Do suicide rates in children and adolescents change during school closure in Japan? The acute effect of the first wave of COVID-19 pandemic on child and adolescent mental health
Do suicide rates in children and adolescents change during school closure in Japan? The acute effect of the first wave of COVID-19 pandemic on child and adolescent mental health
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DOI：
10.1016/j.chiabu.2020.104680
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发表时间：
2020-12-01
影响因子：
4.8
通讯作者：
Fujiwara, Takeo
中科院分区：
文献类型：
--
作者：
Isumi, Aya;Doi, Satomi;Fujiwara, Takeo
背景：2019冠状病毒病（COVID-19）严重影响了儿童和青少年的生活。学校关闭是第一波COVID-19疫情期间的关键变化之一，导致儿童和青少年的社交接触减少，家庭时间增加。这对自杀既有积极的影响，也有消极的影响，自杀是一种强大的心理健康结果。然而，COVID-19危机在自杀方面对儿童和青少年的影响尚不清楚。目的：本研究调查了第一波COVID-19大流行对日本学校关闭期间儿童和青少年自杀的急性影响。数据：2018年1月至2020年5月期间20岁以下儿童和青少年每月自杀总人数。方法：Poisson回归用于检查学校关闭期间自杀是否增加或减少，与2018年和2019年同期相比，从2020年3月到5月。使用2018年1月至2020年5月的所有数据进行耐用性检查。负二项回归，一个模型与过度dispersion，也performed.Results：我们发现没有显着变化的自杀率在学校关闭（发病率比（IRR）= 1.15，95%置信区间（CI）：0.81至1.64）。我们发现了月份的主效应，即自杀人数在5月份显著增加（IRR：1.34，95%CI：1.01 - 1.78），但月份和学校关闭的交互作用不显著（p > 0.1）。结论：作为初步调查结果，这项研究表明，第一波新冠肺炎-19大流行并未对日本学校关闭期间儿童和青少年的自杀率产生重大影响。
Background: The coronavirus disease 2019 (COVID-19) has severely impacted the lives of children and adolescents. School closure, one of the critical changes during the first COVID-19 wave, caused decreases in social contacts and increases in family time for children and adolescents. This can have both positive and negative influences on suicide, which is one of the robust mental health outcomes. However, the impact of the COVID-19 crisis on children and adolescents in terms of suicide is unknown.Objective: This study investigates the acute effect of the first wave of the COVID-19 pandemic on suicide among children and adolescents during school closure in Japan.Data: Total number of suicides per month among children and adolescents under 20 years old between January 2018 and May 2020.Methods: Poisson regression was used to examine whether suicide increased or decreased during school closure, which spanned from March to May 2020, compared with the same period in 2018 and 2019. Robustness check was conducted using all data from January 2018 to May 2020. Negative binomial regression, a model with overdispersion, was also performed.Results: We found no significant change in suicide rates during the school closure (incidence rate ratio (IRR) = 1.15, 95% confidence interval (CI): 0.81 to 1.64). We found the main effect of month, that is, suicides significantly increased suicides in May (IRR: 1.34, 95% CI: 1.01 to 1.78) compared to March, but the interaction terms of month and school closure were not significant (p > 0.1).Conclusions: As preliminary findings, this study suggests that the first wave of the COVID-19 pandemic has not significantly affected suicide rates among children and adolescents during the school closure in Japan.