COVID-19-Related Factors Associated with Sleep Disturbance and Suicidal Thoughts among the Taiwanese Public: A Facebook Survey

Li, Dian‐Jeng; Ko, Nai Ying; Chen, Yi Lung; Wang, Peng Wei; Chang, Yu Ping; Yen, Cheng‐Fang; Lü, Wei

doi:10.3390/ijerph17124479

Cited by 116 publications

(120 citation statements)

References 31 publications

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“…For instance, online surveys showed a decrease in suicidal thoughts and intention during the pandemic; presentation at emergency departments due to suicidal ideation decreased , suicides in selective autopsy samples remained low 37 , and search engine users entered suicide-related terms less frequently [31][32][33]35 . However, the overall results are inhomogeneous, since other surveys indicate a high prevalence of suicidal thoughts during the pandemic, in particular under quarantine conditions 3,[38][39][40][41] .…”

Section: Discussionmentioning

confidence: 88%

Trends in suicide rates during the COVID-19 pandemic restrictions in a major German city

Radeloff

Papsdorf

Uhlig³

et al. 2020

Preprint

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Background It remains unclear whether the COVID-19 pandemic is having an impact on suicide rates. Social distancing, economic insecurity and increasing prevalence rates of mental disorders may cause an increase in risk factors for suicide. Methods Data on suicide events in a major city in Germany, and the corresponding life years were provided by the local authorities. For the year 2020, periods without restrictions on freedom of movement and social contact were compared with periods of moderate and severe COVID-19 restrictions. To avoid distortions due to seasonal fluctuations in suicide risk, data from 2020 were compared to data from 2010 to 2019. Outcomes A total of 333 suicides were registered and 2,791,131 life years (LY) were spent between 2010 and 2020. Of these, 42 suicides and 300,834 LY accounted for the year 2020. In 2020, suicide rates (SR, suicides per 100,000 LY) were lower in periods with moderate (SR = 8.5, X^2 = 4.374, p = 0.037) or severe COVID-19 restrictions (SR = 7.0, X^2 = 3.999, p = 0.046) compared with periods without restrictions (SR = 18.0). A comparison with preceding years showed that differences cannot be attributed to seasonal variations. No age- or gender differences were found. Interpretation SR decreased during the COVID-19 restrictions; we expect SR to rise in the medium term. Careful monitoring of SR in the further course of the COVID-19 crisis is therefore urgently needed. The findings have regional reference and should not be over-generalized. Funding This study was conducted without external funding.

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Section: Discussionmentioning

confidence: 88%

Trends in suicide rates during the COVID-19 pandemic restrictions in a major German city

Radeloff

Papsdorf

Uhlig³

et al. 2020

Preprint

View full text Add to dashboard Cite

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“…Such data also should include information from both the pre-COVID-19 period (to serve as the baseline samples) and the post-COVID-19 period. However, existing studies use readily available and convenient data that could easily generate biased insights: most studies rely on some measures on suicidality rather than suicide mortality [19][20][21][22][23][24] . Some compare suicidal behaviors using snapshot data during the pandemic with a lack of the pre-pandemic baseline samples 19,20,22,23 ; while others compare the whole suicide or suicidality trend before and after the pandemic, which might capture common time trend, seasonality, or temporal time shocks across individuals 21,24,25 .…”

Section: Introductionmentioning

confidence: 99%

Suicide during the COVID-19 pandemic in Japan

Tanaka

Okamoto

2020

Preprint

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Background The crisis induced by the COVID-19 pandemic has affected every aspect of life. Fear and anxiety about the infections, social isolation derived from the virus-containment measures, and the resulting economic disruption could deteriorate psychological health and exacerbate the suicidal risk. However, evidence linking the COVID-19 pandemic to suicide is limited. Methods We use suicide records from July 2016 to June 2020 covering the entire Japanese population (126 million) in 1,861 administrative units. We used difference-in-differences estimation to assess if the suicide rate changed during the pandemic, comparing suicide rates between 2016-2019 (control group) and 2020 (treatment group). Findings We found that the overall suicide rate declined by 13.5% after the outbreak and subsequent measures (i.e., school closure and the state of emergency). While it is evident that suicide rate dropped across all gender and age groups, the decline is more substantial among males (-11.9%) than females (-6.7%) and among those aged 20-69 years (-12.6%) than those aged below 20 years (-1.6%) and those aged over 70 years (-4.8%). Interpretation The government's generous subsidies and benefits for both households and enterprises and reduced distress from overwork potentially account for the sizable decline in the suicide rate, particularly among male adults. A smaller drop in the suicide rate among the elderly and females suggests that they might be more vulnerable to this pandemic. Fewer school sessions among students might have reduced suicide among children and adolescents.

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“…In addition to anxiety and depression symptoms, college students' suicidal ideation during the COVID-19 epidemic should also be concerned. Studies have shown that during the COVID-19 epidemic, the public has a high rate of suicidal ideation due to factors such as unemployment, home isolation, anxiety, depression, and insomnia symptoms [10,33,34]. But there have been no studies of college students.…”

Section: Discussionmentioning

confidence: 99%

Mental Health Problems and Related Factors in Chinese University Students During the COVID-19 Pandemic

Zhou¹,

Mo²,

Wang³

et al. 2020

Preprint

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Background: The coronavirus disease-2019 (COVID-19) pandemic is a serious threat to global public health, including a wide range of metal health problems. Current research focuses mainly on mental health status and related factors among Chinese university students during the COVID-19 pandemic.Methods: Data from 11133 participants was obtained through an online survey of university students in mainland China. Depressive and anxiety symptoms were assessed by the Patient Health Questionnaire-9 (PHQ-9), and the 7-item Generalized Anxiety Disorder Scale (GAD-7), respectively.Results: In total, 37.0% of the subjects were experiencing depressive symptoms, 24.9% anxiety symptoms, 20.9% comorbid depressive and anxiety symptoms, and 7.3% suicidal ideation. Multivariable logistic regression analysis revealed an increased presence of mental health problems in female students, graduate students, and those with personal COVID-19 exposure. Living with family and awareness of COVID-19 were protective factors against depressive and anxiety symptoms. In addition, male, depressive and anxiety symptoms were risk factors for suicidal ideation. Living with family, graduate students, prevention and control measures and projections of COVID-19 trends were protective factors against suicidal ideation.Conclusions: The findings underlined that the mental health of university students should be monitored, and provided important information for healthcare planning during the COVID-19 pandemic.

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COVID-19-Related Factors Associated with Sleep Disturbance and Suicidal Thoughts among the Taiwanese Public: A Facebook Survey

Cited by 116 publications

References 31 publications

Trends in suicide rates during the COVID-19 pandemic restrictions in a major German city

Trends in suicide rates during the COVID-19 pandemic restrictions in a major German city

Suicide during the COVID-19 pandemic in Japan

Mental Health Problems and Related Factors in Chinese University Students During the COVID-19 Pandemic

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