Eco-emotions and suicidal ideation and behaviour: A systematic literature review
Authors: Kõlves Kairi , Shaw-Williams Damian , Krishnamoorthy Sadhvi , Mathieu Sharna , Zhong Linda R. , Ganapathy Aarthi , Hawgood Jacinta , Donovan Caroline , Spence Susan H , Reifels Lennart 
Published: December 2023

AbstractIntroductionAlthough there have been assumptions about the link between eco-emotions and suicidality, there is currently no systematic evidence. Therefore, the aim of this review is to systematically examine empirical literature analysing the link between eco-emotions and suicidal ideation and behaviours, both fatal and non-fatal.MethodsThe review protocol was pre-registered in PROSPERO [CRD42022352379] and the PRISMA checklist was followed. Searches were conducted in six electronic databases (Scopus (Elsevier), Medline (PubMed), Web of Science, ProQuest, CINAHL and Embase) for peer-reviewed English language literature published from 1 January 2000 until 16 September 2023. Screening of titles, abstracts and full texts was conducted independently by two reviewers and any discrepancies were resolved in consultation with a senior researcher. The Johanna Briggs Institute’s quality appraisal tools were used for quality assessment.ResultsSearch results revealed 559 records. After removal of duplicates, 424 articles were screened. After title and abstract screening, 28 articles were included for full text screening. Only one paper satisfied the inclusion criteria. A cross-sectional online knowledge, attitudes, and practice (KAP) survey among practicing mental health professionals across the State of Minnesota analysed the impact of climate change on their work and clients. Although the study did not specifically focus on suicidality, it reported that 22% of practicing mental health professionals had seen evidence of suicidal ideation or attempts in their clients as an outcome of climate change.ConclusionThere is a lack of research on the association between eco-emotions and suicidality. Considering advancing climate change research, our review emphasizes an urgent need to conduct high level research to analyse the association between eco-emotions and suicidality and consider its potential implications.What is already known on this topic?There’s a recognized and growing concern about the impact of climate change on mental health, particularly the emergence of eco-emotions such as eco-anxiety, eco-grief, and solastalgia. While studies have linked higher temperatures and natural disasters to suicidality, research specifically examining the association between eco-emotions and suicidal ideation and behaviours is lacking.What this study adds?This systematic literature review revealed a stark scarcity of research connecting eco-emotions with suicidal ideation and behaviours. Only one paper met the inclusion criteria of the review. This scarcity underscores the urgent need for more comprehensive studies exploring the potential connection between eco-emotions and suicidality at an individual level.How this study might affect research, practice, or policy?The limited findings from this review highlight the pressing need for more in-depth research to determine and understand the association between eco-emotions and suicidal ideation and behaviours. It emphasizes the necessity for interdisciplinary research for a multi-faceted approach addressing mental health impacts of climate change and its underlying causes, calling for informed engagement, mental health support, and policy actions to mitigate eco-grief and anxiety related to climate change impacts.