Suicidal thoughts and behaviors and social isolation: A narrative review of the literature.
Identifieur interne : 000420 ( Main/Exploration ); précédent : 000419; suivant : 000421Suicidal thoughts and behaviors and social isolation: A narrative review of the literature.
Auteurs : Raffaella Calati [États-Unis] ; Chiara Ferrari [Italie] ; Marie Brittner [France] ; Osmano Oasi [Italie] ; Emilie Olié [France] ; André F. Carvalho [Canada] ; Philippe Courtet [France]Source :
- Journal of affective disorders [ 1573-2517 ] ; 2019.
Descripteurs français
- KwdFr :
- Adolescent (MeSH), Adulte (MeSH), Appréciation des risques (MeSH), Comportement auto-agressif (psychologie), Facteurs de risque (MeSH), Femelle (MeSH), Humains (MeSH), Isolement social (psychologie), Jeune adulte (MeSH), Mâle (MeSH), Solitude (psychologie), Suicide (psychologie), Émotions (MeSH), Études observationnelles comme sujet (MeSH).
- MESH :
English descriptors
- KwdEn :
- Adolescent (MeSH), Adult (MeSH), Emotions (MeSH), Female (MeSH), Humans (MeSH), Loneliness (psychology), Male (MeSH), Observational Studies as Topic (MeSH), Risk Assessment (MeSH), Risk Factors (MeSH), Self-Injurious Behavior (psychology), Social Isolation (psychology), Suicide (psychology), Young Adult (MeSH).
- MESH :
Abstract
BACKGROUND
Social isolation is one of the main risk factors associated with suicidal outcomes. The aim of this narrative review was to provide an overview on the link between social isolation and suicidal thoughts and behaviors.
METHODS
We used the PubMed database to identify relevant articles published until April 13, 2018. We focused on: (a) systematic reviews, meta-analyses, and narrative reviews; (b) original observational studies with large samples (N ≥ 500); and (c) qualitative studies. We included all relevant suicidal outcomes: suicidal ideation (SI), suicidal planning, non-suicidal self-injury, deliberate self-harm, suicide attempt (SA), and suicide.
RESULTS
The main social constructs associated with suicidal outcomes were marital status (being single, separated, divorced, or widowed) and living alone, social isolation, loneliness, alienation, and belongingness. We included 40 original observational studies, the majority of them performed on adolescents and/or young adults (k = 23, 57.5%). Both the objective condition (e.g., living alone) and the subjective feeling of being alone (i.e., loneliness) were strongly associated with suicidal outcomes, in particular with SA and SI. However, loneliness, which was investigated in most studies (k = 24, 60%), had a major impact on both SI and SA. These associations were transculturally consistent.
LIMITATIONS
Confounding factors can limit the weight of the results obtained in observational studies.
CONCLUSIONS
Data from the observational studies suggest that both objective social isolation and the subjective feeling of loneliness should be incorporated in the risk assessment of suicide. Interventional studies targeting social isolation for suicide prevention are needed.
DOI: 10.1016/j.jad.2018.11.022
PubMed: 30445391
Affiliations:
- Canada, France, Italie, États-Unis
- Languedoc-Roussillon, Lombardie, Occitanie (région administrative), Ontario, État de New York, Île-de-France
- Créteil, Milan, Montpellier, Toronto
- Université de Toronto
Links toward previous steps (curation, corpus...)
Le document en format XML
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Electronic address: raffaella.calati@gmail.com.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>INSERM, Neuropsychiatry: Epidemiological and Clinical Research, University of Montpellier, Montpellier, France; Department of Emergency Psychiatry and Acute Care, Lapeyronie Hospital, CHU Montpellier, Montpellier, France; FondaMental Foundation, Créteil, France; Department of Psychiatry, Mount Sinai Beth Israel, New York</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Ferrari, Chiara" sort="Ferrari, Chiara" uniqKey="Ferrari C" first="Chiara" last="Ferrari">Chiara Ferrari</name><affiliation wicri:level="3"><nlm:affiliation>Department of Psychology, Catholic University of Milan, Milan, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Psychology, Catholic University of Milan, Milan</wicri:regionArea><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation></author><author><name sortKey="Brittner, Marie" sort="Brittner, Marie" uniqKey="Brittner M" first="Marie" last="Brittner">Marie Brittner</name><affiliation wicri:level="3"><nlm:affiliation>Department of Emergency Psychiatry and Acute Care, Lapeyronie Hospital, CHU Montpellier, Montpellier, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Emergency Psychiatry and Acute Care, Lapeyronie Hospital, CHU Montpellier, Montpellier</wicri:regionArea><placeName><region type="region">Occitanie (région administrative)</region><region type="old region">Languedoc-Roussillon</region><settlement type="city">Montpellier</settlement></placeName></affiliation></author><author><name sortKey="Oasi, Osmano" sort="Oasi, Osmano" uniqKey="Oasi O" first="Osmano" last="Oasi">Osmano Oasi</name><affiliation wicri:level="3"><nlm:affiliation>Department of Psychology, Catholic University of Milan, Milan, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Psychology, Catholic University of Milan, Milan</wicri:regionArea><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation></author><author><name sortKey="Olie, Emilie" sort="Olie, Emilie" uniqKey="Olie E" first="Emilie" last="Olié">Emilie Olié</name><affiliation wicri:level="3"><nlm:affiliation>INSERM, Neuropsychiatry: Epidemiological and Clinical Research, University of Montpellier, Montpellier, France; Department of Emergency Psychiatry and Acute Care, Lapeyronie Hospital, CHU Montpellier, Montpellier, France; FondaMental Foundation, Créteil, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>INSERM, Neuropsychiatry: Epidemiological and Clinical Research, University of Montpellier, Montpellier, France; Department of Emergency Psychiatry and Acute Care, Lapeyronie Hospital, CHU Montpellier, Montpellier, France; FondaMental Foundation, Créteil</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Créteil</settlement></placeName></affiliation></author><author><name sortKey="Carvalho, Andre F" sort="Carvalho, Andre F" uniqKey="Carvalho A" first="André F" last="Carvalho">André F. Carvalho</name><affiliation wicri:level="4"><nlm:affiliation>Department of Psychiatry, Faculty of Medicine, University of Toronto, Toronto, ON, Canada; Centre for Addiction and Mental Health (CAMH), Toronto, ON, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Psychiatry, Faculty of Medicine, University of Toronto, Toronto, ON, Canada; Centre for Addiction and Mental Health (CAMH), Toronto, ON</wicri:regionArea><orgName type="university">Université de Toronto</orgName><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Courtet, Philippe" sort="Courtet, Philippe" uniqKey="Courtet P" first="Philippe" last="Courtet">Philippe Courtet</name><affiliation wicri:level="3"><nlm:affiliation>INSERM, Neuropsychiatry: Epidemiological and Clinical Research, University of Montpellier, Montpellier, France; Department of Emergency Psychiatry and Acute Care, Lapeyronie Hospital, CHU Montpellier, Montpellier, France; FondaMental Foundation, Créteil, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>INSERM, Neuropsychiatry: Epidemiological and Clinical Research, University of Montpellier, Montpellier, France; Department of Emergency Psychiatry and Acute Care, Lapeyronie Hospital, CHU Montpellier, Montpellier, France; FondaMental Foundation, Créteil</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Créteil</settlement></placeName></affiliation></author></analytic><series><title level="j">Journal of affective disorders</title><idno type="eISSN">1573-2517</idno><imprint><date when="2019" type="published">2019</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent (MeSH)</term><term>Adult (MeSH)</term><term>Emotions (MeSH)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Loneliness (psychology)</term><term>Male (MeSH)</term><term>Observational Studies as Topic (MeSH)</term><term>Risk Assessment (MeSH)</term><term>Risk Factors (MeSH)</term><term>Self-Injurious Behavior (psychology)</term><term>Social Isolation (psychology)</term><term>Suicide (psychology)</term><term>Young Adult (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent (MeSH)</term><term>Adulte (MeSH)</term><term>Appréciation des risques (MeSH)</term><term>Comportement auto-agressif (psychologie)</term><term>Facteurs de risque (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Isolement social (psychologie)</term><term>Jeune adulte (MeSH)</term><term>Mâle (MeSH)</term><term>Solitude (psychologie)</term><term>Suicide (psychologie)</term><term>Émotions (MeSH)</term><term>Études observationnelles comme sujet (MeSH)</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Comportement auto-agressif</term><term>Isolement social</term><term>Solitude</term><term>Suicide</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Loneliness</term><term>Self-Injurious Behavior</term><term>Social Isolation</term><term>Suicide</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Emotions</term><term>Female</term><term>Humans</term><term>Male</term><term>Observational Studies as Topic</term><term>Risk Assessment</term><term>Risk Factors</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Appréciation des risques</term><term>Facteurs de risque</term><term>Femelle</term><term>Humains</term><term>Jeune adulte</term><term>Mâle</term><term>Émotions</term><term>Études observationnelles comme sujet</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Social isolation is one of the main risk factors associated with suicidal outcomes. The aim of this narrative review was to provide an overview on the link between social isolation and suicidal thoughts and behaviors.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>We used the PubMed database to identify relevant articles published until April 13, 2018. We focused on: (a) systematic reviews, meta-analyses, and narrative reviews; (b) original observational studies with large samples (N ≥ 500); and (c) qualitative studies. We included all relevant suicidal outcomes: suicidal ideation (SI), suicidal planning, non-suicidal self-injury, deliberate self-harm, suicide attempt (SA), and suicide.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>The main social constructs associated with suicidal outcomes were marital status (being single, separated, divorced, or widowed) and living alone, social isolation, loneliness, alienation, and belongingness. We included 40 original observational studies, the majority of them performed on adolescents and/or young adults (k = 23, 57.5%). Both the objective condition (e.g., living alone) and the subjective feeling of being alone (i.e., loneliness) were strongly associated with suicidal outcomes, in particular with SA and SI. However, loneliness, which was investigated in most studies (k = 24, 60%), had a major impact on both SI and SA. These associations were transculturally consistent.</p></div><div type="abstract" xml:lang="en"><p><b>LIMITATIONS</b></p><p>Confounding factors can limit the weight of the results obtained in observational studies.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Data from the observational studies suggest that both objective social isolation and the subjective feeling of loneliness should be incorporated in the risk assessment of suicide. Interventional studies targeting social isolation for suicide prevention are needed.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">30445391</PMID><DateCompleted><Year>2019</Year><Month>04</Month><Day>09</Day></DateCompleted><DateRevised><Year>2019</Year><Month>04</Month><Day>09</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1573-2517</ISSN><JournalIssue CitedMedium="Internet"><Volume>245</Volume><PubDate><Year>2019</Year><Month>02</Month><Day>15</Day></PubDate></JournalIssue><Title>Journal of affective disorders</Title><ISOAbbreviation>J Affect Disord</ISOAbbreviation></Journal><ArticleTitle>Suicidal thoughts and behaviors and social isolation: A narrative review of the literature.</ArticleTitle><Pagination><MedlinePgn>653-667</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S0165-0327(18)31694-X</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jad.2018.11.022</ELocationID><Abstract><AbstractText Label="BACKGROUND">Social isolation is one of the main risk factors associated with suicidal outcomes. The aim of this narrative review was to provide an overview on the link between social isolation and suicidal thoughts and behaviors.</AbstractText><AbstractText Label="METHODS">We used the PubMed database to identify relevant articles published until April 13, 2018. We focused on: (a) systematic reviews, meta-analyses, and narrative reviews; (b) original observational studies with large samples (N ≥ 500); and (c) qualitative studies. We included all relevant suicidal outcomes: suicidal ideation (SI), suicidal planning, non-suicidal self-injury, deliberate self-harm, suicide attempt (SA), and suicide.</AbstractText><AbstractText Label="RESULTS">The main social constructs associated with suicidal outcomes were marital status (being single, separated, divorced, or widowed) and living alone, social isolation, loneliness, alienation, and belongingness. We included 40 original observational studies, the majority of them performed on adolescents and/or young adults (k = 23, 57.5%). Both the objective condition (e.g., living alone) and the subjective feeling of being alone (i.e., loneliness) were strongly associated with suicidal outcomes, in particular with SA and SI. However, loneliness, which was investigated in most studies (k = 24, 60%), had a major impact on both SI and SA. These associations were transculturally consistent.</AbstractText><AbstractText Label="LIMITATIONS">Confounding factors can limit the weight of the results obtained in observational studies.</AbstractText><AbstractText Label="CONCLUSIONS">Data from the observational studies suggest that both objective social isolation and the subjective feeling of loneliness should be incorporated in the risk assessment of suicide. Interventional studies targeting social isolation for suicide prevention are needed.</AbstractText><CopyrightInformation>Copyright © 2018. Published by Elsevier B.V.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Calati</LastName><ForeName>Raffaella</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>INSERM, Neuropsychiatry: Epidemiological and Clinical Research, University of Montpellier, Montpellier, France; Department of Emergency Psychiatry and Acute Care, Lapeyronie Hospital, CHU Montpellier, Montpellier, France; FondaMental Foundation, Créteil, France; Department of Psychiatry, Mount Sinai Beth Israel, New York, USA. Electronic address: raffaella.calati@gmail.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ferrari</LastName><ForeName>Chiara</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Department of Psychology, Catholic University of Milan, Milan, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Brittner</LastName><ForeName>Marie</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Emergency Psychiatry and Acute Care, Lapeyronie Hospital, CHU Montpellier, Montpellier, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Oasi</LastName><ForeName>Osmano</ForeName><Initials>O</Initials><AffiliationInfo><Affiliation>Department of Psychology, Catholic University of Milan, Milan, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Olié</LastName><ForeName>Emilie</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>INSERM, Neuropsychiatry: Epidemiological and Clinical Research, University of Montpellier, Montpellier, France; Department of Emergency Psychiatry and Acute Care, Lapeyronie Hospital, CHU Montpellier, Montpellier, France; FondaMental Foundation, Créteil, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Carvalho</LastName><ForeName>André F</ForeName><Initials>AF</Initials><AffiliationInfo><Affiliation>Department of Psychiatry, Faculty of Medicine, University of Toronto, Toronto, ON, Canada; Centre for Addiction and Mental Health (CAMH), Toronto, ON, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Courtet</LastName><ForeName>Philippe</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>INSERM, Neuropsychiatry: Epidemiological and Clinical Research, University of Montpellier, Montpellier, France; Department of Emergency Psychiatry and Acute Care, Lapeyronie Hospital, CHU Montpellier, Montpellier, France; FondaMental Foundation, Créteil, France.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType><PublicationType UI="D016454">Review</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2018</Year><Month>11</Month><Day>07</Day></ArticleDate></Article><MedlineJournalInfo><Country>Netherlands</Country><MedlineTA>J Affect Disord</MedlineTA><NlmUniqueID>7906073</NlmUniqueID><ISSNLinking>0165-0327</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004644" MajorTopicYN="N">Emotions</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008132" MajorTopicYN="N">Loneliness</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D064887" MajorTopicYN="N">Observational Studies as Topic</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018570" MajorTopicYN="N">Risk Assessment</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016728" MajorTopicYN="N">Self-Injurious Behavior</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012934" MajorTopicYN="N">Social Isolation</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D013405" MajorTopicYN="N">Suicide</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">Living alone</Keyword><Keyword MajorTopicYN="Y">Loneliness</Keyword><Keyword MajorTopicYN="Y">Review</Keyword><Keyword MajorTopicYN="Y">Social isolation</Keyword><Keyword MajorTopicYN="Y">Suicide</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2018</Year><Month>08</Month><Day>02</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2018</Year><Month>09</Month><Day>27</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2018</Year><Month>11</Month><Day>03</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2018</Year><Month>11</Month><Day>18</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2019</Year><Month>4</Month><Day>10</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2018</Year><Month>11</Month><Day>17</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">30445391</ArticleId><ArticleId IdType="pii">S0165-0327(18)31694-X</ArticleId><ArticleId IdType="doi">10.1016/j.jad.2018.11.022</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Canada</li><li>France</li><li>Italie</li><li>États-Unis</li></country><region><li>Languedoc-Roussillon</li><li>Lombardie</li><li>Occitanie (région administrative)</li><li>Ontario</li><li>État de New York</li><li>Île-de-France</li></region><settlement><li>Créteil</li><li>Milan</li><li>Montpellier</li><li>Toronto</li></settlement><orgName><li>Université de Toronto</li></orgName></list><tree><country name="États-Unis"><region name="État de New York"><name sortKey="Calati, Raffaella" sort="Calati, Raffaella" uniqKey="Calati R" first="Raffaella" last="Calati">Raffaella Calati</name></region></country><country name="Italie"><region name="Lombardie"><name sortKey="Ferrari, Chiara" sort="Ferrari, Chiara" uniqKey="Ferrari C" first="Chiara" last="Ferrari">Chiara Ferrari</name></region><name sortKey="Oasi, Osmano" sort="Oasi, Osmano" uniqKey="Oasi O" first="Osmano" last="Oasi">Osmano Oasi</name></country><country name="France"><region name="Occitanie (région administrative)"><name sortKey="Brittner, Marie" sort="Brittner, Marie" uniqKey="Brittner M" first="Marie" last="Brittner">Marie Brittner</name></region><name sortKey="Courtet, Philippe" sort="Courtet, Philippe" uniqKey="Courtet P" first="Philippe" last="Courtet">Philippe Courtet</name><name sortKey="Olie, Emilie" sort="Olie, Emilie" uniqKey="Olie E" first="Emilie" last="Olié">Emilie Olié</name></country><country name="Canada"><region name="Ontario"><name sortKey="Carvalho, Andre F" sort="Carvalho, Andre F" uniqKey="Carvalho A" first="André F" last="Carvalho">André F. Carvalho</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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