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In total 2274 articles were screened, with 18 studies meeting inclusion criteria for air pollution and 32 studies for temperature. RRs of suicide per 7.1 °C temperature was 1.09 (95% CI 1.06, 1.13). RRs of suicide per IQR increase in PM2.5, PM10, and NO2 were 1.02 (95% CI 1.00, 1.05), 1.01 (95% CI 1.00, 1.03), and 1.03 (95% CI 1.00, 1.07). O3, SO2, and CO were not associated with suicide. RR of suicide was significantly higher in higher-income than lower-income countries (1.09, 95% CI 1.07, 1.11 and 1.20, 95% CI 1.14, 1.26 per 7.1 °C increase