Self-harm and the COVID-19 pandemic: A study of factors contributing to self-harm during lockdown restrictions.
Self-harm and the COVID-19 pandemic: A study of factors contributing to self-harm during lockdown restrictions.
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DOI：
10.1016/j.jpsychires.2021.03.028
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发表时间：
2021-05
影响因子：
4.8
通讯作者：
Waters K
中科院分区：
文献类型：
--
作者：
Hawton K;Lascelles K;Brand F;Casey D;Bale L;Ness J;Kelly S;Waters K
新冠肺炎大流行和随之而来的公共卫生措施可能会对心理健康产生重大影响，包括对自我伤害。我们调查了哪些与大流行相关的因素影响了英国封锁期间的自我伤害后的医院陈述。心理健康临床医生评估了在2020年3月23日至5月17日期间出现在牛津和德比医院的18岁及以上患者的自我伤害情况，记录了这种自我伤害是否与新冠肺炎的影响有关，如果是，具体因素是什么。这些因素被组织到一个分类方案中。还收集了有关患者的人口统计特征、自残方法和自杀意图的信息。在接受评估的228名患者中，46.9%的患者(N=0.107)新冠肺炎和封锁限制被确定为影响自我伤害。女性高于男性(53.5%，N=0.68/127v38.6%，N=0.39/101N，χ=2.03，P=0.025)，但两组在年龄、自残方式、自杀意向等方面无差异。最常见的与COVID相关的因素是精神健康问题，包括新的和恶化的障碍，以及停止或减少服务(包括缺乏面对面的支持)、孤立和孤独、与关键个人接触减少、扰乱正常日常生活以及陷入困境。在许多患者中发现了多个通常相互关联的COVID相关因素。在引入封锁限制后的一段时间内，近一半的患者在自我伤害后到医院就诊，其中与COVID相关的因素被确定为影响。女性受到的影响尤其大。精神健康问题，包括提供护理的问题，占主导地位，这一事实对这些时期的服务组织有影响。孤立、孤独和困惑感的影响突出表明，需要鼓励亲戚、朋友和邻居向他人伸出援手，特别是那些独居的人。COVID相关因素的分类可作为临床医生的辅助资料。
The COVID-19 pandemic and resulting public health measures may have major impacts on mental health, including on self-harm. We have investigated what factors related to the pandemic influenced hospital presentations following self-harm during lockdown in England. Mental health clinicians assessing individuals aged 18 years and over presenting to hospitals in Oxford and Derby following self-harm during the period March 23rd to May 17, 2020 recorded whether the self-harm was related to the impact of COVID-19 and, if so, what specific factors were relevant. These factors were organized into a classification scheme. Information was also collected on patients’ demographic characteristics, method of self-harm and suicide intent. Of 228 patients assessed, in 46.9% (N = 107) COVID-19 and lockdown restrictions were identified as influencing self-harm. This applied more to females than males (53.5%, N = 68/127 v 38.6%, N = 39/101, χ2 = 5.03, p = 0.025), but there were no differences in age, methods of self-harm or suicide intent between the two groups. The most frequent COVID-related factors were mental health issues, including new and worsening disorders, and cessation or reduction of services (including absence of face-to-face support), isolation and loneliness, reduced contact with key individuals, disruption to normal routine, and entrapment. Multiple, often inter-connected COVID-related factors were identified in many patients. COVID-related factors were identified as influences in nearly half of individuals presenting to hospitals following self-harm in the period following introduction of lockdown restrictions. Females were particularly affected. The fact that mental health problems, including issues with delivery of care, predominated has implications for organisation of services during such periods. The contribution of isolation, loneliness and sense of entrapment highlight the need for relatives, friends and neighbours to be encouraged to reach out to others, especially those living alone. The classification of COVID-related factors can be used as an aide-memoire for clinicians.
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影响因子：
3.8
作者：
Murphy, Elizabeth;Kapur, Navneet;Cooper, Jayne
通讯作者：
Cooper, Jayne
影响因子：
3.8
作者：
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DOI：
10.1016/s2215-0366(20)30435-1
发表时间：
2021-01
期刊：
The lancet. Psychiatry
影响因子：
--
作者：
Leske S;Kõlves K;Crompton D;Arensman E;de Leo D
通讯作者：
de Leo D
影响因子：
4.8
作者：
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通讯作者：
Cardinal RN
影响因子：
6.6
作者：
Bennewith, O;Peters, TJ;Gunnell, D
通讯作者：
Gunnell, D