Suicide in the COVID-19 pandemic: What we learnt and great expectations

Courtet, P.; Olié, Émilie

doi:10.1016/j.euroneuro.2021.06.005

Cited by 11 publications

(4 citation statements)

References 12 publications

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“…There are many reports in the literature suggesting that the COVID‐19 outbreak triggered feelings of fear, worry, and stress, as responses to an extreme threat for the community and the individual with the general picture suggesting that more than 40% of the general population might experience high levels of anxiety or distress ( Fullana et al., 2020 ; Fullana and Littarelli, 2021 ; Gonda and Tarazi, 2021 ; Vinkers et al., 2020 ). The issue of increased suicidality as a consequence of extreme stress and depression has been raised again ( Courtet and Olie, 2021 ; Pompili, 2021 ). In addition, changes to social behavior, as well as working conditions, daily habits and routine have imposed secondary stress.…”

Section: Introductionmentioning

confidence: 99%

Results of the COVID-19 mental health international for the general population (COMET-G) study

Fountoulakis¹,

Karakatsoulis²,

Abraham

et al. 2022

European Neuropsychopharmacology

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Introduction There are few published empirical data on the effects of COVID‐19 on mental health, and until now, there is no large international study. Material and methods During the COVID-19 pandemic, an online questionnaire gathered data from 55,589 participants from 40 countries (64.85% females aged 35.80 ± 13.61; 34.05% males aged 34.90±13.29 and 1.10% other aged 31.64±13.15). Distress and probable depression were identified with the use of a previously developed cut-off and algorithm respectively. Statistical analysis Descriptive statistics were calculated. Chi-square tests, multiple forward stepwise linear regression analyses and Factorial Analysis of Variance (ANOVA) tested relations among variables. Results Probable depression was detected in 17.80% and distress in 16.71%. A significant percentage reported a deterioration in mental state, family dynamics and everyday lifestyle. Persons with a history of mental disorders had higher rates of current depression (31.82% vs. 13.07%). At least half of participants were accepting (at least to a moderate degree) a non-bizarre conspiracy. The highest Relative Risk (RR) to develop depression was associated with history of Bipolar disorder and self-harm/attempts (RR = 5.88). Suicidality was not increased in persons without a history of any mental disorder. Based on these results a model was developed. Conclusions The final model revealed multiple vulnerabilities and an interplay leading from simple anxiety to probable depression and suicidality through distress. This could be of practical utility since many of these factors are modifiable. Future research and interventions should specifically focus on them.

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Section: Introductionmentioning

confidence: 99%

Results of the COVID-19 mental health international for the general population (COMET-G) study

Fountoulakis¹,

Karakatsoulis²,

Abraham

et al. 2022

European Neuropsychopharmacology

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“…Conspiracy theories and maladaptive behaviors were also prevalent, compromising the public defense against the outbreak. The issue of increased suicidality as a consequence of extreme stress and depression has been raised again [25,84].…”

Section: Introductionmentioning

confidence: 99%

Results of the COVID-19 mental health international for the health professionals (COMET-HP) study: depression, suicidal tendencies and conspiracism

Fountoulakis

Karakatsoulis

Abraham

et al. 2023

Soc Psychiatry Psychiatr Epidemiol

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Introduction The current study aimed to investigate the rates of anxiety, clinical depression, and suicidality and their changes in health professionals during the COVID-19 outbreak. Extended author information available on the last page of the article Materials and methodsThe data came from the larger COMET-G study. The study sample includes 12,792 health professionals from 40 countries (62.40% women aged 39.76 ± 11.70; 36.81% men aged 35.91 ± 11.00 and 0.78% non-binary gender aged 35.15 ± 13.03). Distress and clinical depression were identified with the use of a previously developed cut-off and algorithm, respectively. Statistical analysis Descriptive statistics were calculated. Chi-square tests, multiple forward stepwise linear regression analyses, and Factorial Analysis of Variance (ANOVA) tested relations among variables. Results Clinical depression was detected in 13.16% with male doctors and 'non-binary genders' having the lowest rates (7.89 and 5.88% respectively) and 'non-binary gender' nurses and administrative staff had the highest (37.50%); distress was present in 15.19%. A significant percentage reported a deterioration in mental state, family dynamics, and everyday lifestyle. Persons with a history of mental disorders had higher rates of current depression (24.64% vs. 9.62%; p < 0.0001). Suicidal tendencies were at least doubled in terms of RASS scores. Approximately one-third of participants were accepting (at least to a moderate degree) a non-bizarre conspiracy. The highest Relative Risk (RR) to develop clinical depression was associated with a history of Bipolar disorder (RR = 4.23). Conclusions The current study reported findings in health care professionals similar in magnitude and quality to those reported earlier in the general population although rates of clinical depression, suicidal tendencies, and adherence to conspiracy theories were much lower. However, the general model of factors interplay seems to be the same and this could be of practical utility since many of these factors are modifiable.

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“…Studies have shown how lockdowns have triggered feelings of loneliness, irritability, restlessness and nervousness in the general population (13). Among the psychological consequences of social isolation and the pandemic, issues of suicidality and health care costs concerned emerged signi cantly (14,15).…”

Section: Introductionmentioning

confidence: 99%

Social isolation consequences: lessons from COVID-19 pandemic in a context of dynamic lock-down in Chile

Patrono,

Renzetti,

Guerini

et al. 2023

Preprint

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Background: Chile did not adopt general and unified lockdowns for the whole nation but organized itself with dynamic and sometimes irregular lockdowns. These dynamics and consequences of social isolation could be generalized to other contexts of isolation such as those affecting minorities such as immigrants, prisoners, refugees. Methods: In this study, we investigated the physical and mental health symptoms associated with lifestyle changes due to lockdown among university students in Chile. We examined psychopathological variations in relation to mental health problems in a healthy young population. Our goal was to develop interventions to address these new psychosocial problems in potentially comparable post-pandemic contexts. From May 10th 2021 to June 2th 2021, 420 University students took part in an anonymous survey asking for information on habits and symptoms that emerged during the lockdown in response to the COVID-19 pandemic. Three health outcomes were assessed: digestive disorders; headache; fear of COVID-19. Covariates including conditions and lifestyle during the pandemic, SARS-CoV-2 infections in the family, financial situation and productivity were considered in the analysis. Results: Participants experienced headache and fear of COVID-19 quite frequently during the lockdown period. More than half of the sample also experienced social isolation. Female gender, sleep quality, memory difficulties, and a change in eating habits resulted associated with an increased risk of health outcomes such as headaches and digestive disorders. Conclusions: The results of this study fit within an original pandemic context: The results of this study can help identify needs and promote solutions applicable to different contexts. Future interventions should focus on the promotion and implementation of healthy habits focused on sleep hygiene, psychoeducation on the use of mobile devices and gender medicine with the support of healthcare organizations and University.

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Suicide in the COVID-19 pandemic: What we learnt and great expectations

Cited by 11 publications

References 12 publications

Results of the COVID-19 mental health international for the general population (COMET-G) study

Results of the COVID-19 mental health international for the general population (COMET-G) study

Results of the COVID-19 mental health international for the health professionals (COMET-HP) study: depression, suicidal tendencies and conspiracism

Social isolation consequences: lessons from COVID-19 pandemic in a context of dynamic lock-down in Chile

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