Temporal trends in primary care-recorded self-harm during and beyond the first year of the COVID-19 pandemic: Time series analysis of electronic healthcare records for 2.8 million patients in the Greater Manchester Care Record.
Temporal trends in primary care-recorded self-harm during and beyond the first year of the COVID-19 pandemic: Time series analysis of electronic healthcare records for 2.8 million patients in the Greater Manchester Care Record.
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DOI：
10.1016/j.eclinm.2021.101175
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发表时间：
2021-11
影响因子：
15.1
通讯作者：
Webb RT
中科院分区：
文献类型：
--
作者：
Steeg S;Bojanić L;Tilston G;Williams R;Jenkins DA;Carr MJ;Peek N;Ashcroft DM;Kapur N;Voorhees J;Webb RT
在新冠肺炎的动态背景下，监测临床治疗的自我伤害的时间趋势是自杀预防的重要组成部分。除了大流行开始后的最初几个月之外，几乎没有证据，尽管国家和区域限制一直持续到2021年年中。描述性时间序列分析使用了来自大曼彻斯特护理记录的280万名患者的去识别的初级保健健康记录。检查了2019年1月1日至2021年5月31日期间的自我伤害事件的频率，包括按性别、年龄组、种族和多重剥夺五分位数指数进行的分层。在研究期间，13,148人记录了33,444次自我伤害事件。与2020年2月相比，2020年4月自残事件发生频数比为0.59(95%CI为0.51~0.69)，所有自残事件频数比为0.69(CI为0.63~0.75)。与2019年同期相比，2020年8月至2021年5月期间，事件发作的频率比率为0.92(CI 0.88至0.96)，所有事件的频率比率为0.86(CI 0.84至0.88)。在男性和生活在最贫困社区的人中，自残的减少幅度最大，而在10-17岁的青少年中，所有自伤事件的发生率都在上升。初级保健记录的自残一直持续到2021年5月，尽管没有2020年4月第一次全国封锁期间那么明显。观察到的减少可能代表着从长远来看，不愿向卫生服务寻求帮助。我们的发现对为伤害自己的患者提供推荐护理的服务的能力有影响。
Surveillance of temporal trends in clinically treated self-harm is an important component of suicide prevention in the dynamic context of COVID-19. There is little evidence beyond the initial months following the onset of the pandemic, despite national and regional restrictions persisting to mid-2021. Descriptive time series analysis utilizing de-identified, primary care health records of 2.8 million patients from the Greater Manchester Care Record. Frequencies of self-harm episodes between 1st January 2019 and 31st May 2021 were examined, including stratification by sex, age group, ethnicity, and index of multiple deprivation quintile. There were 33,444 episodes of self-harm by 13,148 individuals recorded during the study period. Frequency ratios of incident and all episodes of self-harm were 0.59 (95% CI 0.51 to 0.69) and 0.69 (CI 0.63 to 0.75) respectively in April 2020 compared to February 2020. Between August 2020 and May 2021 frequency ratios were 0.92 (CI 0.88 to 0.96) for incident episodes and 0.86 (CI 0.84 to 0.88) for all episodes compared to the same months in 2019. Reductions were largest among men and people living in the most deprived neighbourhoods, while an increase in all-episode self-harm was observed for adolescents aged 10–17. Reductions in primary care-recorded self-harm persisted to May 2021, though they were less marked than in April 2020 during the first national lockdown. The observed reductions could represent longer term reluctance to seek help from health services. Our findings have implications for the ability for services to offer recommended care for patients who have harmed themselves.
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影响因子：
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作者：
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DOI：
10.1016/s2468-2667(20)30288-7
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作者：
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DOI：
10.1192/bjp.2020.212
发表时间：
2021-06
期刊：
The British journal of psychiatry : the journal of mental science
影响因子：
--
作者：
O'Connor RC;Wetherall K;Cleare S;McClelland H;Melson AJ;Niedzwiedz CL;O'Carroll RE;O'Connor DB;Platt S;Scowcroft E;Watson B;Zortea T;Ferguson E;Robb KA
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