Prevalence of mental disorders, suicidal ideation and suicides in the general population before and during the COVID-19 pandemic in Norway: A population-based repeated cross-sectional analysis

被引:81
作者
Knudsen, Ann Kristin Skrindo [1 ]
Stene-Larsen, Kim [2 ]
Gustavson, Kristin [3 ,4 ]
Hotopf, Matthew [5 ,6 ]
Kessler, Ronald C. [7 ]
Krokstad, Steinar [8 ,9 ]
Skogen, Jens Christoffer [10 ,11 ,12 ]
Overland, Simon [1 ]
Reneflot, Anne [2 ]
机构
[1] Norwegian Inst Publ Hlth, Ctr Dis Burden, Zander Kaaes Gate 7,POB 973 Sentrum,5-5808, N-5015 Bergen, Norway
[2] Norwegian Inst Publ Hlth, Dept Mental Hlth & Suicide, Marcus Thranes Gate 6, N-0473 Oslo, Norway
[3] Univ Oslo, PROMENTA Res Ctr, Dept Psychol, N-0317 Oslo, Norway
[4] Norwegian Inst Publ Hlth, Dept Mental Disorders, Marcus Thranes Gate 6, N-0473 Oslo, Norway
[5] Kings Coll London, Inst Psychiat Psychol & Neurosci, Dept Psychol Med, 16 De Crespigny Pk, London SE5 8AF, England
[6] South London & Maudsley NHS Fdn Trust, Biomed Res Ctr, 16 De Crespigny Pk, London SE5 8AF, England
[7] Harvard Med Sch, Dept Hlth Care Policy, 180 Longwood Ave, Boston, MA 02115 USA
[8] Norwegian Univ Sci & Technol, Dept Publ Hlth & Nursing, HUNT Res Ctr, Forskningsvegen 2, N-7600 Levanger, Norway
[9] Nord Trondelag Hosp Trust, Levanger Hosp, Kirkegata 2, N-7600 Levanger, Norway
[10] Norwegian Inst Publ Hlth, Dept Hlth Promot, Zander Kaaes Gate 7, N-5015 Bergen, Norway
[11] Stavanger Univ Hosp, Ctr Alcohol & Drug Res, N-4010 Stavanger, Norway
[12] Univ Stavanger, Fac Hlth Sci, Dept Publ Hlth, N-4021 Stavanger, Norway
来源
LANCET REGIONAL HEALTH-EUROPE | 2021年 / 4卷
基金
英国医学研究理事会; 英国经济与社会研究理事会;
关键词
COVID-19; Mental disorders; Suicidality; Suicides; Prevalence; General population; Epidemiological survey; Diagnostic interview; HEALTH; VERSION; CIDI; CARE;
D O I
10.1016/j.lanepe.2021.100071
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background: Self-report data on mental distress indicate a deterioration of population mental health in many countries during the COVID-19 pandemic. A Norwegian epidemiological diagnostic psychiatric interview survey was conducted from January to September 2020, allowing for comparison of mental disorder and suicidal ideation prevalence from before through different pandemic periods. Prevalence of suicide deaths were compared between 2020 and 2014-2018. Methods: Participants from the Trondelag Health Study (HUNT) in Trondheim were recruited through repeated probability sampling. Using the Composite International Diagnostic Interview (CIDI 5.0) (n = 2154), current prevalence of mental disorders and suicidal ideation was examined in repeated cross-sectional analyzes. Data on suicide deaths was retrieved from the Norwegian Cause of Death Registry and compared for the months March to May in 2014-2018 and 2020. Findings: Prevalence of current mental disorders decreased significantly from the pre-pandemic period (January 28th to March 11th 2020; 15-3% (95% CI 12-4-18-8)) to the first pandemic period (March 12th -May 31st; 8-7% (6-8-11-0)). Prevalences were similar between the pre-pandemic period and the interim (June 1st July 31st; 14-2% (11-4-17-5)) and second periods (August 1st-September 18th; 11-9% (9-0-15-6)). No significant differences were observed in suicidal ideation or in suicide deaths. Interpretation: Except for a decrease in mental disorders in the first pandemic period, the findings suggest stable levels of mental disorders, suicidal ideation and suicide deaths during the first six months of the COVID-19 pandemic compared to pre-pandemic levels. Potential methodological and contextual explanations of these findings compared with findings from other studies are discussed. (C) 2021 The Authors. Published by Elsevier Ltd.
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