Suicide trends in the early months of the COVID-19 pandemic: an interrupted time-series analysis of preliminary data from 21 countries

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Autor(es): dc.contributorUniversity of Melbourne-
Autor(es): dc.contributorSwansea University Medical School-
Autor(es): dc.contributorWestern Sydney University-
Autor(es): dc.contributorMinistry of Public Health-
Autor(es): dc.contributorUniversity of Manchester-
Autor(es): dc.contributorUniversity College Cork-
Autor(es): dc.contributorGriffith University-
Autor(es): dc.contributorStellenbosch University-
Autor(es): dc.contributorWorking Group on Prevention of Suicide and Depression at Public Health Council-
Autor(es): dc.contributorBlekinge Hospital-
Autor(es): dc.contributorUniversidade Estadual Paulista (UNESP)-
Autor(es): dc.contributorInstituto Nacional de Psiquiatría Ramon de la Fuente Muñiz-
Autor(es): dc.contributorUniversity of Rochester Medical Center-
Autor(es): dc.contributorOutpatient and Inpatient Care Service-
Autor(es): dc.contributorUniversity of Udine-
Autor(es): dc.contributorNational Taiwan University-
Autor(es): dc.contributorThames Valley Local Criminal Justice Board-
Autor(es): dc.contributorMedical University of Innsbruck-
Autor(es): dc.contributorYale School of Medicine-
Autor(es): dc.contributorCoroners Court of Victoria-
Autor(es): dc.contributorDanish Research Institute for Suicide Prevention-
Autor(es): dc.contributorJohns Hopkins School of Public Health-
Autor(es): dc.contributorAustralian National University-
Autor(es): dc.contributorBrigham and Women's Hospital Department of Emergency Medicine-
Autor(es): dc.contributorUniversity of Auckland-
Autor(es): dc.contributorMagistrates Court of Tasmania (Coronial Division)-
Autor(es): dc.contributorLouisiana Office of Public Health-
Autor(es): dc.contributorUndersecretary of Health Services-
Autor(es): dc.contributorResearch Department-
Autor(es): dc.contributorColumbia University Medical Center/New York State Psychiatric Institute-
Autor(es): dc.contributorUniversity of Oxford-
Autor(es): dc.contributorLouisiana Department of Health-
Autor(es): dc.contributorGreater Manchester Mental Health NHS Foundation Trust-
Autor(es): dc.contributorAga Khan University-
Autor(es): dc.contributorCenter for Contextual Psychiatry-
Autor(es): dc.contributorUniversity of Bristol-
Autor(es): dc.contributorUniversity of Peradeniya-
Autor(es): dc.contributorCountry Office for Nepal-
Autor(es): dc.contributorKarolinska Institutet-
Autor(es): dc.contributorPavlov First Saint Petersburg State Medical University-
Autor(es): dc.contributorMedical University of Vienna-
Autor(es): dc.contributorUniversity of Nottingham-
Autor(es): dc.contributorMental Health Centre Copenhagen-
Autor(es): dc.contributorKlinikum Klagenfurt am Wörthersee-
Autor(es): dc.contributorUniversity of Glasgow-
Autor(es): dc.contributorUniversity of Edinburgh-
Autor(es): dc.contributorShanghai Jiao Tong University School of Medicine-
Autor(es): dc.contributorColumbia University-
Autor(es): dc.contributorUniversity of Ulm-
Autor(es): dc.contributorPsychosocial Services in Vienna-
Autor(es): dc.contributorUniversity of Oslo-
Autor(es): dc.contributorUniversity Hospital Leipzig-
Autor(es): dc.contributorLandeskrankenhaus Villach-
Autor(es): dc.contributorUniversity Hospital Frankfurt-
Autor(es): dc.contributorSaint Petersburg State University-
Autor(es): dc.contributorHealth Authority Frankfurt am Main-
Autor(es): dc.contributorLVR-Klinik Köln-
Autor(es): dc.contributorGoethe-University-
Autor(es): dc.contributorBekhterev National Medical Research Center of Psychiatry and Neurology-
Autor(es): dc.contributorUniversity of Toronto-
Autor(es): dc.contributorSunnybrook Health Sciences Centre-
Autor(es): dc.contributorFaculty of Political Science and Economics-
Autor(es): dc.contributorVoluntary Health Services-
Autor(es): dc.contributorRajarata University of Sri Lanka-
Autor(es): dc.contributorTel Aviv University and Geha Mental Health Center-
Autor(es): dc.contributorUniversity of Zagreb-
Autor(es): dc.creatorPirkis, Jane-
Autor(es): dc.creatorJohn, Ann-
Autor(es): dc.creatorShin, Sangsoo-
Autor(es): dc.creatorDelPozo-Banos, Marcos-
Autor(es): dc.creatorArya, Vikas-
Autor(es): dc.creatorAnaluisa-Aguilar, Pablo-
Autor(es): dc.creatorAppleby, Louis-
Autor(es): dc.creatorArensman, Ella-
Autor(es): dc.creatorBantjes, Jason-
Autor(es): dc.creatorBaran, Anna-
Autor(es): dc.creatorBertolote, Jose M [UNESP]-
Autor(es): dc.creatorBorges, Guilherme-
Autor(es): dc.creatorBrečić, Petrana-
Autor(es): dc.creatorCaine, Eric-
Autor(es): dc.creatorCastelpietra, Giulio-
Autor(es): dc.creatorChang, Shu-Sen-
Autor(es): dc.creatorColchester, David-
Autor(es): dc.creatorCrompton, David-
Autor(es): dc.creatorCurkovic, Marko-
Autor(es): dc.creatorDeisenhammer, Eberhard A-
Autor(es): dc.creatorDu, Chengan-
Autor(es): dc.creatorDwyer, Jeremy-
Autor(es): dc.creatorErlangsen, Annette-
Autor(es): dc.creatorFaust, Jeremy S-
Autor(es): dc.creatorFortune, Sarah-
Autor(es): dc.creatorGarrett, Andrew-
Autor(es): dc.creatorGeorge, Devin-
Autor(es): dc.creatorGerstner, Rebekka-
Autor(es): dc.creatorGilissen, Renske-
Autor(es): dc.creatorGould, Madelyn-
Autor(es): dc.creatorHawton, Keith-
Autor(es): dc.creatorKanter, Joseph-
Autor(es): dc.creatorKapur, Navneet-
Autor(es): dc.creatorKhan, Murad-
Autor(es): dc.creatorKirtley, Olivia J-
Autor(es): dc.creatorKnipe, Duleeka-
Autor(es): dc.creatorKolves, Kairi-
Autor(es): dc.creatorLeske, Stuart-
Autor(es): dc.creatorMarahatta, Kedar-
Autor(es): dc.creatorMittendorfer-Rutz, Ellenor-
Autor(es): dc.creatorNeznanov, Nikolay-
Autor(es): dc.creatorNiederkrotenthaler, Thomas-
Autor(es): dc.creatorNielsen, Emma-
Autor(es): dc.creatorNordentoft, Merete-
Autor(es): dc.creatorOberlerchner, Herwig-
Autor(es): dc.creatorO'Connor, Rory C-
Autor(es): dc.creatorPearson, Melissa-
Autor(es): dc.creatorPhillips, Michael R-
Autor(es): dc.creatorPlatt, Steve-
Autor(es): dc.creatorPlener, Paul L-
Autor(es): dc.creatorPsota, Georg-
Autor(es): dc.creatorQin, Ping-
Autor(es): dc.creatorRadeloff, Daniel-
Autor(es): dc.creatorRados, Christa-
Autor(es): dc.creatorReif, Andreas-
Autor(es): dc.creatorReif-Leonhard, Christine-
Autor(es): dc.creatorRozanov, Vsevolod-
Autor(es): dc.creatorSchlang, Christiane-
Autor(es): dc.creatorSchneider, Barbara-
Autor(es): dc.creatorSemenova, Natalia-
Autor(es): dc.creatorSinyor, Mark-
Autor(es): dc.creatorTownsend, Ellen-
Autor(es): dc.creatorUeda, Michiko-
Autor(es): dc.creatorVijayakumar, Lakshmi-
Autor(es): dc.creatorWebb, Roger T-
Autor(es): dc.creatorWeerasinghe, Manjula-
Autor(es): dc.creatorZalsman, Gil-
Autor(es): dc.creatorGunnell, David-
Autor(es): dc.creatorSpittal, Matthew J-
Data de aceite: dc.date.accessioned2022-08-04T22:09:37Z-
Data de disponibilização: dc.date.available2022-08-04T22:09:37Z-
Data de envio: dc.date.issued2022-04-28-
Data de envio: dc.date.issued2022-04-28-
Data de envio: dc.date.issued2021-07-01-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.1016/S2215-0366(21)00091-2-
Fonte completa do material: dc.identifierhttp://hdl.handle.net/11449/221731-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/221731-
Descrição: dc.descriptionBackground: The COVID-19 pandemic is having profound mental health consequences for many people. Concerns have been expressed that, at their most extreme, these consequences could manifest as increased suicide rates. We aimed to assess the early effect of the COVID-19 pandemic on suicide rates around the world. Methods: We sourced real-time suicide data from countries or areas within countries through a systematic internet search and recourse to our networks and the published literature. Between Sept 1 and Nov 1, 2020, we searched the official websites of these countries’ ministries of health, police agencies, and government-run statistics agencies or equivalents, using the translated search terms “suicide” and “cause of death”, before broadening the search in an attempt to identify data through other public sources. Data were included from a given country or area if they came from an official government source and were available at a monthly level from at least Jan 1, 2019, to July 31, 2020. Our internet searches were restricted to countries with more than 3 million residents for pragmatic reasons, but we relaxed this rule for countries identified through the literature and our networks. Areas within countries could also be included with populations of less than 3 million. We used an interrupted time-series analysis to model the trend in monthly suicides before COVID-19 (from at least Jan 1, 2019, to March 31, 2020) in each country or area within a country, comparing the expected number of suicides derived from the model with the observed number of suicides in the early months of the pandemic (from April 1 to July 31, 2020, in the primary analysis). Findings: We sourced data from 21 countries (16 high-income and five upper-middle-income countries), including whole-country data in ten countries and data for various areas in 11 countries). Rate ratios (RRs) and 95% CIs based on the observed versus expected numbers of suicides showed no evidence of a significant increase in risk of suicide since the pandemic began in any country or area. There was statistical evidence of a decrease in suicide compared with the expected number in 12 countries or areas: New South Wales, Australia (RR 0·81 [95% CI 0·72–0·91]); Alberta, Canada (0·80 [0·68–0·93]); British Columbia, Canada (0·76 [0·66–0·87]); Chile (0·85 [0·78–0·94]); Leipzig, Germany (0·49 [0·32–0·74]); Japan (0·94 [0·91–0·96]); New Zealand (0·79 [0·68–0·91]); South Korea (0·94 [0·92–0·97]); California, USA (0·90 [0·85–0·95]); Illinois (Cook County), USA (0·79 [0·67–0·93]); Texas (four counties), USA (0·82 [0·68–0·98]); and Ecuador (0·74 [0·67–0·82]). Interpretation: This is the first study to examine suicides occurring in the context of the COVID-19 pandemic in multiple countries. In high-income and upper-middle-income countries, suicide numbers have remained largely unchanged or declined in the early months of the pandemic compared with the expected levels based on the pre-pandemic period. We need to remain vigilant and be poised to respond if the situation changes as the longer-term mental health and economic effects of the pandemic unfold. Funding: None.-
Descrição: dc.descriptionCentre for Mental Health Melbourne School of Population and Global Health University of Melbourne-
Descrição: dc.descriptionSwansea University Medical School-
Descrição: dc.descriptionTranslational Health Research Institute Western Sydney University-
Descrição: dc.descriptionMinistry of Public Health Department of Health Promotion-
Descrição: dc.descriptionNational Confidential Inquiry into Suicide and Safety in Mental Health University of Manchester-
Descrição: dc.descriptionCentre for Mental Health and Safety and National Institute for Health Research Patient Safety Translational Research Centre University of Manchester-
Descrição: dc.descriptionSchool of Public Health National Suicide Research Foundation University College Cork-
Descrição: dc.descriptionAustralian Institute for Suicide Research and Prevention School of Applied Psychology Griffith University-
Descrição: dc.descriptionInstitute for Life Course Health Research Department of Global Health Stellenbosch University-
Descrição: dc.descriptionWorking Group on Prevention of Suicide and Depression at Public Health Council-
Descrição: dc.descriptionDepartment of Psychiatry Blekinge Hospital-
Descrição: dc.descriptionBotucatu Medical School Universidade Estadual Paulista-
Descrição: dc.descriptionInstituto Nacional de Psiquiatría Ramon de la Fuente Muñiz-
Descrição: dc.descriptionUniversity of Rochester Medical Center-
Descrição: dc.descriptionRegion Friuli Venezia Giulia Central Health Directorate Outpatient and Inpatient Care Service-
Descrição: dc.descriptionDepartment of Medicine University of Udine-
Descrição: dc.descriptionInstitute of Health Behaviors and Community Sciences College of Public Health National Taiwan University-
Descrição: dc.descriptionThames Valley Local Criminal Justice Board-
Descrição: dc.descriptionDepartment of Psychiatry Psychotherapy and Psychosomatics Medical University of Innsbruck-
Descrição: dc.descriptionCenter for Outcomes Research and Evaluation Yale School of Medicine-
Descrição: dc.descriptionCoroners Court of Victoria-
Descrição: dc.descriptionDanish Research Institute for Suicide Prevention-
Descrição: dc.descriptionDepartment of Mental Health Johns Hopkins School of Public Health-
Descrição: dc.descriptionCentre for Mental Health Research Australian National University-
Descrição: dc.descriptionBrigham and Women's Hospital Department of Emergency Medicine-
Descrição: dc.descriptionSchool of Population Health University of Auckland-
Descrição: dc.descriptionMagistrates Court of Tasmania (Coronial Division)-
Descrição: dc.descriptionBureau of Vital Records and Statistics Louisiana Office of Public Health-
Descrição: dc.descriptionMinistry of Public Health Undersecretary of Health Services-
Descrição: dc.descriptionResearch Department, 113 Suicide Prevention-
Descrição: dc.descriptionDepartments of Psychiatry and Epidemiology Columbia University Medical Center/New York State Psychiatric Institute-
Descrição: dc.descriptionCentre for Suicide Research University of Oxford-
Descrição: dc.descriptionLouisiana Department of Health-
Descrição: dc.descriptionGreater Manchester Mental Health NHS Foundation Trust-
Descrição: dc.descriptionDepartment of Psychiatry Aga Khan University-
Descrição: dc.descriptionKU Leuven Center for Contextual Psychiatry-
Descrição: dc.descriptionPopulation Health Sciences Bristol Medical School University of Bristol-
Descrição: dc.descriptionSouth Asian Clinical Toxicology Research Collaboration Faculty of Medicine University of Peradeniya-
Descrição: dc.descriptionWorld Health Organization Country Office for Nepal-
Descrição: dc.descriptionKarolinska Institutet-
Descrição: dc.descriptionBekhterev National Medical Research Center of Psychiatry and Neurology Pavlov First Saint Petersburg State Medical University-
Descrição: dc.descriptionUnit Suicide Research and Mental Health Promotion Department of Social and Preventive Medicine Center for Public Health Medical University of Vienna-
Descrição: dc.descriptionDepartment of Child and Adolescent Psychiatry Medical University of Vienna-
Descrição: dc.descriptionSchool of Psychology University of Nottingham-
Descrição: dc.descriptionSelf-Harm Research Group School of Psychology University of Nottingham-
Descrição: dc.descriptionMental Health Centre Copenhagen-
Descrição: dc.descriptionDepartment of Psychiatry and Psychotherapy Klinikum Klagenfurt am Wörthersee-
Descrição: dc.descriptionSuicidal Behaviour Research Lab University of Glasgow-
Descrição: dc.descriptionPreventing Deaths from Poisoning Research Group University of Edinburgh-
Descrição: dc.descriptionUsher Institute University of Edinburgh-
Descrição: dc.descriptionSuicide Research and Prevention Center Shanghai Mental Health Center Shanghai Jiao Tong University School of Medicine-
Descrição: dc.descriptionDepartments of Psychiatry and Epidemiology Columbia University-
Descrição: dc.descriptionDepartment of Child and Adolescent Psychiatry and Psychotherapy University of Ulm-
Descrição: dc.descriptionPsychosocial Services in Vienna-
Descrição: dc.descriptionNational Centre for Suicide Research and Prevention Institute of Clinical Medicine University of Oslo-
Descrição: dc.descriptionDepartment of Child and Adolescent Psychiatry Psychotherapy and Psychosomatics University Hospital Leipzig-
Descrição: dc.descriptionDepartment of Psychiatry and Psychotherapeutic Medicine Landeskrankenhaus Villach-
Descrição: dc.descriptionDepartment of Psychiatry Psychosomatic Medicine and Psychotherapy University Hospital Frankfurt-
Descrição: dc.descriptionDepartment of Borderline Disorders and Psychotherapy Bekhterev National Medical Research Center of Psychiatry and Neurology Saint Petersburg State University-
Descrição: dc.descriptionDepartment of Psychiatry Health Authority Frankfurt am Main-
Descrição: dc.descriptionDepartment of Addictive Disorders Psychiatry and Psychotherapy LVR-Klinik Köln-
Descrição: dc.descriptionDepartment of Psychiatry Psychosomatic Medicine and Psychotherapy Goethe-University-
Descrição: dc.descriptionOrganizational-Scientific Department Bekhterev National Medical Research Center of Psychiatry and Neurology-
Descrição: dc.descriptionDepartment of Psychiatry University of Toronto-
Descrição: dc.descriptionDepartment of Psychiatry Sunnybrook Health Sciences Centre-
Descrição: dc.descriptionWaseda University Faculty of Political Science and Economics-
Descrição: dc.descriptionSneha—Suicide Prevention Centre Voluntary Health Services-
Descrição: dc.descriptionDepartment of Community Medicine Faculty of Medicine and Allied Sciences Rajarata University of Sri Lanka-
Descrição: dc.descriptionDepartment of Psychiatry Sackler School of Medicine Tel Aviv University and Geha Mental Health Center-
Descrição: dc.descriptionDivision of Molecular Imaging and Neuropathology New York State Psychiatric Institute and Department of Psychiatry Columbia University-
Descrição: dc.descriptionNational Institute of Health Research Biomedical Research Centre University Hospitals Bristol and Weston NHS Foundation Trust University of Bristol-
Descrição: dc.descriptionDepartment for Psychiatry University Psychiatric Hospital Vrapče School of Medicine University of Zagreb-
Descrição: dc.descriptionBotucatu Medical School Universidade Estadual Paulista-
Formato: dc.format579-588-
Idioma: dc.languageen-
Relação: dc.relationThe Lancet Psychiatry-
???dc.source???: dc.sourceScopus-
Título: dc.titleSuicide trends in the early months of the COVID-19 pandemic: an interrupted time-series analysis of preliminary data from 21 countries-
Tipo de arquivo: dc.typelivro digital-
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