Pediatric suicide attempts lagged during the COVID-19 pandemic: a European multicenter study

被引：3

作者：

Moscoso, Ana ^{[1
,2
]}

Cousien, Anthony ^{[3
,4
]}

Serra, Giulia ^{[5
]}

Erlangsen, Annette ^{[6
,7
,8
]}

Vila, Mar ^{[9
]}

Paradzik, Ljubica ^{[10
]}

Pires, Sandra ^{[11
]}

Villar, Francisco ^{[9
]}

Bogadi, Marija ^{[10
]}

da Silva, Pedro Caldeira ^{[11
]}

Vicari, Stefano ^{[5
,12
]}

Krantz, Mette Falkenberg ^{[6
]}

Delorme, Richard ^{[1
,2
,13
]}

机构：

[1] Robert Debre Hosp, AP HP, Child & Adolescent Psychiat Dept, 48 Blvd Serurier, F-75019 Paris 19, France

[2] Univ Paris Cite, 48,Blvd Serurie, F-75935 Paris 19, France

[3] Univ Sorbonne Paris Nord, Inserm, IAME, F-75018 Paris, France

[4] Univ Paris Cite, F-75018 Paris, France

[5] Bambino Gesu Pediat Hosp, IRCCS, Child & Adolescent Neuropsychiat Unit, Rome, Italy

[6] Danish Res Inst Suicide Prevent, Mental Hlth Ctr Copenhagen, Copenhagen, Denmark

[7] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Mental Hlth, Baltimore, MD USA

[8] Australian Natl Univ, Natl Ctr Epidemiol & Populat Hlth, Ctr Mental Hlth Res, Canberra, ACT, Australia

[9] Hosp Sant Joan Deu Barcelona, Child & Adolescent Mental Hlth Serv, Barcelona, Spain

[10] Psychiat Hosp Children & Youth, Zagreb, Croatia

[11] CHLC, Hosp D Estefania, Child & Adolescent Psychiat Dept, Lisbon, Portugal

[12] Catholic Univ, Dept Life Sci & Publ Hlth, Rome, Italy

[13] Copenhagen Univ Hosp, Copenhagen Res Ctr Mental Hlth CORE, Mental Hlth Ctr Copenhagen, Copenhagen, Denmark

来源：

CHILD AND ADOLESCENT PSYCHIATRY AND MENTAL HEALTH | 2024年 / 18卷 / 01期

关键词：

Suicide attempts; Children and adolescents; COVID-19 duration and severity; Oxford COVID-19 government response tracker (OxCGRT); EMERGENCY-DEPARTMENT VISITS; IDEATION; HEALTH; STATES;

D O I：

10.1186/s13034-024-00784-2

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

BackgroundElevated rates of suicidal behavior were reported during the COVID-19 pandemic. However, information is scarce on patients' profiles during this period. Studies evoke the potential adverse effects of the mandatory lockdown, but they remain relatively speculative.MethodsWe monitored fluctuations in suicide attempts (SA) in six European countries. We gathered data, retrospectively for under 18-year-old SA episodes (1 January 2018 to 31 December 2021), through records of psychiatric emergency services. We collected clinical profiles individually. We extracted environmental indicators by month, as provided by Oxford COVID-19 Government Response Tracker (OxCGRT). We used the Pruned Exact Linear Time (PELT) method to identify breakpoints in SA episodes reported for each country, and logistic regressions to estimate changes in patients' characteristics after the breakpoints. Finally, we used a univariate and multivariate negative binomial model to assess the link between SA and OxCGRT indicators, accounting for the delay (lag) between the interventions and their impact on SA.ResultsThe study comprised 2,833 children and adolescents (mean age = 15.1 years (SD 1.6); M: F sex-ratio = 1:5.4). A significant increase in SA was found either 6 or 10 months after the beginning of the pandemic, varying by country. Patients were more likely to be girls (aOR = 1.77 [1.34; 2.34]) and used SA methods "other than self-poisoning" (aOR = 1.34 [1.05; 1.7]). In the multivariate model, an association was found between SA and the contact tracing indicator with an 11 months delay, and the number of COVID-19 deaths with a 3-months delay.ConclusionsFindings confirmed a delayed increase in SA during the COVID-19 pandemic in children and adolescents as well as changes in patients' profiles. The duration and severity of the pandemic emerged as the strongest predictor in the rise of SA. If faced with a similar pandemic in the future, the gap between the onset of pandemic and the increase in suicide attempts presents an opportunity for prevention.

引用

页数：12

共 29 条

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