Prevalence of mental disorders, suicidal ideation and suicides in the general population before and during the COVID-19 pandemic in Norway: A population-based repeated cross-sectional analysis.
Prevalence of mental disorders, suicidal ideation and suicides in the general population before and during the COVID-19 pandemic in Norway: A population-based repeated cross-sectional analysis.
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DOI：
10.1016/j.lanepe.2021.100071
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发表时间：
2021-05
期刊：
影响因子：
--
通讯作者：
Reneflot A
中科院分区：
文献类型：
--
作者：
Knudsen AKS;Stene-Larsen K;Gustavson K;Hotopf M;Kessler RC;Krokstad S;Skogen JC;Øverland S;Reneflot A
关于精神痛苦的自我报告数据表明，在COVID-19大流行期间，许多国家的人口精神健康状况恶化。2020年1月至9月，挪威进行了一项流行病学诊断精神病学访谈调查，比较了之前到不同大流行时期的精神障碍和自杀意念的流行情况。比较了2020年和2014-2018年间自杀死亡的发生率。通过重复概率抽样从特隆赫姆的Trøndelag健康研究（HUNT）中招募参与者。使用综合国际诊断访谈（CIDI 5.0） （n = 2154），在重复的横断面分析中检查当前精神障碍和自杀意念的患病率。从挪威死亡原因登记处检索了自杀死亡数据，并对2014-2018年和2020年3月至5月进行了比较。当前精神障碍患病率从大流行前（2020年1月28日至3月11日；15.3% (95% CI 12.4 - 18.8)）到第一次大流行期间（3月12日至5月31日；8.7%(6.8 - 11.0)）显著下降。大流行前和中期（6月1日至7月31日；14.2%(11.4 - 17.5)）和第二阶段（8月1日至9月18日；11.9%(9.0 - 15.6)）之间的流行率相似。在自杀意念或自杀死亡方面没有观察到显著差异。除了在第一次大流行期间精神障碍减少外，调查结果表明，与大流行前相比，在COVID-19大流行的头六个月，精神障碍、自杀意念和自杀死亡的水平保持稳定。将这些发现与其他研究结果进行比较，讨论了可能的方法和背景解释。没有。
Self-report data on mental distress indicate a deterioration of population mental health in many countries during the COVID-19 pandemic. A Norwegian epidemiological diagnostic psychiatric interview survey was conducted from January to September 2020, allowing for comparison of mental disorder and suicidal ideation prevalence from before through different pandemic periods. Prevalence of suicide deaths were compared between 2020 and 2014–2018. Participants from the Trøndelag Health Study (HUNT) in Trondheim were recruited through repeated probability sampling. Using the Composite International Diagnostic Interview (CIDI 5.0) (n = 2154), current prevalence of mental disorders and suicidal ideation was examined in repeated cross-sectional analyzes. Data on suicide deaths was retrieved from the Norwegian Cause of Death Registry and compared for the months March to May in 2014–2018 and 2020. Prevalence of current mental disorders decreased significantly from the pre-pandemic period (January 28th to March 11th 2020; 15•3% (95% CI 12•4–18•8)) to the first pandemic period (March 12th – May 31st; 8•7% (6•8–11•0)). Prevalences were similar between the pre-pandemic period and the interim (June 1st July 31st; 14•2% (11•4–17•5)) and second periods (August 1st-September 18th; 11•9% (9•0–15•6)). No significant differences were observed in suicidal ideation or in suicide deaths. Except for a decrease in mental disorders in the first pandemic period, the findings suggest stable levels of mental disorders, suicidal ideation and suicide deaths during the first six months of the COVID-19 pandemic compared to pre-pandemic levels. Potential methodological and contextual explanations of these findings compared with findings from other studies are discussed. None.
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