Suicidal behaviors and ideation during emerging viral disease outbreaks before the COVID-19 pandemic: A systematic rapid review.
Suicidal behaviors and ideation during emerging viral disease outbreaks before the COVID-19 pandemic: A systematic rapid review.
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DOI：
10.1016/j.ypmed.2020.106264
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发表时间：
2020-12
影响因子：
5.1
通讯作者：
Brunelin J
中科院分区：
文献类型：
--
作者：
Leaune E;Samuel M;Oh H;Poulet E;Brunelin J
当前的COVID-19大流行是21世纪最严重的大流行，死亡人数将不断上升。除了造成呼吸窘迫外，COVID-19还可能通过自杀导致死亡。新出现的病毒性疾病暴发（evdo）与自杀之间的联系途径是复杂的，尚未完全了解。我们旨在系统地回顾evdo与自杀行为和/或自杀意念之间关系的证据。于2020年4月使用Medline、Embase、Web of Science、PsycINFO和Scopus 5个数据库进行了电子检索。我们进行了快速的系统综述，其中包括单独和独立地提取所选文章的定量数据。电子检索结果为2480篇，其中9篇符合纳入标准。大部分数据收集于香港（n = 3）和美国（n = 3）。四项研究报告了evdo期间自杀死亡的轻微但显著增加。自杀死亡人数的增加主要是在流行高峰期和老年人中报告的。心理社会因素，如害怕被病毒感染或与隔离措施有关的社会孤立，是与evdo期间自杀死亡相关的最主要因素。总的来说，我们发现evdo期间自杀死亡风险增加的证据很少且薄弱。我们的研究结果表明，有必要将公共卫生政策导向针对evdo心理社会影响的自杀预防策略。在当前大流行期间，有必要对自杀风险和预防进行高质量的研究。很少有研究评估自杀行为或念头与新出现的病毒爆发之间的关系。文献报告了在新出现的病毒爆发期间自杀率增加的微弱证据。在新出现的病毒暴发期间，社会心理因素与自杀死亡有关。在新出现的病毒暴发期间，需要采取自杀预防战略。
The current COVID-19 pandemic is the most severe pandemic of the 21st century, on track to having a rising death toll. Beyond causing respiratory distress, COVID-19 may also cause mortality by way of suicide. The pathways by which emerging viral disease outbreaks (EVDOs) and suicide are related are complex and not entirely understood. We aimed to systematically review the evidence on the association between EVDOs and suicidal behaviors and/or ideation. An electronic search was conducted using five databases: Medline, Embase, Web of Science, PsycINFO and Scopus in April 2020. A rapid systematic review was carried out, which involved separately and independently extracting quantitative data of selected articles. The electronic search yielded 2480 articles, of which 9 met the inclusion criteria. Most of the data were collected in Hong Kong (n = 3) and the USA (n = 3). Four studies reported a slight but significant increase in deaths by suicide during EVDOs. The increase in deaths by suicide was mainly reported during the peak epidemic and in older adults. Psychosocial factors such as the fear of being infected by the virus or social isolation related to quarantine measures were the most prominent factors associated with deaths by suicide during EVDOs. Overall, we found scarce and weak evidence for an increased risk of deaths by suicide during EVDOs. Our results inform the need to orient public health policies toward suicide prevention strategies targeting the psychosocial effects of EVDOs. High-quality research on suicide risk and prevention are warranted during the current pandemic. Few studies assessed the association between suicidal behaviors or ideation and emerging viral outbreaks. The literature reports weak evidence for increased suicide rates during emerging viral outbreaks. Psychosocial factors are associated with deaths by suicide during emerging viral outbreaks. Suicide prevention strategies are needed during emerging viral outbreaks.
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