Association of Coffee and Energy Drink Intake with Suicide Attempts and Suicide Ideation: A Systematic Review and Meta-Analysis
Abstract
1. Introduction
2. Methods
2.1. Search Strategy
2.2. Inclusion and Exclusion Criteria
2.3. Data Extraction and Analysis
2.4. Risk of Bias
3. Results
3.1. Energy Drink Consumption and Suicide Attempts
3.2. Energy Drink Consumption and Suicidal Ideation
3.3. Coffee Consumption and Suicide Attempts
3.4. Systematic Review on the Factors Affecting Consumption
3.4.1. Substance Usage
3.4.2. Gender
3.4.3. Risk-of-Bias
4. Discussion
Limitations
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Data Availability Statement
Conflicts of Interest
References
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Author | Publication Year | Region of Study | Gender (Male) % | Age at Study (Mean ± SD) | Total Number of Participants | Characteristics of Exposed Group | Characteristics of Controls | Reported Amount Consumed per Month (Mean Cups) | Outcomes Investigated |
---|---|---|---|---|---|---|---|---|---|
Coffee | |||||||||
Baethge [24] | 2009 | Germany | 49.1 | 44.5 ± 14.7 | 352 | Bipolar | Non-user | 30 | Suicide |
Kawachi [17] | 1996 | USA | 0 | NA | 86,626 | Women | Almost never | 7, 27, 75, 105 | Suicide |
Lucas [18] | 2014 | USA | 21 | 48.3 ± 11.7 | 134,604 | General population | <1 cup a day | 16, 30, 75, 105 | Suicide |
H. Park [25] | 2019 | Korea | 58 | 40.2 ± 6.8 | 80,173 | General population | <1 cup a day | 30, 75, 105 | suicidal ideation |
Tanskanen [26] | 2000 | Finland | NR | NR | 43,166 | General population | 0–1 cups a day | 75, 105, 180, 240, >300 | Suicide |
Klatsky [27] | 1993 | USA | 0.6 | NR | 128,934 | General population | Non-user | 30, 60, 150, >180 | Suicide |
Energy Drinks | |||||||||
Cho [28] | 2020 | Korea | 51 | 15 ± 0.3 | 62,276 | Students | Non-user | 5, 14.5, 24.5, 30 | Suicide |
Evren [29] | 2015 | Turkey | 52.7 | 10th grade | 4957 | Students | Non-user | 0, 2, 12, 30 | suicidal ideation, Self-harm |
H. Kim [30] | 2020 | Korea | 49.2 | NA | 53,312 | Adolescents | NA | 6, 23 | suicidal ideation |
J. S. Kim [31] | 2018 | Korea | 56.5 | 15 ± 1.7 | 8961 | Adolescents | NA | 18, >30 | Suicide, suicidal ideation |
S. Y. Kim [32] | 2017 | Korea | 50.1 | 15 (NR) | 121,106 | Adolescents | NA | 6, 23 | Suicide |
Masengo [33] | 2020 | Canada | 42 | 15.3 ± 1.8 | 5538 | Students | Non-user | NR | Suicide, suicidal ideation |
Mash [34] | 2014 | USA | 86 | NA | 508,088 | Soldiers | Non-user | 2, 10, 30 | Suicide |
S. Park [16] | 2016 | Korea | 52 | 15 ± 1.7 | 68,043 | Adolescents | Non-user | 10, 27 | Suicide, suicidal ideation |
Kwak [35] | 2021 | Korea | 51 | 15 ± 1.7 | 267,907 | Adolescents | Non-user | NR | Suicide, suicidal ideation |
Caffeine | |||||||||
Akanni [36] | 2017 | Nigeria | 54.8 | 16.9 ± 0.9 | 465 | Students | Non-user | NR | Suicide |
Beauchamp [37] | 2016 | USA | 70 | NR | 40 | Poison-control centre patients | NR | NR | Self-harm |
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Low, C.E.; Chew, N.S.M.; Loke, S.; Tan, J.Y.; Phee, S.; Lee, A.R.Y.B.; Ho, C.S.H. Association of Coffee and Energy Drink Intake with Suicide Attempts and Suicide Ideation: A Systematic Review and Meta-Analysis. Nutrients 2025, 17, 1911. https://doi.org/10.3390/nu17111911
Low CE, Chew NSM, Loke S, Tan JY, Phee S, Lee ARYB, Ho CSH. Association of Coffee and Energy Drink Intake with Suicide Attempts and Suicide Ideation: A Systematic Review and Meta-Analysis. Nutrients. 2025; 17(11):1911. https://doi.org/10.3390/nu17111911
Chicago/Turabian StyleLow, Chen Ee, Nicole Shi Min Chew, Sean Loke, Jia Yang Tan, Shayne Phee, Ainsley Ryan Yan Bin Lee, and Cyrus Su Hui Ho. 2025. "Association of Coffee and Energy Drink Intake with Suicide Attempts and Suicide Ideation: A Systematic Review and Meta-Analysis" Nutrients 17, no. 11: 1911. https://doi.org/10.3390/nu17111911
APA StyleLow, C. E., Chew, N. S. M., Loke, S., Tan, J. Y., Phee, S., Lee, A. R. Y. B., & Ho, C. S. H. (2025). Association of Coffee and Energy Drink Intake with Suicide Attempts and Suicide Ideation: A Systematic Review and Meta-Analysis. Nutrients, 17(11), 1911. https://doi.org/10.3390/nu17111911