％to 53.5％.The pooled prevalence was 21.O％(95％CI:14.3％-27.6％).Subgroup analyses showed the prevalence was higher in females(23.0％)than in males(20.2％),in widowed elderly(17.6％)than in married elderly(10.4％).In three subgroups of age,60-69,70-79 and≥80,the prevalence was 22.3％,13.6％and 31.8％respectively.Conclusion:The high prevalence of suicidal ideation among nursing home el-derly indicate the major public health significance of this condition and suggest a need for further research on its influenc-ing factors and interventions.