Child suicide rates during the COVID-19 pandemic in England.
Child suicide rates during the COVID-19 pandemic in England.
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DOI：
10.1016/j.jadr.2021.100273
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发表时间：
2021-12
影响因子：
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通讯作者：
Luyt K
中科院分区：
文献类型：
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作者：
Odd D;Williams T;Appleby L;Gunnell D;Luyt K
COVID-19以及防止传播的控制措施对儿童心理健康的影响令人担忧。这项工作的目的是确定在COVID大流行期间儿童自杀是否有所增加。使用英格兰国家儿童死亡率数据库（NCMD）的数据，将2020年4月至12月期间死于自杀的儿童的特征和比率与2019年进行了比较。在一个子集（2020年1月1日至5月17日）中，获得了进一步的特征和可能的影响因素。据报道，共有193名儿童可能死于自杀。没有证据表明2020年的整体自杀死亡率高于2019年（RR 1.09（0.80-1.48），p = 0.584），但有微弱证据表明第一个封锁期（2020年4月至5月）的自杀死亡率高于2019年同期（RR 1.56（0.86-2.81），p = 0.144）。不同时期的个体特征相似。社会限制（如教育）、护理和支助服务中断、家庭关系紧张和孤立似乎是促成因素。幸运的是，由于儿童自杀很少见，因此分析是基于少数死亡人数，统计能力有限，无法发现任何情况，但发病率大幅上升。我们没有发现一致的证据表明儿童自杀死亡人数在COVID-19大流行期间增加，尽管在英国首次封锁期间可能有所增加。在接下来的几个月里，或第二次封锁期间，没有看到类似的高峰。
There is concern about the impact of COVID-19, and the control measures to prevent the spread, on children's mental health. The aim of this work was to identify if there had been a rise of childhood suicide during the COVID pandemic. Using data from England's National Child Mortality Database (NCMD) the characteristics and rates of children dying of suicide between April and December 2020 were compared with those in 2019. In a subset (1st January to 17th May 2020) further characteristics and possible contributing factors were obtained. A total of 193 likely childhood deaths by suicide were reported. There was no evidence overall suicide deaths were higher in 2020 than 2019 (RR 1.09 (0.80–1.48), p = 0.584) but weak evidence that the rate in the first lockdown period (April to May 2020) was higher than the corresponding period in 2019 (RR 1.56 (0.86–2.81), p = 0.144). Characteristics of individuals were similar between periods. Social restrictions (e.g. to education), disruption to care and support services, tensions at home and isolation appeared to be contributing factors. As child suicides are fortunately rare, the analysis is based on small numbers of deaths with limited statistical power to detect anything but major increases in incidence. We found no consistent evidence that child suicide deaths increased during the COVID-19 pandemic although there was a possibility that they may have increased during the first UK lockdown. A similar peak was not seen during the following months, or the second lockdown.