Suicidal behavior in patients with severe mental disorders prior to and during the COVID-19 pandemic
Determining whether the incidence of suicidal behavior during the COVID-19 pandemic changed for those with severe mental disorders is essential to ensure the provision of suicide preventive initiatives in the case of future health crises. Using population-based registers, quarterly cohorts from the...
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| Veröffentlicht in: | Psychological medicine 2024-12, Vol.54 (16), p.4759-4767 |
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| creator | Mittendorfer-Rutz, Ellenor Bergström, Jakob Josefsson, Pontus Taipale, Heidi Sijbrandij, Marit Witteveen, Anke Monzio Compagnoni, Matteo Lora, Antonio Felez-Nobrega, Mireia Haro, Josep Maria Melchior, Maria van der Waerden, Judith Gemes, Katalin Amin, Ridwanul |
| description | Determining whether the incidence of suicidal behavior during the COVID-19 pandemic changed for those with severe mental disorders is essential to ensure the provision of suicide preventive initiatives in the case of future health crises.
Using population-based registers, quarterly cohorts from the first quarter of 2018 (2018Q1) to 2021Q4 were formed including all Swedish-residents >10 years old. Interrupted time series and generalized estimating equations analyses were used to evaluate changes in Incidence Rates (IR) of specialised healthcare use for suicide attempt and death by suicide per 10 000 person-years for individuals with or without specific severe mental disorders (SMDs) during, compared to before the pandemic.
The IR (95% Confidence interval, CI) of suicide in individuals with SMDs decreased from 16.0 (15.0-17.1) in 2018Q1 to 11.6 (10.8-12.5) in 2020Q1 (i.e. the quarter before the start of the pandemic), after which it dropped further to 6.7 (6.3-7.2) in 2021Q2. In contrast, IRs of suicide attempt in SMDs showed more stable trends, as did the trends regarding suicide and suicide attempt for individuals without SMD. These discrepancies were most evident for individuals with substance use disorder and ASD/ADHD. Changes in IRs of suicide
suicide attempt for one quarter during the pandemic for substance misuse were 11.2%
3.6% respectively. These changes for ASD/ADHD were 10.7%
3.6%.
The study shows pronounced decreases in suicide rates in individuals with SMDs during the pandemic. Further studies aiming to understand mechanisms behind these trends are warranted to consult future suicide prevention strategies. |
| doi_str_mv | 10.1017/S003329172400299X |
| format | Article |
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Using population-based registers, quarterly cohorts from the first quarter of 2018 (2018Q1) to 2021Q4 were formed including all Swedish-residents >10 years old. Interrupted time series and generalized estimating equations analyses were used to evaluate changes in Incidence Rates (IR) of specialised healthcare use for suicide attempt and death by suicide per 10 000 person-years for individuals with or without specific severe mental disorders (SMDs) during, compared to before the pandemic.
The IR (95% Confidence interval, CI) of suicide in individuals with SMDs decreased from 16.0 (15.0-17.1) in 2018Q1 to 11.6 (10.8-12.5) in 2020Q1 (i.e. the quarter before the start of the pandemic), after which it dropped further to 6.7 (6.3-7.2) in 2021Q2. In contrast, IRs of suicide attempt in SMDs showed more stable trends, as did the trends regarding suicide and suicide attempt for individuals without SMD. These discrepancies were most evident for individuals with substance use disorder and ASD/ADHD. Changes in IRs of suicide
suicide attempt for one quarter during the pandemic for substance misuse were 11.2%
3.6% respectively. These changes for ASD/ADHD were 10.7%
3.6%.
The study shows pronounced decreases in suicide rates in individuals with SMDs during the pandemic. Further studies aiming to understand mechanisms behind these trends are warranted to consult future suicide prevention strategies.</description><identifier>ISSN: 0033-2917</identifier><identifier>ISSN: 1469-8978</identifier><identifier>EISSN: 1469-8978</identifier><identifier>DOI: 10.1017/S003329172400299X</identifier><identifier>PMID: 39679541</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>Attention deficit hyperactivity disorder ; Bipolar disorder ; COVID-19 ; Discrepancies ; Drug addiction ; Health care ; Health initiatives ; Mental disorders ; Original ; Original Article ; Pandemics ; Prevention programs ; Severity ; Substance abuse ; Substance use ; Suicide ; Suicides & suicide attempts ; Time series</subject><ispartof>Psychological medicine, 2024-12, Vol.54 (16), p.4759-4767</ispartof><rights>Copyright © The Author(s), 2024. Published by Cambridge University Press</rights><rights>Copyright © The Author(s), 2024. Published by Cambridge University Press. This work is licensed under the Creative Commons Attribution License This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited. (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2024 2024 The Author(s)</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c349t-ea3b963271baaafaaba056d3719e22d5ce3d3fb1dbe2d02577afdf142556355a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.cambridge.org/core/product/identifier/S003329172400299X/type/journal_article$$EHTML$$P50$$Gcambridge$$Hfree_for_read</linktohtml><link.rule.ids>164,230,314,776,780,881,12825,27901,27902,30976,55603</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39679541$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:160435900$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Mittendorfer-Rutz, Ellenor</creatorcontrib><creatorcontrib>Bergström, Jakob</creatorcontrib><creatorcontrib>Josefsson, Pontus</creatorcontrib><creatorcontrib>Taipale, Heidi</creatorcontrib><creatorcontrib>Sijbrandij, Marit</creatorcontrib><creatorcontrib>Witteveen, Anke</creatorcontrib><creatorcontrib>Monzio Compagnoni, Matteo</creatorcontrib><creatorcontrib>Lora, Antonio</creatorcontrib><creatorcontrib>Felez-Nobrega, Mireia</creatorcontrib><creatorcontrib>Haro, Josep Maria</creatorcontrib><creatorcontrib>Melchior, Maria</creatorcontrib><creatorcontrib>van der Waerden, Judith</creatorcontrib><creatorcontrib>Gemes, Katalin</creatorcontrib><creatorcontrib>Amin, Ridwanul</creatorcontrib><title>Suicidal behavior in patients with severe mental disorders prior to and during the COVID-19 pandemic</title><title>Psychological medicine</title><addtitle>Psychol. Med</addtitle><description>Determining whether the incidence of suicidal behavior during the COVID-19 pandemic changed for those with severe mental disorders is essential to ensure the provision of suicide preventive initiatives in the case of future health crises.
Using population-based registers, quarterly cohorts from the first quarter of 2018 (2018Q1) to 2021Q4 were formed including all Swedish-residents >10 years old. Interrupted time series and generalized estimating equations analyses were used to evaluate changes in Incidence Rates (IR) of specialised healthcare use for suicide attempt and death by suicide per 10 000 person-years for individuals with or without specific severe mental disorders (SMDs) during, compared to before the pandemic.
The IR (95% Confidence interval, CI) of suicide in individuals with SMDs decreased from 16.0 (15.0-17.1) in 2018Q1 to 11.6 (10.8-12.5) in 2020Q1 (i.e. the quarter before the start of the pandemic), after which it dropped further to 6.7 (6.3-7.2) in 2021Q2. In contrast, IRs of suicide attempt in SMDs showed more stable trends, as did the trends regarding suicide and suicide attempt for individuals without SMD. These discrepancies were most evident for individuals with substance use disorder and ASD/ADHD. Changes in IRs of suicide
suicide attempt for one quarter during the pandemic for substance misuse were 11.2%
3.6% respectively. These changes for ASD/ADHD were 10.7%
3.6%.
The study shows pronounced decreases in suicide rates in individuals with SMDs during the pandemic. Further studies aiming to understand mechanisms behind these trends are warranted to consult future suicide prevention strategies.</description><subject>Attention deficit hyperactivity disorder</subject><subject>Bipolar disorder</subject><subject>COVID-19</subject><subject>Discrepancies</subject><subject>Drug addiction</subject><subject>Health care</subject><subject>Health initiatives</subject><subject>Mental disorders</subject><subject>Original</subject><subject>Original Article</subject><subject>Pandemics</subject><subject>Prevention programs</subject><subject>Severity</subject><subject>Substance abuse</subject><subject>Substance use</subject><subject>Suicide</subject><subject>Suicides & suicide attempts</subject><subject>Time 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Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mittendorfer-Rutz, Ellenor</au><au>Bergström, Jakob</au><au>Josefsson, Pontus</au><au>Taipale, Heidi</au><au>Sijbrandij, Marit</au><au>Witteveen, Anke</au><au>Monzio Compagnoni, Matteo</au><au>Lora, Antonio</au><au>Felez-Nobrega, Mireia</au><au>Haro, Josep Maria</au><au>Melchior, Maria</au><au>van der Waerden, Judith</au><au>Gemes, Katalin</au><au>Amin, Ridwanul</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Suicidal behavior in patients with severe mental disorders prior to and during the COVID-19 pandemic</atitle><jtitle>Psychological medicine</jtitle><addtitle>Psychol. Med</addtitle><date>2024-12-01</date><risdate>2024</risdate><volume>54</volume><issue>16</issue><spage>4759</spage><epage>4767</epage><pages>4759-4767</pages><issn>0033-2917</issn><issn>1469-8978</issn><eissn>1469-8978</eissn><abstract>Determining whether the incidence of suicidal behavior during the COVID-19 pandemic changed for those with severe mental disorders is essential to ensure the provision of suicide preventive initiatives in the case of future health crises.
Using population-based registers, quarterly cohorts from the first quarter of 2018 (2018Q1) to 2021Q4 were formed including all Swedish-residents >10 years old. Interrupted time series and generalized estimating equations analyses were used to evaluate changes in Incidence Rates (IR) of specialised healthcare use for suicide attempt and death by suicide per 10 000 person-years for individuals with or without specific severe mental disorders (SMDs) during, compared to before the pandemic.
The IR (95% Confidence interval, CI) of suicide in individuals with SMDs decreased from 16.0 (15.0-17.1) in 2018Q1 to 11.6 (10.8-12.5) in 2020Q1 (i.e. the quarter before the start of the pandemic), after which it dropped further to 6.7 (6.3-7.2) in 2021Q2. In contrast, IRs of suicide attempt in SMDs showed more stable trends, as did the trends regarding suicide and suicide attempt for individuals without SMD. These discrepancies were most evident for individuals with substance use disorder and ASD/ADHD. Changes in IRs of suicide
suicide attempt for one quarter during the pandemic for substance misuse were 11.2%
3.6% respectively. These changes for ASD/ADHD were 10.7%
3.6%.
The study shows pronounced decreases in suicide rates in individuals with SMDs during the pandemic. Further studies aiming to understand mechanisms behind these trends are warranted to consult future suicide prevention strategies.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>39679541</pmid><doi>10.1017/S003329172400299X</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Psychological medicine, 2024-12, Vol.54 (16), p.4759-4767 |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); Cambridge University Press Journals Complete |
| subjects | Attention deficit hyperactivity disorder Bipolar disorder COVID-19 Discrepancies Drug addiction Health care Health initiatives Mental disorders Original Original Article Pandemics Prevention programs Severity Substance abuse Substance use Suicide Suicides & suicide attempts Time series |
| title | Suicidal behavior in patients with severe mental disorders prior to and during the COVID-19 pandemic |
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