'The dual pandemic' of suicide and COVID-19: A biopsychosocial narrative of risks and prevention.
'The dual pandemic' of suicide and COVID-19: A biopsychosocial narrative of risks and prevention.
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DOI：
10.1016/j.psychres.2020.113577
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发表时间：
2021-01
影响因子：
11.3
通讯作者：
Sathyanarayana Rao TS
中科院分区：
文献类型：
--
作者：
Banerjee D;Kosagisharaf JR;Sathyanarayana Rao TS
2019冠状病毒病（COVID-19）已成为全球健康威胁。COVID-19期间自杀死亡人数正在上升，但数据有限。流行病导致自杀的几个风险因素，如孤立，孤独，经济影响，家庭虐待，耻辱和恐惧。生物脆弱性（自杀家族史、药物使用等）和心理社会风险（移徙、老年、社会经济地位低下等）扩大了流行病的自杀风险。压力和对COVID-19等感染的免疫反应被假设为可能与自杀风险相关的途径。自杀预防是公共卫生应对流行病的一个组成部分。2019冠状病毒病（COVID-19）已成为新的全球健康威胁。通过增加隔离、恐惧、耻辱、虐待和经济后果的风险，COVID-19导致精神疾病、慢性创伤和压力的风险增加，最终增加自杀倾向和自杀行为。关于流行病与自杀之间的联系的数据有限。自COVID-19首次在中国出现以来，自杀病例一直在上升。自杀与流行病之间的关系可能可以通过各种模型来解释，如涂尔干理论，乔伊纳的人际关系理论，社会压力理论，生物学理论等。前线工人，老人，移民，无家可归者，社会经济贫困阶层以及那些预先存在精神障碍，药物滥用和自杀家族史的人风险较高。自杀是可以预防的，需要及早发现、提高认识和采取适合社会文化的干预措施。这篇叙述性综述基于现有证据，从全球角度对自杀与流行病的关联、相关理论和风险因素进行了综述。它还假设神经免疫和基于免疫的风险因素可能是心理社会脆弱性与COVID-19等疫情期间自杀之间的联系。随后讨论了预防自杀的拟议战略，作为对这一流行病的公共卫生反应的一个组成部分。
Coronavirus disease 2019 (COVID-19) has emerged as a global health threat. Number of suicidal deaths during times of COVID-19 is rising though data is limited. Pandemics lead to several risk factors for suicidality like isolation, loneliness, economic fallout, domestic abuse, stigma and fear. Biological vulnerabilities (family history of suicide, substance use, etc.) and psychosocial risks (migration, old age, low socio-economic class, etc.) amplify the suicidal risks of pandemics. Stress and immune reaction to infections like COVID-19 are hypothesized as possible linking pathways to suicidal risk. Suicide-prevention is discussed as an integral part of public health response to pandemics. The Coronavirus disease 2019 (COVID-19) has emerged as a new global health threat. By increasing the risk of isolation, fear, stigma, abuse and economic fallout, COVID-19 has led to increase in risk of psychiatric disorders, chronic trauma and stress, which eventually increase suicidality and suicidal behavior. There is limited data on association of pandemics and suicides. Cases of suicides have been rising since COVID-19 first emerged in China. The association between suicides and pandemics can possibly be explained through various models like Durkheim's theory, Joiner's interpersonal theory, social stress theory, biological theories, etc. The frontline workers, elderly, migrants, homeless, socio-economically impoverished classes as well as those with pre-existing mental disorders, substance abuse and family history of suicides are at higher risk. Suicides are preventable and need early detection, awareness and socio-culturally tailored interventions. This narrative review draws global perspectives on the association of suicidality and pandemics, the theories and risk factors related to same based on the available evidence. It also hypothesizes neuroimmunity and immune based risk factors as possible links between the psychosocial vulnerabilities and suicide during outbreaks like COVID-19. Proposed strategies of suicide-prevention, as an integral part of public health response to the pandemic are subsequently discussed.
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影响因子：
3.1
作者：
Banerjee D;Vaishnav M;Rao TS;Raju M;Dalal PK;Javed A;Saha G;Mishra KK;Kumar V;Jagiwala MP
通讯作者：
Jagiwala MP
影响因子：
4
作者：
Cheung, Y. T.;Chau, P. H.;Yip, Paul S. F.
通讯作者：
Yip, Paul S. F.
影响因子：
5.1
作者：
Devitt, Patrick
通讯作者：
Devitt, Patrick
影响因子：
2.6
作者：
Klonsky, E. David;May, Alexis M.
通讯作者：
May, Alexis M.
DOI：
10.1007/s40596-014-0180-1
发表时间：
2014-10
期刊：
Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry
影响因子：
--
作者：
Bernert RA;Hom MA;Roberts LW
通讯作者：
Roberts LW