Youth Suicide During the First Year of the COVID-19 Pandemic.

Youth Suicide During the First Year of the COVID-19 Pandemic.
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DOI:
10.1542/peds.2022-058375
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发表时间:
2023-03-01
期刊:
影响因子:
8
通讯作者:
Horowitz, Lisa M.
Horowitz, Lisa M.
中科院分区:
医学2区
文献类型:
--
作者:
Bridge, Jeffrey A.;Ruch, Donna A.;Sheftall, Arielle H.;Hahm, Hyeouk Chris;O'Keefe, Victoria M.;Fontanella, Cynthia A.;Brock, Guy;Campo, John V.;Horowitz, Lisa M.

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识别与冠状病毒病(新冠肺炎)大流行相关的青年自杀死亡的潜在差异变化,以更好地为自杀预防战略提供信息。这项横断面研究分析了2015至2020年间美国5至24岁青年的全国自杀数据。每年和每月的自杀人数都是按性别、年龄、种族和民族以及方法提取的。以新冠肺炎发生前(2015年1月1日-2020年2月29日)的月死亡人数趋势为模型,采用拟泊松回归的间断时间序列分析方法对自杀预期死亡人数进行建模。使用比率比(RR)和相应的95%可信区间(CI)来比较新冠肺炎的前10个月(2020年3月1日至2020年12月31日)预期和观察到的自杀人数。在2020年大流行期间确定的5568名青年自杀者中,男性4408人(79.2%),西班牙裔1009人(18.1%),非西班牙裔印第安人/阿拉斯加原住民170人(3.3%),亚洲/太平洋岛民262人(4.7%),黑人801人(14.4%),白人3321人(59.6%)。在新冠肺炎大流行期间,观察到的青少年自杀总人数显著高于预期(RR=1.04,95%CI=1.01-1.07),相当于估计多死亡212人。人口学亚组包括男性(RR=1.05,95%CI=1.02-1.08),5-12岁青年(RR=1.20,95%CI=1.03-1.41)和18-24岁(RR=1.05,95%CI=1.02-1.08),非西班牙裔AI/AN青年(RR=1.20,95%CI=1.03-1.39),黑人青年(RR=1.20,95%CI=1.12-1.29),持枪自杀的青年(RR=1.14,95%CI=1.10~1.19)明显高于预期。新冠肺炎期间,美国年轻人的自杀死亡人数有所增加,自杀人数因性别、年龄、种族和民族以及自杀方式的不同而有很大差异。必须调整自杀预防战略,以更好地解决青年自杀风险方面的差异。
To identify potential differential changes in youth suicide deaths associated with the coronavirus disease (COVID-19) pandemic to better inform suicide prevention strategies. This cross-sectional study analyzed national suicide data for US youth aged 5 to 24 years from 2015 to 2020. Annual and monthly numbers of suicides were extracted overall and by sex, age, race and ethnicity, and method. Expected suicides were modeled from the trend in monthly deaths before COVID-19 (January 1, 2015–February 29, 2020), by using interrupted time-series analyses with quasi-Poisson regression. Rate ratios (RR) and corresponding 95% confidence intervals (CI) were used to compare expected and observed suicides during the first 10 months of COVID-19 (March 1, 2020–December 31, 2020). Among 5568 identified youth suicides during the 2020 pandemic, 4408 (79.2%) were male, 1009 (18.1%) Hispanic, 170 (3.3%) non-Hispanic American Indian/Alaska Native, 262 (4.7%) Asian/Pacific Islander, 801 (14.4%) Black, and 3321 (59.6%) white. There was a significant increase in overall observed versus expected youth suicides during the COVID-19 pandemic (RR = 1.04, 95% CI = 1.01–1.07), equivalent to an estimated 212 excess deaths. Demographic subgroups including males (RR = 1.05, 95% CI = 1.02–1.08), youth aged 5 to 12 years (RR = 1.20, 95% CI = 1.03–1.41) and 18 to 24 years (RR = 1.05, 95% CI = 1.02–1.08), non-Hispanic AI/AN youth (RR = 1.20, 95% CI = 1.03–1.39), Black youth (RR = 1.20, 95% CI = 1.12–1.29), and youth who died by firearms (RR = 1.14, 95% CI = 1.10–1.19) experienced significantly more suicides than expected. Suicide deaths among US youth increased during COVID-19, with substantial variation by sex, age, race and ethnicity, and suicide method. Suicide prevention strategies must be tailored to better address disparities in youth suicide risk.
抑郁,焦虑和大流行经历的轨迹; 2020年春夏期间,一项纽约青年的纵向研究。
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发表时间: 2018-04
期刊: Journal of child psychology and psychiatry, and allied disciplines
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影响因子: 11.1
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