Real-time suicide mortality data from police reports in Queensland, Australia, during the COVID-19 pandemic: an interrupted time-series analysis.
Real-time suicide mortality data from police reports in Queensland, Australia, during the COVID-19 pandemic: an interrupted time-series analysis.
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DOI：
10.1016/s2215-0366(20)30435-1
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发表时间：
2021-01
期刊：
影响因子：
--
通讯作者：
de Leo D
中科院分区：
文献类型：
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作者：
Leske S;Kõlves K;Crompton D;Arensman E;de Leo D
在传染病爆发期间，自杀死亡人数可能增加。这项研究分析了2020年相对于2015-19年的疑似自杀率，以评估COVID-19大流行在澳大利亚昆士兰州的任何早期影响。我们分析了来自临时昆士兰州自杀登记处（iQSR）的数据，这是一个全州范围内的实时自杀监测系统，采用中断时间序列设计。iQSR的数据来源是向验尸官提交的表格1警方死亡报告。两名QSR工作人员独立地将自杀死亡的概率分类为可能、很可能或排除合理怀疑。分析包括可能的或排除合理怀疑的类别，如疑似自杀。主要结果是每月疑似自杀率。我们应用泊松和负二项回归来评估昆士兰州2020年1月29日的公共卫生紧急状态声明是否影响了2020年2月1日至8月31日的疑似自杀事件。次要结果包括警察报告的最近失业，财务问题，家庭暴力和关系破裂的动机的绝对或相对变化。在宣布之前，记录了3793起疑似自杀事件，未经调整的月死亡率为每10万人14.85人（从2015年1月1日到2020年1月31日），在宣布之后，记录了443起疑似自杀事件，未经调整的月死亡率为每10万人14.07人（2020年2月1日起）。 一个未调整的中断时间序列泊松回归模型（率比[RR] 0.94，95%CI 0.82 - 1.06）和调整过度分散，季节性和暴露前趋势（RR 1.02，95%CI 0.83 - 1.25）表明没有证据表明可疑自杀率的变化。我们发现，与曝光前相比，2020年2月至8月期间，疑似自杀的动机（包括最近的失业、财务问题、关系破裂或家庭暴力）没有绝对或相对增加。自昆士兰州宣布进入公共卫生紧急状态以来的7个月里，疑似自杀率似乎没有总体变化。尽管如此，COVID-19还是导致了昆士兰州的一些疑似自杀事件。COVID-19的持续社区传播和不断上升的死亡率，及其对国家经济和心理健康的影响，加强了政府对自杀死亡率进行真实的监测和报告的必要性。没有。
Deaths by suicide can increase during infectious disease outbreaks. This study analysed suspected suicide rates in 2020 relative to 2015–19 to assess any early effects of the COVID-19 pandemic in Queensland, Australia. We analysed data from the interim Queensland Suicide Register (iQSR), a state-wide real-time suicide surveillance system, using an interrupted time-series design. The data source for the iQSR is the Form 1 police report of a death to a coroner. Two QSR staff independently classed the probability of a death by suicide as possible, probable, or beyond reasonable doubt. The analysis included the probable or beyond reasonable doubt categories as suspected suicides. The primary outcome was the monthly suspected suicide rate. We applied Poisson and negative binomial regressions to assess whether Queensland's Public Health Emergency Declaration on Jan 29, 2020, affected suspected suicides from Feb 1 to Aug 31, 2020. Secondary outcomes included absolute or relative changes in police-reported motives of recent unemployment, financial problems, domestic violence, and relationship breakdown. 3793 suspected suicides were recorded with an unadjusted monthly rate of 14·85 deaths per 100 000 people (from Jan 1, 2015, to Jan 31, 2020) before the declaration, and 443 suspected suicides were recorded with an unadjusted monthly rate of 14·07 deaths per 100 000 people (Feb 1, 2020, onwards) after the declaration. An interrupted time-series Poisson regression model unadjusted (rate ratio [RR] 0·94, 95% CI 0·82–1·06) and adjusted for overdispersion, seasonality, and pre-exposure trends (RR 1·02, 95% CI 0·83–1·25) indicated no evidence of a change in suspected suicide rates. We found no absolute or relative increases in the motives for suspected suicides, including recent unemployment, financial problems, relationship breakdown, or domestic violence from February to August, 2020, compared with the pre-exposure period. There does not yet appear to be an overall change in the suspected suicide rate in the 7 months since Queensland declared a public health emergency. Despite this, COVID-19 has contributed to some suspected suicides in Queensland. Ongoing community spread and increasing death rates of COVID-19, and its impact on national economies and mental health, reinforces the need for governments to maintain the monitoring and reporting of suicide mortality in real time. None.