Increased suicidal ideation and suicide attempts in COVID-19 patients in the United States: Statistics from a large national insurance billing database.
Increased suicidal ideation and suicide attempts in COVID-19 patients in the United States: Statistics from a large national insurance billing database.
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DOI：
10.1016/j.psychres.2023.115164
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发表时间：
2023-05
影响因子：
11.3
通讯作者：
Nielson, Jessica L.
中科院分区：
文献类型：
--
作者：
Reinke, Michael;Falke, Chloe;Cohen, Ken;Anderson, David;Cullen, Kathryn R.;Nielson, Jessica L.
新的研究表明，在新冠肺炎大流行期间，自杀人数可能有所增加。这项横断面研究旨在通过一个大型保险数据库的新颖使用来促进对大流行期间自杀风险的理解。在SARS大流行期间(2020年3月至2021年9月)，我们使用跨时间点的Logistic回归方法，估计了暴露于SARS-CoV-2感染对感染人群与未感染对照人群的自杀意念和自杀企图的影响。在未感染的个体中，我们估计了大流行期间与大流行前控制期(2017年1月至2020年2月)接触对自杀率的影响。我们还调查了大流行期间自杀的时间模式。所有在这些时间间隔内在UnitedHealth Group索赔中有数据的患者都被包括在内。ICD-10编码定义了自杀测量。有525,312,717人(62.3%超过45岁，57.7%为女性)有过性行为。在大流行亚样本(32.8%)中，1.7%为COVID+。调整后的优势比显示，COVID+患者比COVID-患者更有可能有自杀意念和自杀企图。在COVID患者中，调整后的自杀几率在大流行期间与大流行前相比显著降低。不幸的是，由于缺乏自杀死亡的数据，结果受到限制。进一步的研究应该检查SARS-CoV-2感染如何影响自杀。
Emerging research suggests suicidality may have increased during the COVID-19 pandemic. This cross-sectional study aimed to advance understanding of suicide risk during the pandemic through novel use of a large insurance database. Using logistic regression across time-points, we estimated the effect of exposure to SARS-CoV-2 infection on rates of suicidal ideation and suicide attempts in infected individuals versus uninfected controls during the pandemic (March 2020 - September 2021). In uninfected individuals, we estimated the effect of exposure to the pandemic period versus the pre-pandemic control period (January 2017 to February 2020) on suicidality rates. We also investigated within-pandemic temporal patterns of suicidality. All patients with data in the UnitedHealth Group claims during those intervals were included. ICD-10 codes defined suicidality measures. There were 525,312,717 (62.3% over age 45, 57.7% female) included encounters. From the pandemic subsample (32.8%), 1.7% were COVID+. Adjusted odds ratios showed that COVID+ patients were significantly more likely to have suicidal ideation and suicide attempts than COVID- patients. Among COVID- patients, adjusted odds of suicidality were significantly lower during versus prior to the pandemic. Results were unfortunately limited by the absence of data on deaths by suicide. Further research should examine how SARS-CoV-2 infection may influence suicidality.
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影响因子：
13.8
作者：
Czeisler MÉ;Lane RI;Wiley JF;Czeisler CA;Howard ME;Rajaratnam SMW
通讯作者：
Rajaratnam SMW
影响因子：
64.3
作者：
Pirkis, Jane;John, Ann;Shin, Sangsoo;DelPozo-Banos, Marcos;Arya, Vikas;Analuisa-Aguilar, Pablo;Appleby, Louis;Arensman, Ella;Bantjes, Jason;Baran, Anna;Bertolote, Jose;Borges, Guilherme;Brecic, Petrana;Caine, Eric;Castelpietra, Giulio;Chang, Shu-Sen;Colchester, David;Crompton, David;Curkovic, Marko;Deisenhammer, Eberhard;Du, Chengan;Dwyer, Jeremy;Erlangsen, Annette;Faust, Jeremy;Fortune, Sarah;Garrett, Andrew;George, Devin;Gerstner, Rebekka;Gilissen, Renske;Gould, Madelyn;Hawton, Keith;Kanter, Joseph;Kapur, Navneet;Khan, Murad;Kirtley, Olivia;Knipe, Duleeka;Kolves, Kairi;Leske, Stuart;Marahatta, Kedar;Mittendorfer-Rutz, Ellenor;Neznanov, Nikolay;Niederkrotenthaler, Thomas;Nielsen, Emma;Nordentoft, Merete;Oberlerchner, Herwig;O'Connor, Rory;Pearson, Melissa;Phillips, Michael;Platt, Steve;Plener, Paul;Psota, Georg;Qin, Ping;Radeloff, Daniel;Rados, Christa;Reif, Andreas;Reif-Leonhard, Christine;Rozanov, Vsevolod;Schlang, Christiane;Schneider, Barbara;Semenova, Natalia;Sinyor, Mark;Townsend, Ellen;Ueda, Michiko;Vijayakumar, Lakshmi;Webb, Roger;Weerasinghe, Manjula;Zalsman, Gil;Gunnell, David;Spittal, Matthew
通讯作者：
Spittal, Matthew
影响因子：
4.6
作者：
Nochaiwong S;Ruengorn C;Thavorn K;Hutton B;Awiphan R;Phosuya C;Ruanta Y;Wongpakaran N;Wongpakaran T
通讯作者：
Wongpakaran T
DOI：
10.1016/j.lanepe.2021.100071
发表时间：
2021-05
期刊：
The Lancet regional health. Europe
影响因子：
--
作者：
Knudsen AKS;Stene-Larsen K;Gustavson K;Hotopf M;Kessler RC;Krokstad S;Skogen JC;Øverland S;Reneflot A
通讯作者：
Reneflot A
影响因子：
3.1
作者：
Kealy, David;Treeby, Matt S.;Rice, Simon M.
通讯作者：
Rice, Simon M.