Suicide Ideation and Attempts in a Pediatric Emergency Department Before and During COVID-19
Suicide Ideation and Attempts in a Pediatric Emergency Department Before and During COVID-19
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DOI：
10.1542/peds.2020-029280
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发表时间：
2021-03-01
期刊：
影响因子：
8
通讯作者：
Williams, Laurel
中科院分区：
文献类型：
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作者：
Hill, Ryan M.;Rufino, Katrina;Williams, Laurel
目标：在 2019 年冠状病毒病 (COVID-19) 大流行期间，心理健康问题的发生率有所上升。在本研究中，我们试图评估与 2019 年相比，2020 年 COVID-19 大流行期间青少年报告的自杀相关行为的频率是否更高。我们假设，与 2019 年相比，2020 年 3 月至 7 月期间自杀相关行为的发生率会升高，对应于 COVID-19 大流行的爆发。方法：对儿科急诊中 11 至 21 岁的青少年进行常规自杀风险筛查部门。对 2019 年 1 月至 7 月以及 2020 年 1 月至 7 月期间完成的自杀风险筛查的电子健康记录数据进行了评估。总共检查了 9092 份已完成的筛查（平均年龄 14.72 岁，47.7% 西班牙裔和/或拉丁裔，26.7% 非西班牙裔白人，18.7% 非西班牙裔黑人）。 结果：将 2020 年 1 月至 7 月的自杀风险筛查结果阳性率与 2019 年 1 月至 7 月的相应比率进行比较。结果表明，3 月和 2 月的自杀意念率显着较高。与 2019 年同月相比，2020 年 7 月以及 2020 年 2 月、3 月、4 月和 7 月的自杀企图率较高。结论：与 2019 年相比，2020 年某些月份的自杀意念和企图率较高，但这一时期并非普遍较高。自杀相关行为发生率显着较高的月份似乎与 COVID-19 相关压力源和社区反应加剧的时期相对应，表明青少年在这些时期经历的痛苦加剧。
OBJECTIVES: Elevated rates of mental health concerns have been identified during the coronavirus disease 2019 (COVID-19) pandemic. In this study, we sought to evaluate whether youth reported a greater frequency of suicide-related behaviors during the 2020 COVID-19 pandemic as compared with 2019. We hypothesized that rates of suicide-related behaviors would be elevated between the months of March and July 2020 as compared with 2019, corresponding to the onset of the COVID-19 pandemic.METHODS: Routine suicide-risk screening was completed with youth aged 11 to 21 in a pediatric emergency department. Electronic health records data for suicide-risk screens completed between January and July 2019 and January and July 2020 were evaluated. A total of 9092 completed screens were examined (mean age 14.72 years, 47.7% Hispanic and/or Latinx, 26.7% non-Hispanic white, 18.7% non-Hispanic Black).RESULTS: Rates of positive suicide-risk screen results from January to July 2020 were compared with corresponding rates from January to July 2019. Results indicated a significantly higher rate of suicide ideation in March and July 2020 and higher rates of suicide attempts in February, March, April, and July 2020 as compared with the same months in 2019.CONCLUSIONS: Rates of suicide ideation and attempts were higher during some months of 2020 as compared with 2019 but were not universally higher across this period. Months with significantly higher rates of suicide-related behaviors appear to correspond to times when COVID-19-related stressors and community responses were heightened, indicating that youth experienced elevated distress during these periods.