Suicidal ideation and suicide attempts in psychiatric patients during the COVID-19: A systematic review and meta-analysis

Zhu, Yingqian; Li, Yanqing; Xu, Xiuqun

doi:10.1016/j.psychres.2022.114837

Cited by 11 publications

(6 citation statements)

References 65 publications

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“… 32 In addition, the prevalence of SI was 20.4% in psychiatric patients during the COVID-19 pandemic as indicated by a meta-analysis. 36 Two recent surveys in Iran (2021) reported that the prevalence of SI was 20.8% among adults aged over 18 years in Qazvin using PHQ-9, and 8.6% in older adults aged over 60 years in Shiraz (using the Suicide-Screening Questionnaire (ASQ)). 15 , 16 Shiraz and Kerman are located in southwestern Iran and have many social and cultural similarities.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and Risk Factors for Suicidal Ideation Following the COVID-19 Pandemic in Kerman Province: A Cross-Sectional Study

Pouradeli,

Ahmadinia,

Rezaeian

2023

Arch Iran Med

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Background: Suicidal ideation (SI) serves as an important predictor of suicide. The prevalence of SI has increased following the COVID-19 pandemic. This study aims to investigate the prevalence and risk factors associated with SI after the pandemic in the Kerman province. Methods: This cross-sectional study was conducted in 23 counties of the Kerman province between 2021 and 2022. The Beck Scale for Suicidal Ideation (BSSI) was utilized to estimate SI, while multiple logistic regression analysis was employed to examine the impact of various variables on SI. Results: A total of 1421 individuals (47.7% men, 50.0% women and 2.3% unknown) with an average age of 35.17±9.47 years participated in this study. The estimated prevalence rate of SI was 9.2%, with variations ranging from 0% to 42% across different counties. Individuals with SI exhibited a significantly younger mean age and fewer family members. Furthermore, SI was significantly more prevalent among single participants, unemployed individuals, students, those with a history of mental illness, prior psychiatric medication use, and previous SI. Employed individuals had 87% lower odds of experiencing SI compared to the unemployed. Individuals with a history of prior SI had 239 times higher odds of SI than those without such a history. Additionally, each year increase in age corresponded to an 8.8% decrease in the odds of SI. Conclusion: The high prevalence of SI is concerning, and it is essential to remain vigilant regarding its health and social consequences as the pandemic continues. Therefore, it is imperative to provide enhanced mental health services, particularly targeting at-risk groups.

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Section: Discussionmentioning

confidence: 99%

Prevalence and Risk Factors for Suicidal Ideation Following the COVID-19 Pandemic in Kerman Province: A Cross-Sectional Study

Pouradeli,

Ahmadinia,

Rezaeian

2023

Arch Iran Med

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“…confinement, social isolation, or closure of non-essential activities) and self-harm behaviors in vulnerable populations ( Farooq et al 2021 ; Chauvet-Gelinier et al 2022 ). In addition, a meta-analysis of studies conducted between 1910 and 2020, including the SARS-Cov-2 pandemic, showed that the link between historical epidemics and suicidal behavior did not appear to be strong, but also highlighted the lack of qualitative and quantitative data on the issue ( Rogers et al 2021 ; Zhu, Li, et Xu 2022 ). Thus, it must be acknowledged that little is known about the possible direct effect of SARS-CoV-2 infection on suicidal behaviors that may occur in the months following admission to hospital with SARS-CoV-2.…”

Section: Introductionmentioning

confidence: 99%

Risk of hospitalization for self-harm among adults hospitalized with SARS-CoV-2 in France: A nationwide retrospective cohort study

Chauvet-Gélinier¹,

Cottenet²,

GUILLAUME³

et al. 2023

Psychiatry Research

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“… 10 Extant literature has demonstrated rapid reductions in emergency department (ED) utilization for mental health services over the course of the pandemic, 11 , 12 , 13 , 14 , 15 , 16 but substantial variation in the magnitude of change has been observed. 11 , 12 , 15 , 16 No changes have been observed for suicide mortality, 17 but meta-analytic studies 18 , 19 , 20 , 21 , 22 , 23 , 24 suggest increases in self-reported incidence and mixed evidence of changes in ED visits for suicidal ideation and self-harm, whereas reductions in ED utilization have been reported for mood disorders. 11 , 12 , 14 , 16 Less understood, however, is how health care service utilization has changed for one of the most severe mental illnesses: schizophrenia spectrum disorders.…”

Section: Introductionmentioning

confidence: 99%

ED Visits for Schizophrenia Spectrum Disorders During the COVID-19 Pandemic at 5 Campus Health Systems

Singh,

Nawaz,

Seiber

et al. 2023

JAMA Netw Open

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ImportanceAlthough substantial research has reported grave population-level psychiatric sequelae of the COVID-19 pandemic, evidence pertaining to temporal changes in schizophrenia spectrum disorders in the US following the pandemic remains limited.ObjectiveTo examine the monthly patterns of emergency department (ED) visits for schizophrenia spectrum disorders after the onset of the COVID-19 pandemic.Design, Setting, and ParticipantsThis observational cohort study used time-series analyses to examine whether monthly counts of ED visits for schizophrenia spectrum disorders across 5 University of California (UC) campus health systems increased beyond expected levels during the COVID-19 pandemic. Data included ED visits reported by the 5 UC campuses from 2016 to 2021. Participants included persons who accessed UC Health System EDs had a diagnosis of a psychiatric condition. Data analysis was performed from March to June 2023.ExposuresThe exposures were binary indicators of initial (March to May 2020) and extended (March to December 2020) phases of the COVID-19 pandemic.Main Outcomes and MeasuresThe primary outcome was monthly counts of ED visits for schizophrenia spectrum disorders. International Statistical Classification of Diseases and Related Health Problems, Tenth Revision diagnosis codes, categorized within Clinical Classification Software groups, were used to identify ED visits for schizophrenia spectrum disorders and all other psychiatric ED visits, from the University of California Health Data Warehouse database, from January 2016 to December 2021. Time-series analyses controlled for autocorrelation, seasonality, and concurrent trends in ED visits for all other psychiatric conditions.ResultsThe study data comprised a total of 377 872 psychiatric ED visits, with 37 815 visits for schizophrenia spectrum disorders. The prepandemic monthly mean (SD) number of ED visits for schizophrenia spectrum disorders was 519.9 (38.1), which increased to 558.4 (47.6) following the onset of the COVID-19 pandemic. Results from time series analyses, controlling for monthly counts of ED visits for all other psychiatric conditions, indicated 70.5 additional ED visits (95% CI, 11.7-129.3 additional visits; P = .02) for schizophrenia spectrum disorders at 1 month and 74.9 additional visits (95% CI, 24.0-126.0 visits; P = .005) at 3 months following the initial phase of the COVID-19 pandemic in California.Conclusions and RelevanceThis study found a 15% increase in ED visits for schizophrenia spectrum disorders within 3 months after the initial phase of the pandemic in California across 5 UC campus health systems, underscoring the importance of social policies related to future emergency preparedness and the need to strengthen mental health care systems.

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Suicidal ideation and suicide attempts in psychiatric patients during the COVID-19: A systematic review and meta-analysis

Cited by 11 publications

References 65 publications

Prevalence and Risk Factors for Suicidal Ideation Following the COVID-19 Pandemic in Kerman Province: A Cross-Sectional Study

Prevalence and Risk Factors for Suicidal Ideation Following the COVID-19 Pandemic in Kerman Province: A Cross-Sectional Study

Risk of hospitalization for self-harm among adults hospitalized with SARS-CoV-2 in France: A nationwide retrospective cohort study

ED Visits for Schizophrenia Spectrum Disorders During the COVID-19 Pandemic at 5 Campus Health Systems

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