Suicide numbers during the first 9-15 months of the COVID-19 pandemic compared with pre-existing trends: An interrupted time series analysis in 33 countries

Detalhes bibliográficos
Autor(a) principal: Pirkis, Jane
Data de Publicação: 2022
Outros Autores: Gunnell, David, Shin, Sangsoo, Del Pozo-Banos, Marcos, Arya, Vikas, Aguilar, Pablo Analuisa, Appleby, Louis, Arafat, S. M. Yasir, Arensman, Ella, Ayuso-Mateos, Jose Luis, Balhara, Yatan Pal Singh, Bantjes, Jason, Baran, Anna, Behera, Chittaranjan, Bertolote, Jose [UNESP], Borges, Guilherme, Bray, Michael, Brečić, Petrana, Caine, Eric, Calati, Raffaella, Carli, Vladimir, Castelpietra, Giulio, Chan, Lai Fong, Chang, Shu-Sen, Colchester, David, Coss-Guzmán, Maria, Crompton, David, Ćurković, Marko, Dandona, Rakhi, De Jaegere, Eva, De Leo, Diego, Deisenhammer, Eberhard A., Dwyer, Jeremy, Erlangsen, Annette, Faust, Jeremy S., Fornaro, Michele, Fortune, Sarah, Garrett, Andrew, Gentile, Guendalina, Gerstner, Rebekka, Gilissen, Renske, Gould, Madelyn, Gupta, Sudhir Kumar, Hawton, Keith, Holz, Franziska, Kamenshchikov, Iurii, Kapur, Navneet, Kasal, Alexandr, Khan, Murad, Kirtley, Olivia J., Knipe, Duleeka, Kõlves, Kairi, Kölzer, Sarah C., Krivda, Hryhorii, Leske, Stuart, Madeddu, Fabio, Marshall, Andrew, Memon, Anjum, Mittendorfer-Rutz, Ellenor, Nestadt, Paul, Neznanov, Nikolay, Niederkrotenthaler, Thomas, Nielsen, Emma, Nordentoft, Merete, Oberlerchner, Herwig, O'Connor, Rory C., Papsdorf, Rainer, Partonen, Timo, Phillips, Michael R., Platt, Steve, Portzky, Gwendolyn, Psota, Georg, Qin, Ping, Radeloff, Daniel, Reif, Andreas, Reif-Leonhard, Christine, Rezaeian, Mohsen, Román-Vázquez, Nayda, Roskar, Saska, Rozanov, Vsevolod, Sara, Grant, Scavacini, Karen, Schneider, Barbara, Semenova, Natalia, Sinyor, Mark, Tambuzzi, Stefano, Townsend, Ellen, Ueda, Michiko, Wasserman, Danuta, Webb, Roger T., Winkler, Petr, Yip, Paul S.F., Zalsman, Gil, Zoja, Riccardo, John, Ann, Spittal, Matthew J.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNESP
Texto Completo: http://dx.doi.org/10.1016/j.eclinm.2022.101573
http://hdl.handle.net/11449/241459
Resumo: Background: Predicted increases in suicide were not generally observed in the early months of the COVID-19 pandemic. However, the picture may be changing and patterns might vary across demographic groups. We aimed to provide a timely, granular picture of the pandemic's impact on suicides globally. Methods: We identified suicide data from official public-sector sources for countries/areas-within-countries, searching websites and academic literature and contacting data custodians and authors as necessary. We sent our first data request on 22nd June 2021 and stopped collecting data on 31st October 2021. We used interrupted time series (ITS) analyses to model the association between the pandemic's emergence and total suicides and suicides by sex-, age- and sex-by-age in each country/area-within-country. We compared the observed and expected numbers of suicides in the pandemic's first nine and first 10-15 months and used meta-regression to explore sources of variation. Findings: We sourced data from 33 countries (24 high-income, six upper-middle-income, three lower-middle-income; 25 with whole-country data, 12 with data for area(s)-within-the-country, four with both). There was no evidence of greater-than-expected numbers of suicides in the majority of countries/areas-within-countries in any analysis; more commonly, there was evidence of lower-than-expected numbers. Certain sex, age and sex-by-age groups stood out as potentially concerning, but these were not consistent across countries/areas-within-countries. In the meta-regression, different patterns were not explained by countries’ COVID-19 mortality rate, stringency of public health response, economic support level, or presence of a national suicide prevention strategy. Nor were they explained by countries’ income level, although the meta-regression only included data from high-income and upper-middle-income countries, and there were suggestions from the ITS analyses that lower-middle-income countries fared less well. Interpretation: Although there are some countries/areas-within-countries where overall suicide numbers and numbers for certain sex- and age-based groups are greater-than-expected, these countries/areas-within-countries are in the minority. Any upward movement in suicide numbers in any place or group is concerning, and we need to remain alert to and respond to changes as the pandemic and its mental health and economic consequences continue. Funding: None.
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spelling Suicide numbers during the first 9-15 months of the COVID-19 pandemic compared with pre-existing trends: An interrupted time series analysis in 33 countriesCOVID-19MonitoringPandemicSuicideBackground: Predicted increases in suicide were not generally observed in the early months of the COVID-19 pandemic. However, the picture may be changing and patterns might vary across demographic groups. We aimed to provide a timely, granular picture of the pandemic's impact on suicides globally. Methods: We identified suicide data from official public-sector sources for countries/areas-within-countries, searching websites and academic literature and contacting data custodians and authors as necessary. We sent our first data request on 22nd June 2021 and stopped collecting data on 31st October 2021. We used interrupted time series (ITS) analyses to model the association between the pandemic's emergence and total suicides and suicides by sex-, age- and sex-by-age in each country/area-within-country. We compared the observed and expected numbers of suicides in the pandemic's first nine and first 10-15 months and used meta-regression to explore sources of variation. Findings: We sourced data from 33 countries (24 high-income, six upper-middle-income, three lower-middle-income; 25 with whole-country data, 12 with data for area(s)-within-the-country, four with both). There was no evidence of greater-than-expected numbers of suicides in the majority of countries/areas-within-countries in any analysis; more commonly, there was evidence of lower-than-expected numbers. Certain sex, age and sex-by-age groups stood out as potentially concerning, but these were not consistent across countries/areas-within-countries. In the meta-regression, different patterns were not explained by countries’ COVID-19 mortality rate, stringency of public health response, economic support level, or presence of a national suicide prevention strategy. Nor were they explained by countries’ income level, although the meta-regression only included data from high-income and upper-middle-income countries, and there were suggestions from the ITS analyses that lower-middle-income countries fared less well. Interpretation: Although there are some countries/areas-within-countries where overall suicide numbers and numbers for certain sex- and age-based groups are greater-than-expected, these countries/areas-within-countries are in the minority. Any upward movement in suicide numbers in any place or group is concerning, and we need to remain alert to and respond to changes as the pandemic and its mental health and economic consequences continue. Funding: None.Medical Research CouncilNational Natural Science Foundation of ChinaHealth and Care Research WalesFonds Wetenschappelijk OnderzoekUniverzita Karlova v PrazeCentre for Mental Health Melbourne School of Population and Global Health University of MelbourneNational Institute of Health Research Biomedical Research Centre University Hospitals Bristol and Weston NHS Foundation Trust University of BristolSwansea University Medical SchoolMinistry of Public Health Department of Health PromotionNational Confidential Inquiry into Suicide and Safety in Mental Health University of ManchesterDepartment of Psychiatry Enam Medical College and HospitalSchool of Public Health National Suicide Research Foundation University College CorkAustralian Institute for Suicide Research and Prevention School of Applied Psychology Griffith UniversityDepartment of Psychiatry Universidad Autonoma de Madrid Centre for Biomedical Research in Mental Health (CIBERSAM)National Drug Dependence Treatment Center and Department of Psychiatry All India Institute of Medical SciencesAlcohol Tobacco and Other Drug Research Unit South African Medical Research CouncilInstitute for Life Course Health Research Department of Global Health Stellenbosch UniversityWorking Group on Prevention of Suicide and Depression at Public Health Council Ministry of HealthDepartment of Medicine and Optometry Linnaeus UniversityDepartment of Psychiatry Blekinge HospitalDepartment of Forensic Medicine and Toxicology All India Institute of Medical SciencesDepartment of Neurology Psychology and Psychiatry Botucatu Medical School Universidade Estadual Paulista (UNESP)Department of Global Mental Health Instituto Nacional de Psiquiatría Ramon de la Fuente MuñizDepartment of Psychiatry and Behavioural Sciences Johns Hopkins University School of MedicineDepartment for Psychiatry University Psychiatric Hospital Vrapče School of Medicine University of ZagrebUniversity of Rochester Medical CenterDepartment of Psychology University of Milan-BicoccaDepartment of Psychiatry Nimes University HospitalNational Centre for Suicide Research and Prevention of Mental Ill-Health (NASP) Karolinska InstitutetRegion Friuli Venezia Giulia Central Health Directorate Outpatient and Inpatient Care ServiceDepartment of Psychiatry Faculty of Medicine National University of MalaysiaInstitute of Health Behaviors and Community Sciences College of Public Health National Taiwan UniversityThames Valley PolicePuerto Rico Department of Health's Commission on Suicide PreventionSchool of Applied Psychology Griffith UniversityDepartment for Medical Ethics University Psychiatric Hospital Vrapče School of Medicine University of ZagrebPublic Health Foundation of IndiaInstitute for Health Metrics and Evaluation University of WashingtonFlemish Centre of Expertise in Suicide Prevention Department of Head and Skin Ghent UniversityGriffith UniversityDepartment of Psychiatry Psychotherapy Psychosomatics and Medical Psychology University Hospital for Psychiatry 2 Medical University of InnsbruckCoroners Court of VictoriaDanish Research Institute for Suicide Prevention Mental Health Centre CopenhagenCopenhagen Research Centre for Mental HealthCentre for Mental Health Research Australian National UniversityDepartment of Mental Health Johns Hopkins Bloomberg School of Public HealthBrigham and Women's Hospital Department of Emergency Medicine Harvard Medical SchoolDepartment of Psychiatry Neuroscience Institute Federico II University of NaplesSchool of Population Health The University of AucklandCoronial Division Tasmanian Magistrates CourtInstitute of Forensic Medicine Department of Biomedical Sciences for Health University of MilanUndersecretary of Health Services Ministry of Public HealthMonitoring and Evaluation German Institute for Medical Mission113 Suicide Prevention Research DepartmentDepartments of Psychiatry and Epidemiology Columbia University Medical Center/New York State Psychiatric InstituteCentre for Suicide Research Department of Psychiatry University of OxfordInstitute of Legal Medicine University Hospital Frankfurt Goethe University FrankfurtUdmurtia Republican Clinical Psychiatric HospitalCentre for Mental Health and Safety and National Institute for Health Research (NIHR) Patient Safety Translational Research Centre University of ManchesterGreater Manchester Mental Health NHS Foundation TrustNational Institute of Mental HealthFaculty of Social Sciences Charles UniversityDepartment of Psychiatry Aga Khan UniversityKU Leuven Center for Contextual PsychiatryPopulation Health Sciences Bristol Medical School University of BristolDepartment of Forensic Medicine Odessa National Medical University, OdessaBrigham and Women's Hospital Harvard Medical SchoolDepartment of Primary Care and Public Health Brighton and Sussex Medical SchoolDivision of Insurance Medicine Department of Clinical Neuroscience Karolinska InstitutetBekhterev National Medical Research Center of Psychiatry and NeurologyPavlov First Saint Petersburg State Medical UniversityUnit Suicide Research and Mental Health Promotion Department of Social and Preventive Medicine Center for Public Health Medical University of ViennaSchool of Psychology University of NottinghamDepartment of Psychiatry and Psychotherapy Klinikum Klagenfurt am WörtherseeSuicidal Behaviour Research Lab Institute of Health and Wellbeing University of GlasgowDepartment of Child and Adolescent Psychiatry Psychotherapy and Psychosomatics University Hospital LeipzigDepartment of Public Health and Welfare Finnish Institute for Health and WelfareShanghai Mental Health Center Shanghai Jiao Tong University School of MedicineDepartments of Psychiatry and Epidemiology Columbia UniversityUsher Institute University of EdinburghPsychosocial Services in ViennaNational Centre for Suicide Research and Prevention Institute of Clinical Medicine University of OsloDepartment of Psychiatry Psychosomatic Medicine and Psychotherapy University Hospital Frankfurt - Goethe UniversityDepartment of Epidemiology and Biostatistics Occupational Environment Research Center Medical School Rafsanjan University of Medical SciencesNational Institute of Public HealthSaint Petersburg State UniversitySystem Information and Analytics Branch NSW Ministry of HealthInstituto Vita AlereLVR Klinik Köln Department of Addictive Disorders Psychiatry and PsychotherapyOrganizational-Scientific Department Bekhterev National Medical Research Center of Psychiatry and NeurologyDepartment of Psychiatry Sunnybrook Health Sciences CentreDepartment of Psychiatry University of TorontoWaseda University Faculty of Political Science and EconomicsHong Kong Jockey Club Centre for Suicide Research and Prevention Department of Social Work and Social Administration The University of Hong KongGeha Mental Health Center Sackler Faculty of Medicine Tel Aviv UniversityDepartment of Neurology Psychology and Psychiatry Botucatu Medical School Universidade Estadual Paulista (UNESP)National Natural Science Foundation of China: 81761128031Health and Care Research Wales: CA04Fonds Wetenschappelijk Onderzoek: FWO 1257821NUniverzita Karlova v Praze: GA UK 552119Univerzita Karlova v Praze: SVV 260 596University of MelbourneUniversity of BristolSwansea University Medical SchoolMinistry of Public HealthUniversity of ManchesterEnam Medical College and HospitalUniversity College CorkGriffith UniversityCentre for Biomedical Research in Mental Health (CIBERSAM)All India Institute of Medical SciencesSouth African Medical Research CouncilStellenbosch UniversityMinistry of HealthLinnaeus UniversityBlekinge HospitalUniversidade Estadual Paulista (UNESP)Instituto Nacional de Psiquiatría Ramon de la Fuente MuñizJohns Hopkins University School of MedicineSchool of Medicine University of ZagrebUniversity of Rochester Medical CenterUniversity of Milan-BicoccaNimes University HospitalKarolinska InstitutetOutpatient and Inpatient Care ServiceNational University of MalaysiaNational Taiwan UniversityThames Valley PolicePuerto Rico Department of Health's Commission on Suicide PreventionPublic Health Foundation of IndiaUniversity of WashingtonGhent UniversityMedical University of InnsbruckCoroners Court of VictoriaMental Health Centre CopenhagenCopenhagen Research Centre for Mental HealthAustralian National UniversityJohns Hopkins Bloomberg School of Public HealthHarvard Medical SchoolFederico II University of NaplesThe University of AucklandTasmanian Magistrates CourtUniversity of MilanGerman Institute for Medical MissionResearch DepartmentColumbia University Medical Center/New York State Psychiatric InstituteUniversity of OxfordGoethe University FrankfurtUdmurtia Republican Clinical Psychiatric HospitalGreater Manchester Mental Health NHS Foundation TrustNational Institute of Mental HealthCharles UniversityAga Khan UniversityCenter for Contextual PsychiatryOdessa National Medical UniversityBrighton and Sussex Medical SchoolBekhterev National Medical Research Center of Psychiatry and NeurologyPavlov First Saint Petersburg State Medical UniversityMedical University of ViennaUniversity of NottinghamKlinikum Klagenfurt am WörtherseeUniversity of GlasgowUniversity Hospital LeipzigFinnish Institute for Health and WelfareShanghai Jiao Tong University School of MedicineColumbia UniversityUniversity of EdinburghPsychosocial Services in ViennaUniversity of OsloUniversity Hospital Frankfurt - Goethe UniversityRafsanjan University of Medical SciencesNational Institute of Public HealthSaint Petersburg State UniversityNSW Ministry of HealthInstituto Vita AlerePsychiatry and PsychotherapySunnybrook Health Sciences CentreUniversity of TorontoFaculty of Political Science and EconomicsThe University of Hong KongTel Aviv UniversityPirkis, JaneGunnell, DavidShin, SangsooDel Pozo-Banos, MarcosArya, VikasAguilar, Pablo AnaluisaAppleby, LouisArafat, S. M. YasirArensman, EllaAyuso-Mateos, Jose LuisBalhara, Yatan Pal SinghBantjes, JasonBaran, AnnaBehera, ChittaranjanBertolote, Jose [UNESP]Borges, GuilhermeBray, MichaelBrečić, PetranaCaine, EricCalati, RaffaellaCarli, VladimirCastelpietra, GiulioChan, Lai FongChang, Shu-SenColchester, DavidCoss-Guzmán, MariaCrompton, DavidĆurković, MarkoDandona, RakhiDe Jaegere, EvaDe Leo, DiegoDeisenhammer, Eberhard A.Dwyer, JeremyErlangsen, AnnetteFaust, Jeremy S.Fornaro, MicheleFortune, SarahGarrett, AndrewGentile, GuendalinaGerstner, RebekkaGilissen, RenskeGould, MadelynGupta, Sudhir KumarHawton, KeithHolz, FranziskaKamenshchikov, IuriiKapur, NavneetKasal, AlexandrKhan, MuradKirtley, Olivia J.Knipe, DuleekaKõlves, KairiKölzer, Sarah C.Krivda, HryhoriiLeske, StuartMadeddu, FabioMarshall, AndrewMemon, AnjumMittendorfer-Rutz, EllenorNestadt, PaulNeznanov, NikolayNiederkrotenthaler, ThomasNielsen, EmmaNordentoft, MereteOberlerchner, HerwigO'Connor, Rory C.Papsdorf, RainerPartonen, TimoPhillips, Michael R.Platt, StevePortzky, GwendolynPsota, GeorgQin, PingRadeloff, DanielReif, AndreasReif-Leonhard, ChristineRezaeian, MohsenRomán-Vázquez, NaydaRoskar, SaskaRozanov, VsevolodSara, GrantScavacini, KarenSchneider, BarbaraSemenova, NataliaSinyor, MarkTambuzzi, StefanoTownsend, EllenUeda, MichikoWasserman, DanutaWebb, Roger T.Winkler, PetrYip, Paul S.F.Zalsman, GilZoja, RiccardoJohn, AnnSpittal, Matthew J.2023-03-01T21:04:17Z2023-03-01T21:04:17Z2022-09-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://dx.doi.org/10.1016/j.eclinm.2022.101573eClinicalMedicine, v. 51.2589-5370http://hdl.handle.net/11449/24145910.1016/j.eclinm.2022.1015732-s2.0-85135354142Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengeClinicalMedicineinfo:eu-repo/semantics/openAccess2024-08-16T15:46:03Zoai:repositorio.unesp.br:11449/241459Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-16T15:46:03Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false
dc.title.none.fl_str_mv Suicide numbers during the first 9-15 months of the COVID-19 pandemic compared with pre-existing trends: An interrupted time series analysis in 33 countries
title Suicide numbers during the first 9-15 months of the COVID-19 pandemic compared with pre-existing trends: An interrupted time series analysis in 33 countries
spellingShingle Suicide numbers during the first 9-15 months of the COVID-19 pandemic compared with pre-existing trends: An interrupted time series analysis in 33 countries
Pirkis, Jane
COVID-19
Monitoring
Pandemic
Suicide
title_short Suicide numbers during the first 9-15 months of the COVID-19 pandemic compared with pre-existing trends: An interrupted time series analysis in 33 countries
title_full Suicide numbers during the first 9-15 months of the COVID-19 pandemic compared with pre-existing trends: An interrupted time series analysis in 33 countries
title_fullStr Suicide numbers during the first 9-15 months of the COVID-19 pandemic compared with pre-existing trends: An interrupted time series analysis in 33 countries
title_full_unstemmed Suicide numbers during the first 9-15 months of the COVID-19 pandemic compared with pre-existing trends: An interrupted time series analysis in 33 countries
title_sort Suicide numbers during the first 9-15 months of the COVID-19 pandemic compared with pre-existing trends: An interrupted time series analysis in 33 countries
author Pirkis, Jane
author_facet Pirkis, Jane
Gunnell, David
Shin, Sangsoo
Del Pozo-Banos, Marcos
Arya, Vikas
Aguilar, Pablo Analuisa
Appleby, Louis
Arafat, S. M. Yasir
Arensman, Ella
Ayuso-Mateos, Jose Luis
Balhara, Yatan Pal Singh
Bantjes, Jason
Baran, Anna
Behera, Chittaranjan
Bertolote, Jose [UNESP]
Borges, Guilherme
Bray, Michael
Brečić, Petrana
Caine, Eric
Calati, Raffaella
Carli, Vladimir
Castelpietra, Giulio
Chan, Lai Fong
Chang, Shu-Sen
Colchester, David
Coss-Guzmán, Maria
Crompton, David
Ćurković, Marko
Dandona, Rakhi
De Jaegere, Eva
De Leo, Diego
Deisenhammer, Eberhard A.
Dwyer, Jeremy
Erlangsen, Annette
Faust, Jeremy S.
Fornaro, Michele
Fortune, Sarah
Garrett, Andrew
Gentile, Guendalina
Gerstner, Rebekka
Gilissen, Renske
Gould, Madelyn
Gupta, Sudhir Kumar
Hawton, Keith
Holz, Franziska
Kamenshchikov, Iurii
Kapur, Navneet
Kasal, Alexandr
Khan, Murad
Kirtley, Olivia J.
Knipe, Duleeka
Kõlves, Kairi
Kölzer, Sarah C.
Krivda, Hryhorii
Leske, Stuart
Madeddu, Fabio
Marshall, Andrew
Memon, Anjum
Mittendorfer-Rutz, Ellenor
Nestadt, Paul
Neznanov, Nikolay
Niederkrotenthaler, Thomas
Nielsen, Emma
Nordentoft, Merete
Oberlerchner, Herwig
O'Connor, Rory C.
Papsdorf, Rainer
Partonen, Timo
Phillips, Michael R.
Platt, Steve
Portzky, Gwendolyn
Psota, Georg
Qin, Ping
Radeloff, Daniel
Reif, Andreas
Reif-Leonhard, Christine
Rezaeian, Mohsen
Román-Vázquez, Nayda
Roskar, Saska
Rozanov, Vsevolod
Sara, Grant
Scavacini, Karen
Schneider, Barbara
Semenova, Natalia
Sinyor, Mark
Tambuzzi, Stefano
Townsend, Ellen
Ueda, Michiko
Wasserman, Danuta
Webb, Roger T.
Winkler, Petr
Yip, Paul S.F.
Zalsman, Gil
Zoja, Riccardo
John, Ann
Spittal, Matthew J.
author_role author
author2 Gunnell, David
Shin, Sangsoo
Del Pozo-Banos, Marcos
Arya, Vikas
Aguilar, Pablo Analuisa
Appleby, Louis
Arafat, S. M. Yasir
Arensman, Ella
Ayuso-Mateos, Jose Luis
Balhara, Yatan Pal Singh
Bantjes, Jason
Baran, Anna
Behera, Chittaranjan
Bertolote, Jose [UNESP]
Borges, Guilherme
Bray, Michael
Brečić, Petrana
Caine, Eric
Calati, Raffaella
Carli, Vladimir
Castelpietra, Giulio
Chan, Lai Fong
Chang, Shu-Sen
Colchester, David
Coss-Guzmán, Maria
Crompton, David
Ćurković, Marko
Dandona, Rakhi
De Jaegere, Eva
De Leo, Diego
Deisenhammer, Eberhard A.
Dwyer, Jeremy
Erlangsen, Annette
Faust, Jeremy S.
Fornaro, Michele
Fortune, Sarah
Garrett, Andrew
Gentile, Guendalina
Gerstner, Rebekka
Gilissen, Renske
Gould, Madelyn
Gupta, Sudhir Kumar
Hawton, Keith
Holz, Franziska
Kamenshchikov, Iurii
Kapur, Navneet
Kasal, Alexandr
Khan, Murad
Kirtley, Olivia J.
Knipe, Duleeka
Kõlves, Kairi
Kölzer, Sarah C.
Krivda, Hryhorii
Leske, Stuart
Madeddu, Fabio
Marshall, Andrew
Memon, Anjum
Mittendorfer-Rutz, Ellenor
Nestadt, Paul
Neznanov, Nikolay
Niederkrotenthaler, Thomas
Nielsen, Emma
Nordentoft, Merete
Oberlerchner, Herwig
O'Connor, Rory C.
Papsdorf, Rainer
Partonen, Timo
Phillips, Michael R.
Platt, Steve
Portzky, Gwendolyn
Psota, Georg
Qin, Ping
Radeloff, Daniel
Reif, Andreas
Reif-Leonhard, Christine
Rezaeian, Mohsen
Román-Vázquez, Nayda
Roskar, Saska
Rozanov, Vsevolod
Sara, Grant
Scavacini, Karen
Schneider, Barbara
Semenova, Natalia
Sinyor, Mark
Tambuzzi, Stefano
Townsend, Ellen
Ueda, Michiko
Wasserman, Danuta
Webb, Roger T.
Winkler, Petr
Yip, Paul S.F.
Zalsman, Gil
Zoja, Riccardo
John, Ann
Spittal, Matthew J.
author2_role author
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dc.contributor.none.fl_str_mv University of Melbourne
University of Bristol
Swansea University Medical School
Ministry of Public Health
University of Manchester
Enam Medical College and Hospital
University College Cork
Griffith University
Centre for Biomedical Research in Mental Health (CIBERSAM)
All India Institute of Medical Sciences
South African Medical Research Council
Stellenbosch University
Ministry of Health
Linnaeus University
Blekinge Hospital
Universidade Estadual Paulista (UNESP)
Instituto Nacional de Psiquiatría Ramon de la Fuente Muñiz
Johns Hopkins University School of Medicine
School of Medicine University of Zagreb
University of Rochester Medical Center
University of Milan-Bicocca
Nimes University Hospital
Karolinska Institutet
Outpatient and Inpatient Care Service
National University of Malaysia
National Taiwan University
Thames Valley Police
Puerto Rico Department of Health's Commission on Suicide Prevention
Public Health Foundation of India
University of Washington
Ghent University
Medical University of Innsbruck
Coroners Court of Victoria
Mental Health Centre Copenhagen
Copenhagen Research Centre for Mental Health
Australian National University
Johns Hopkins Bloomberg School of Public Health
Harvard Medical School
Federico II University of Naples
The University of Auckland
Tasmanian Magistrates Court
University of Milan
German Institute for Medical Mission
Research Department
Columbia University Medical Center/New York State Psychiatric Institute
University of Oxford
Goethe University Frankfurt
Udmurtia Republican Clinical Psychiatric Hospital
Greater Manchester Mental Health NHS Foundation Trust
National Institute of Mental Health
Charles University
Aga Khan University
Center for Contextual Psychiatry
Odessa National Medical University
Brighton and Sussex Medical School
Bekhterev National Medical Research Center of Psychiatry and Neurology
Pavlov First Saint Petersburg State Medical University
Medical University of Vienna
University of Nottingham
Klinikum Klagenfurt am Wörthersee
University of Glasgow
University Hospital Leipzig
Finnish Institute for Health and Welfare
Shanghai Jiao Tong University School of Medicine
Columbia University
University of Edinburgh
Psychosocial Services in Vienna
University of Oslo
University Hospital Frankfurt - Goethe University
Rafsanjan University of Medical Sciences
National Institute of Public Health
Saint Petersburg State University
NSW Ministry of Health
Instituto Vita Alere
Psychiatry and Psychotherapy
Sunnybrook Health Sciences Centre
University of Toronto
Faculty of Political Science and Economics
The University of Hong Kong
Tel Aviv University
dc.contributor.author.fl_str_mv Pirkis, Jane
Gunnell, David
Shin, Sangsoo
Del Pozo-Banos, Marcos
Arya, Vikas
Aguilar, Pablo Analuisa
Appleby, Louis
Arafat, S. M. Yasir
Arensman, Ella
Ayuso-Mateos, Jose Luis
Balhara, Yatan Pal Singh
Bantjes, Jason
Baran, Anna
Behera, Chittaranjan
Bertolote, Jose [UNESP]
Borges, Guilherme
Bray, Michael
Brečić, Petrana
Caine, Eric
Calati, Raffaella
Carli, Vladimir
Castelpietra, Giulio
Chan, Lai Fong
Chang, Shu-Sen
Colchester, David
Coss-Guzmán, Maria
Crompton, David
Ćurković, Marko
Dandona, Rakhi
De Jaegere, Eva
De Leo, Diego
Deisenhammer, Eberhard A.
Dwyer, Jeremy
Erlangsen, Annette
Faust, Jeremy S.
Fornaro, Michele
Fortune, Sarah
Garrett, Andrew
Gentile, Guendalina
Gerstner, Rebekka
Gilissen, Renske
Gould, Madelyn
Gupta, Sudhir Kumar
Hawton, Keith
Holz, Franziska
Kamenshchikov, Iurii
Kapur, Navneet
Kasal, Alexandr
Khan, Murad
Kirtley, Olivia J.
Knipe, Duleeka
Kõlves, Kairi
Kölzer, Sarah C.
Krivda, Hryhorii
Leske, Stuart
Madeddu, Fabio
Marshall, Andrew
Memon, Anjum
Mittendorfer-Rutz, Ellenor
Nestadt, Paul
Neznanov, Nikolay
Niederkrotenthaler, Thomas
Nielsen, Emma
Nordentoft, Merete
Oberlerchner, Herwig
O'Connor, Rory C.
Papsdorf, Rainer
Partonen, Timo
Phillips, Michael R.
Platt, Steve
Portzky, Gwendolyn
Psota, Georg
Qin, Ping
Radeloff, Daniel
Reif, Andreas
Reif-Leonhard, Christine
Rezaeian, Mohsen
Román-Vázquez, Nayda
Roskar, Saska
Rozanov, Vsevolod
Sara, Grant
Scavacini, Karen
Schneider, Barbara
Semenova, Natalia
Sinyor, Mark
Tambuzzi, Stefano
Townsend, Ellen
Ueda, Michiko
Wasserman, Danuta
Webb, Roger T.
Winkler, Petr
Yip, Paul S.F.
Zalsman, Gil
Zoja, Riccardo
John, Ann
Spittal, Matthew J.
dc.subject.por.fl_str_mv COVID-19
Monitoring
Pandemic
Suicide
topic COVID-19
Monitoring
Pandemic
Suicide
description Background: Predicted increases in suicide were not generally observed in the early months of the COVID-19 pandemic. However, the picture may be changing and patterns might vary across demographic groups. We aimed to provide a timely, granular picture of the pandemic's impact on suicides globally. Methods: We identified suicide data from official public-sector sources for countries/areas-within-countries, searching websites and academic literature and contacting data custodians and authors as necessary. We sent our first data request on 22nd June 2021 and stopped collecting data on 31st October 2021. We used interrupted time series (ITS) analyses to model the association between the pandemic's emergence and total suicides and suicides by sex-, age- and sex-by-age in each country/area-within-country. We compared the observed and expected numbers of suicides in the pandemic's first nine and first 10-15 months and used meta-regression to explore sources of variation. Findings: We sourced data from 33 countries (24 high-income, six upper-middle-income, three lower-middle-income; 25 with whole-country data, 12 with data for area(s)-within-the-country, four with both). There was no evidence of greater-than-expected numbers of suicides in the majority of countries/areas-within-countries in any analysis; more commonly, there was evidence of lower-than-expected numbers. Certain sex, age and sex-by-age groups stood out as potentially concerning, but these were not consistent across countries/areas-within-countries. In the meta-regression, different patterns were not explained by countries’ COVID-19 mortality rate, stringency of public health response, economic support level, or presence of a national suicide prevention strategy. Nor were they explained by countries’ income level, although the meta-regression only included data from high-income and upper-middle-income countries, and there were suggestions from the ITS analyses that lower-middle-income countries fared less well. Interpretation: Although there are some countries/areas-within-countries where overall suicide numbers and numbers for certain sex- and age-based groups are greater-than-expected, these countries/areas-within-countries are in the minority. Any upward movement in suicide numbers in any place or group is concerning, and we need to remain alert to and respond to changes as the pandemic and its mental health and economic consequences continue. Funding: None.
publishDate 2022
dc.date.none.fl_str_mv 2022-09-01
2023-03-01T21:04:17Z
2023-03-01T21:04:17Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1016/j.eclinm.2022.101573
eClinicalMedicine, v. 51.
2589-5370
http://hdl.handle.net/11449/241459
10.1016/j.eclinm.2022.101573
2-s2.0-85135354142
url http://dx.doi.org/10.1016/j.eclinm.2022.101573
http://hdl.handle.net/11449/241459
identifier_str_mv eClinicalMedicine, v. 51.
2589-5370
10.1016/j.eclinm.2022.101573
2-s2.0-85135354142
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv eClinicalMedicine
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.source.none.fl_str_mv Scopus
reponame:Repositório Institucional da UNESP
instname:Universidade Estadual Paulista (UNESP)
instacron:UNESP
instname_str Universidade Estadual Paulista (UNESP)
instacron_str UNESP
institution UNESP
reponame_str Repositório Institucional da UNESP
collection Repositório Institucional da UNESP
repository.name.fl_str_mv Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)
repository.mail.fl_str_mv
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