Suicide, self-harm and suicidal ideation during COVID-19: A systematic review.

Suicide, self-harm and suicidal ideation during COVID-19: A systematic review.
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自杀,自我伤害和自杀念头在Covid-19期间:系统评价。

DOI:
10.1016/j.psychres.2021.114228
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发表时间:
2021-12
影响因子:
11.3
通讯作者:
Ayub M
Ayub M
中科院分区:
医学2区
文献类型:
--
作者:
Farooq S;Tunmore J;Wajid Ali M;Ayub M

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我们旨在对描述新冠肺炎大流行期间自杀意念、自杀企图和自杀及其相关危险因素的研究进行系统回顾和荟萃分析。我们利用相关的搜索关键词检索了以下电子数据库:Medline、Embase、QicINFO和CINAHL,并按照PRISMA指南系统地回顾了这些证据。自杀意念患病率的Meta分析采用随机效应模型。搜索返回了972条记录,我们检查了106条全文,包括38项研究,描述了120,076名参与者。19项研究描述了自杀或企图自残,主要是病例报告。在描述自杀意念的19项研究中,有12项为荟萃分析提供了适当的数据。在这些研究中,自杀意念的合并患病率为12.1%(可信区间为9.3-15.2)。自杀意念的主要危险因素为:社会支持程度低、身心疲惫程度高、自评身体健康状况较差、睡眠障碍、隔离和疲惫、孤独、心理健康困难。基于来自不同国家和人群的大样本,我们首次提供了自杀意念的元分析估计。COVID大流行期间自杀意念率高于大流行前对普通人群的研究报告,并可能导致未来更高的自杀率。
We aimed to do a systematic review and meta-analysis of studies describing suicidal ideation, suicide attempts and suicide and associated risk factors during COVID-19 pandemic. We searched following electronic databases using relevant search terms: Medline, Embase, PsycInfo and CINAHL and systematically reviewed the evidence following PRISMA guidelines. The meta-analysis of prevalence of suicidal ideation was done using random effect model. The search returned 972 records, we examined 106 in full text and included 38 studies describing 120,076 participants. Nineteen studies described suicide or attempted self-harm, mostly in case reports. Out of 19 studies describing suicidal ideations, 12 provided appropriate data for meta-analysis. The pooled prevalence of suicidal ideation in these studies was 12.1% (CI 9.3–15.2). Main risk factors for suicidal ideations were: low social support, high physical and mental exhaustion and poorer self-reported physical health in frontline medical workers, sleep disturbances, quarantine and exhaustion, loneliness, and mental health difficulties. We provide first meta-analytic estimate of suicidal ideation based on large sample from different countries and populations. The rate of suicidal ideations during COVID pandemic is higher than that reported in studies on general population prior to pandemic and may result in higher suicide rates in future.
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