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10.1017/S2045796021000214

http://scihub22266oqcxt.onion/10.1017/S2045796021000214
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33902775!7610720!33902775
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suck abstract from ncbi


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pmid33902775      Epidemiol+Psychiatr+Sci 2021 ; 30 (ä): e32
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  • Suicide, self-harm and thoughts of suicide or self-harm in infectious disease epidemics: a systematic review and meta-analysis #MMPMID33902775
  • Rogers JP; Chesney E; Oliver D; Begum N; Saini A; Wang S; McGuire P; Fusar-Poli P; Lewis G; David AS
  • Epidemiol Psychiatr Sci 2021[Apr]; 30 (ä): e32 PMID33902775show ga
  • AIMS: Suicide accounts for 2.2% of all years of life lost worldwide. We aimed to establish whether infectious epidemics are associated with any changes in the incidence of suicide or the period prevalence of self-harm, or thoughts of suicide or self-harm, with a secondary objective of establishing the frequency of these outcomes. METHODS: In this systematic review and meta-analysis, MEDLINE, Embase, PsycINFO and AMED were searched from inception to 9 September 2020. Studies of infectious epidemics reporting outcomes of (a) death by suicide, (b) self-harm or (c) thoughts of suicide or self-harm were identified. A random-effects model meta-analysis for the period prevalence of thoughts of suicide or self-harm was conducted. RESULTS: In total, 1354 studies were screened with 57 meeting eligibility criteria, of which 7 described death by suicide, 9 by self-harm, and 45 thoughts of suicide or self-harm. The observation period ranged from 1910 to 2020 and included epidemics of Spanish Flu, severe acute respiratory syndrome, human monkeypox, Ebola virus disease and coronavirus disease 2019 (COVID-19). Regarding death by suicide, data with a clear longitudinal comparison group were available for only two epidemics: SARS in Hong Kong, finding an increase in suicides among the elderly, and COVID-19 in Japan, finding no change in suicides among children and adolescents. In terms of self-harm, five studies examined emergency department attendances in epidemic and non-epidemic periods, of which four found no difference and one showed a reduction during the epidemic. In studies of thoughts of suicide or self-harm, one large survey showed a substantial increase in period prevalence compared to non-epidemic periods, but smaller studies showed no difference. As a secondary objective, a meta-analysis of thoughts of suicide and self-harm found that the pooled prevalence was 8.0% overall (95% confidence interval (CI) 5.2-12.0%; 14 820 of 99 238 cases in 24 studies) over a time period of between seven days and six months. The quality assessment found 42 studies were of high quality, nine of moderate quality and six of high quality. CONCLUSIONS: There is little robust evidence on the association of infectious epidemics with suicide, self-harm and thoughts of suicide or self-harm. There was an increase in suicides among the elderly in Hong Kong during SARS and no change in suicides among young people in Japan during COVID-19, but it is unclear how far these findings may be generalised. The development of up-to-date self-harm and suicide statistics to monitor the effect of the current pandemic is an urgent priority.
  • |*COVID-19[MESH]
  • |*Communicable Diseases/epidemiology[MESH]
  • |*Influenza Pandemic, 1918-1919[MESH]
  • |*Self-Injurious Behavior/epidemiology[MESH]
  • |*Suicide[MESH]
  • |Adolescent[MESH]
  • |Aged[MESH]
  • |Child[MESH]
  • |History, 20th Century[MESH]
  • |Hong Kong[MESH]
  • |Humans[MESH]
  • |Japan[MESH]


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