Case 28-2021: A 37-Year-Old Woman with Covid-19 and Suicidal Ideation

North, Carol S.; Sorg, Emily; Youn, Soo Jeong; Chu, Jacqueline T.

doi:10.1056/nejmcpc2107350

Cited by 4 publications

(5 citation statements)

References 26 publications

(18 reference statements)

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“…Suicidal ideation have been reported in patients with COVID-19 during the acute phase 37. Our results show that suicide risk is also observed 4 months after COVID-19.…”

Section: Discussionsupporting

confidence: 65%

Comorbidity of long COVID and psychiatric disorders after a hospitalisation for COVID-19: a cross-sectional study

Gasnier

Choucha

Radiguer

et al. 2022

J Neurol Neurosurg Psychiatry

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ObjectivesLong COVID is a major public health issue. Whether long COVID is comorbid with psychiatric disorders remains unclear. Here, we investigate the association between long COVID, psychiatric symptoms and psychiatric disorders.DesignCross-sectional.SettingsBicêtre Hospital, France, secondary care.ParticipantsOne hundred seventy-seven patients admitted in intensive care unit during acute phase and/or reporting long COVID complaints were assessed 4 months after hospitalisation for an acute COVID.Main outcome measuresEight long COVID complaints were investigated: fatigue, respiratory and cognitive complaints, muscle weakness, pain, headache, paraesthesia and anosmia. The number of complaints, the presence/absence of each COVID-19 complaint as well as lung CT scan abnormalities and objective cognitive impairment) were considered. Self-reported psychiatric symptoms were assessed with questionnaires. Experienced psychiatrists assessed Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition-based diagnoses of psychiatric disorders.ResultsOne hundred and fifteen (65%) patients had at least one long COVID complaint. The number of long COVID complaints was associated with psychiatric symptoms. The number of long COVID complaints was higher in patients with psychiatric disorders (mean (m) (SD)=2.47 (1.30), p<0.05), new-onset psychiatric disorders (m (SD)=2.41 (1.32), p<0.05) and significant suicide risk (m (SD)=2.67 (1.32), p<0.05) than in patients without any psychiatric disorder (m (SD)=1.43 (1.48)). Respiratory complaints were associated with a higher risk of psychiatric disorder and new-onset psychiatric disorder, and cognitive complaints were associated with a higher risk of psychiatric disorder.ConclusionsLong COVID is associated with psychiatric disorders, new-onset psychiatric disorders and suicide risk. Psychiatric disorders and suicide risk should be systematically assessed in patients with long COVID.

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“…Suicidal ideation have been reported in patients with COVID-19 during the acute phase 37. Our results show that suicide risk is also observed 4 months after COVID-19.…”

Section: Discussionsupporting

confidence: 65%

Comorbidity of long COVID and psychiatric disorders after a hospitalisation for COVID-19: a cross-sectional study

Gasnier

Choucha

Radiguer

et al. 2022

J Neurol Neurosurg Psychiatry

View full text Add to dashboard Cite

show abstract

“…According to case reports, being infected with SARS-CoV-2 might be associated with suicidal ideation or self-harm (intentional nonfatal self-poisoning or self-injury). [1][2][3] Although large-scale studies of SARS-CoV-2 infection and self-harm are lacking, general infections have previously been linked to increased suicide risk. 4 Suicidal ideation could also arise during periods of SARS-CoV-2 infection-related distress, for instance after isolation, quarantine or experiences of trauma, which have been reported frequently by SARS-CoV-2-positive individuals.…”

mentioning

confidence: 99%

Association between SARS-CoV-2 infection and self-harm: Danish nationwide register-based cohort study

et al. 2023

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Background Case studies have linked SARS-CoV-2 infection to suicidal behaviour. However, conclusive evidence is lacking. Aims To examine whether a history of SARS-CoV-2 infection or SARS-CoV-2-related hospital admission was associated with self-harm in the general population and in high-risk groups. Method A cohort design was applied to nationwide data on all people aged ≥15 years and living in Denmark between 27 February 2020 and 15 October 2021. Exposure was identified as having had a positive SARS-CoV-2 PCR test, and further assessed as SARS-CoV-2-related hospital admission. Rates of probable self-harm were examined using adjusted incidence rate ratios (aIRRs). The following subgroups were identified: (a) lower educational level, (b) chronic medical conditions, (c) disability pension, (d) mental disorders, (e) substance use disorders, and history of (f) homelessness and (g) imprisonment. Results Among 4 412 248 included individuals, 260 663 (5.9%) had tested positive for SARS-CoV-2. Out of 5453 individuals presenting with self-harm, 131 (2.4%) had been infected. Individuals with a history of a positive SARS-CoV-2 test result had an aIRR for self-harm of 0.86 (95% CI 0.72–1.03) compared with those without. High rates were found after a SARS-CoV-2-related hospital admission (aIRR = 7.68; 95% CI 5.61–10.51) or a non-SARS-CoV-2-related admission (aIRR = 10.27; 95% CI 9.65–10.93) versus non-infected and not admitted. In sensitivity analyses with a more restrictive definition of self-harm, a positive PCR test was associated with lower rates of self-harm. Conclusions Individuals with a PCR-confirmed SARS-CoV-2 infection did not have higher rates of self-harm than those without. Hospital admission in general, rather than being SARS-CoV-2 positive. seemed to be linked to elevated rates of self-harm.

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“…Additionally, mothers have been reported to be highly stressed about their children becoming infected, 19 and we can imagine the greater stress that would be experienced by a mother infecting her child. It is quite understandable that a mother with a child would attempt suicide in the wake of COVID‐19 infection 20 …”

Section: Discussionmentioning

confidence: 99%

“…It is quite understandable that a mother with a child would attempt suicide in the wake of COVID-19 infection. 20 Another important point is the economic problems experienced by women. During the pandemic, jobs such as hospitality and food service were severely reduced.…”

Section: Discussionmentioning

confidence: 99%

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Remorse‐related suicide attempts among young mothers after COVID‐19 infection

et al. 2023

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Background: In Japan, there is a tendency to view COVID-19 infection as one's own responsibility, which may result in more feelings of guilt than in other countries. During the COVID-19 pandemic, the curfew imposed by COVID-19 restricted social behavior and increased anxiety and loneliness, which may have increased the risk of suicide among young women, especially mothers who were highly stressed regarding COVID-19 infection in their children.Case Presentation: This is a case report of two Japanese mothers who developed feelings of guilt following infection with COVID-19, leading to suicide attempts. They feared stigma or denial due to the infection, which they were unable to explain to others, leading to a heightened sense of self-blame and suicide attempts. In addition, Japanese women have a heavy burden of housework, despite their dual roles at home and at work; the pandemic's behavioral restrictions led to increased time at home and stress. These women were also more affected by the economic crisis in the early stages of the pandemic than men. Relatedly, neuropsychiatric symptoms that persisted after recovering from COVID-19, such as depression, anxiety, fatigue, and pain, namely postacute COVID-19 syndrome or long COVID, may have precipitated the suicidal ideation in these cases. Moreover, the complication of bipolar disorder by COVID-19 could have led to suicide attempts caused by infection-related neuropsychiatric symptoms and the exacerbation of the bipolar disorder by restrictions imposed during the pandemic. Conclusion:Suicide prevention measures need to be taken more seriously among mothers during or after the COVID-19 pandemic.

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Case 28-2021: A 37-Year-Old Woman with Covid-19 and Suicidal Ideation

Cited by 4 publications

References 26 publications

Comorbidity of long COVID and psychiatric disorders after a hospitalisation for COVID-19: a cross-sectional study

Comorbidity of long COVID and psychiatric disorders after a hospitalisation for COVID-19: a cross-sectional study

Association between SARS-CoV-2 infection and self-harm: Danish nationwide register-based cohort study

Remorse‐related suicide attempts among young mothers after COVID‐19 infection

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