Suicide spectrum among young people during the COVID-19 pandemic: A systematic review and meta-analysis

Bersia, Michela; Koumantakis, E; Berchialla, Paola; Charrier, Lorena; Ricotti, Andrea; Grimaldi, Piercesare; Dalmasso, Paola; Comoretto, Rosanna Irene

doi:10.1016/j.eclinm.2022.101705

Cited by 52 publications

(50 citation statements)

References 123 publications

(214 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The COVID-19 pandemic came with an increase of young people admitted in EDs for psychological suffering and psychiatric symptoms ( Cousien et al, 2021 ; Santé Publique France, 2022 ; World Health Organisation, 2022 ), and more particularly adolescents in suicidal crisis ( Bersia et al, 2022 ). Leeb et al (2020) described a 31% increase in the proportion of 12-17’s mental health-related visits in US Eds in 2020 ( Leeb et al, 2020 ).…”

Section: Discussionmentioning

confidence: 99%

A retrospective cohort study comparing the social, familial and clinical characteristics of adolescents admitted to a French Emergency Department in suicidal crisis before and during the COVID-19 pandemic

LAUWERIE

SIBUT

MAILLET-VIOUD

et al. 2023

Psychiatry Research

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

A retrospective cohort study comparing the social, familial and clinical characteristics of adolescents admitted to a French Emergency Department in suicidal crisis before and during the COVID-19 pandemic

LAUWERIE

SIBUT

MAILLET-VIOUD

et al. 2023

Psychiatry Research

View full text Add to dashboard Cite

“…After synthesizing three studies, Prati et al [ 19 ] found that the effect of the COVID-19 lockdown on suicide risk among the general population was not significant. Another meta-analysis [ 20 ] also indicated that the prevalence of suicidal behaviors and suicidal ideation did not increase significantly among youth from the general population and emergency department. In contrast, a living systematic review that included studies up to October 2020 found that the prevalence of suicidal ideation increased among COVID-19 patients, despite the fact that suicidal presentations in hospitals decreased [ 21 ].…”

Section: Introductionmentioning

confidence: 99%

Suicide before and during the COVID-19 Pandemic: A Systematic Review with Meta-Analysis

Yan

Hou

et al. 2023

IJERPH

View full text Add to dashboard Cite

Synthesizing evidence to examine changes in suicide-related outcomes before and during the pandemic can inform suicide management during the COVID-19 crisis. We searched 13 databases as of December 2022 for studies reporting both the pre- and peri-pandemic prevalence of suicidal ideation, suicide attempts, or rate of death by suicide. A random-effects model was used to pool the ratio of peri- and pre-pandemic prevalence of suicidal ideation and attempt (Prevalence Ratio—PR) and rate of death by suicide (Rate Ratio; RR). We identified 51, 55, and 25 samples for suicidal ideation, attempt, and death by suicide. The prevalence of suicidal ideation increased significantly among non-clinical (PR = 1.142; 95% CI: 1.018–1.282; p = 0.024; k = 28) and clinical (PR = 1.134; 95% CI: 1.048–1.227; p = 0.002; k = 23) samples, and pooled estimates differed by population and study design. Suicide attempts were more prevalent during the pandemic among non-clinical (PR = 1.14; 95% CI: 1.053–1.233; p = 0.001; k = 30) and clinical (PR = 1.32; 95% CI: 1.17–1.489; p = 0.000; k = 25) participants. The pooled RR for death by suicide was 0.923 (95% CI: 0.84–1.01; p = 0.092; k = 25), indicating a nonsignificant downward trend. An upward trend of suicidal ideation and suicide attempts was observed during the COVID-19 pandemic, despite suicide rate remaining stable. Our findings suggest that timely prevention and intervention programs are highly needed for non-clinical adult population and clinical patients. Monitoring the real-time and long-run suicide risk as the pandemic evolves is warranted.

show abstract

“…Further, since increased anxiety, sadness and contamination avoidance during COVID-19 would be expected and not necessarily indicative of a need for clinical attention among Canadians, we also required the presence of symptom-related impairment, using a more conservative approach than many early pandemic studies [ 20 ]. Suicide attempts during COVID-19 were also included, given pandemic associated risk [ 6 ], interconnections with psychiatric illness [ 38 , 70 ] and associated mortality risk [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

“…2017, unless noted. See Additional file 3 for further details re: characteristics and references for Canadian statistics 2 %Lesbian/Gay/Bisexual (2015-2018) 15-24 year= 6.4%; 25-64 year = 3.1% 3 % Indicating not being a visible minority 4 % Immigrants among < 15 year = 8.3%; 15 year + = 21.9% 5 < 15 year = 10.9%; 15-19 year = 4.6%6 Includes psychiatric and substance disorders7 15-25 y = 12%; 45-65 year = 2% 8 0-18 y = 22%; > 19 year…”

mentioning

confidence: 99%

Age-specific determinants of psychiatric outcomes after the first COVID-19 wave: baseline findings from a Canadian online cohort study

Ågren

Best

Selles

et al. 2023

Child Adolesc Psychiatry Ment Health

View full text Add to dashboard Cite

Background Canadians endured unprecedented mental health (MH) and support access challenges during the first COVID-19 wave. Identifying groups of individuals who remain at risk beyond the acute pandemic phase is key to guiding systemic intervention efforts and policy. We hypothesized that determinants of three complementary, clinically actionable psychiatric outcomes would differ across Canadian age groups. Methods The Personal Impacts of COVID-19 Survey (PICS) was iteratively developed with stakeholder feedback, incorporating validated, age-appropriate measures. Baseline, cross-sectional online data collected between November 2020-July 2021 was used in analyses. Age group-specific determinants were sought for three key baseline MH outcomes: (1) current probable depression, generalized anxiety disorder, obsessive–compulsive disorder and/or suicide attempt during COVID-19, (2) increased severity of any lifetime psychiatric diagnosis, and (3) inadequate MH support access during COVID-19. Multivariable logistic regression models were constructed for children, youth (self- and parent-report), young adults (19–29 years) and adults over 29 years, using survey type as a covariate. Statistical significance was defined by 95% confidence interval excluding an odds ratio of one. Results Data from 3140 baseline surveys were analyzed. Late adolescence and early adulthood were identified as life phases with the worst MH outcomes. Poverty, limited education, home maker/caregiver roles, female and non-binary gender, LGBTQ2S + status and special educational, psychiatric and medical conditions were differentially identified as determinants across age groups. Interpretation Negative psychiatric impacts of COVID-19 on Canadians that include poor access to MH support clearly persisted beyond the first wave, widening pre-existing inequity gaps. This should guide policy makers and clinicians in current and future prioritization efforts.

show abstract

Suicide spectrum among young people during the COVID-19 pandemic: A systematic review and meta-analysis

Cited by 52 publications

References 123 publications

A retrospective cohort study comparing the social, familial and clinical characteristics of adolescents admitted to a French Emergency Department in suicidal crisis before and during the COVID-19 pandemic

A retrospective cohort study comparing the social, familial and clinical characteristics of adolescents admitted to a French Emergency Department in suicidal crisis before and during the COVID-19 pandemic

Suicide before and during the COVID-19 Pandemic: A Systematic Review with Meta-Analysis

Age-specific determinants of psychiatric outcomes after the first COVID-19 wave: baseline findings from a Canadian online cohort study

Contact Info

Product

Resources

About