Suicide and mental health during the COVID-19 pandemic in Japan
Suicide and mental health during the COVID-19 pandemic in Japan
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DOI：
10.1093/pubmed/fdab113
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发表时间：
2021-04-13
影响因子：
4.4
通讯作者：
Matsubayashi, Tetsuya
中科院分区：
文献类型：
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作者：
Ueda, Michiko;Nordstrom, Robert;Matsubayashi, Tetsuya
冠状病毒病（COVID-19）大流行是一场前所未有的公共卫生危机，但人们对其对自杀死亡的影响知之甚少。方法：我们分析了2017年1月至2020年10月的月度自杀统计数据，以及日本普通人群填写的心理健康在线调查数据。结果与2017- 2019年同期相比，疫情初期自杀死亡人数低于平均水平，但超过了2020年7月以来的过去趋势。女性自杀人数在2020年10月增加了约70%（发病率比：1.695,95%可信区间：1.558-1.843），是这一增长的主要原因。增幅最大的是年轻女性（40岁以下）。我们的调查数据表明，近几个月来，年轻妇女的心理健康状况一直在恶化，年轻女工比其他任何群体都更有可能失去工作或收入，这表明她们周围的经济状况不利。结论：在2019冠状病毒病大流行期间，有必要持续监测心理健康状况，特别是本研究确定的最弱势人群的心理健康状况，并采取适当的自杀预防措施。
Background The coronavirus disease (COVID-19) pandemic is an unprecedented public health crisis, but its effect on suicide deaths is little understood. Methods We analyzed data from monthly suicide statistics between January 2017 and October 2020 and from online surveys on mental health filled out by the general population in Japan. Results Compared to the 2017-19 period, the number of suicide deaths during the initial phase of the pandemic was lower than average but exceeded the past trend from July 2020. Female suicides, whose numbers increased by approximately 70% in October 2020 (incidence rate ratio: 1.695, 95% confidence interval: 1.558-1.843), were the main source of this increase. The largest increase was found among young women (less than 40 years of age). Our survey data indicated that the status of young women's mental health has been deteriorating in recent months and that young female workers were more likely to have experienced a job or income loss than any other group, suggesting adverse economic conditions surrounding them. Conclusions Continuous monitoring of mental health, particularly that of the most vulnerable populations identified in this study, and appropriate suicide prevention efforts are necessary during the COVID-19 pandemic.