Suicide, self-harm and thoughts of suicide or self-harm in infectious disease epidemics: a systematic review and meta-analysis

Epidemiology and Psychiatric Sciences, Год журнала: 2021, Номер 30

Опубликована: Янв. 1, 2021

Abstract Aims Suicide accounts for 2.2% of all years life lost worldwide. We aimed to establish whether infectious epidemics are associated with any changes in the incidence suicide or period prevalence self-harm, thoughts a secondary objective establishing frequency these outcomes. Methods In this systematic review and meta-analysis, MEDLINE, Embase, PsycINFO AMED were searched from inception 9 September 2020. Studies reporting outcomes (a) death by suicide, (b) self-harm (c) identified. A random-effects model meta-analysis was conducted. Results total, 1354 studies screened 57 meeting eligibility criteria, which 7 described 45 self-harm. The observation ranged 1910 2020 included Spanish Flu, severe acute respiratory syndrome, human monkeypox, Ebola virus disease coronavirus 2019 (COVID-19). Regarding data clear longitudinal comparison group available only two epidemics: SARS Hong Kong, finding an increase suicides among elderly, COVID-19 Japan, no change children adolescents. terms five examined emergency department attendances epidemic non-epidemic periods, four found difference one showed reduction during epidemic. large survey substantial compared but smaller difference. As objective, that pooled 8.0% overall (95% confidence interval (CI) 5.2–12.0%; 14 820 99 238 cases 24 studies) over time between seven days six months. quality assessment 42 low quality, nine moderate high quality. Conclusions There is little robust evidence on association elderly Kong young people Japan COVID-19, it unclear how far findings may be generalised. development up-to-date statistics monitor effect current pandemic urgent priority.

Язык: Английский

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The Prevalence and Predictors of Depressive, Anxiety, and Stress Symptoms Among Tepi Town Residents During the COVID-19 Pandemic Lockdown in Ethiopia

Journal of Racial and Ethnic Health Disparities, Год журнала: 2022, Номер 10(1), С. 43 - 55

Опубликована: Янв. 14, 2022

Язык: Английский

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What Is the Role of Resilience and Coping Strategies on the Mental Health of the General Population during the COVID-19 Pandemic? Results from the Italian Multicentric COMET Study

Brain Sciences, Год журнала: 2021, Номер 11(9), С. 1231 - 1231

Опубликована: Сен. 17, 2021

The effects of the COVID-19 pandemic on mental health are now well documented, however, few studies have been focused role coping strategies and resilience in counterbalancing these detrimental effects. Data derived from COvid Mental hEalth Trial (COMET), a national multicentric trial carried out Italian general population. final sample consisted 20,720 participants, 53.1% (n = 11,000) reported low levels resilience. Adaptive did not any significant protective impact depressive, anxiety, stress symptoms. Only self-distraction was risk factor for poor (Beta Coefficient, B 0.1, 95% Confidence Interval, CI: 0.003 to 0.267 symptoms; 0.2; 0.077 0.324 anxiety symptoms 0.2, 0.105 0.382 depressive symptoms). High were predicted by adaptive strategies, such as acceptance (B 1.8, CI 1.4–2.7). Exposure different weeks lockdown, being infected COVID-19, healthcare professional influence Our findings should be carefully considered, since may represent missing link between current increase problems.

Язык: Английский

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The Influence of Mental Health on Job Satisfaction: Mediating Effect of Psychological Capital and Social Capital

Frontiers in Public Health, Год журнала: 2022, Номер 10

Опубликована: Фев. 8, 2022

Using data from the 2018 Chinese Family Panel Studies (CFPS), based on mood-congruent theory, this study aims to explore mechanisms of mental health job satisfaction internal perspective (psychological capital) and external (social capital). The results showed that (1) two components have different effects satisfaction. positive component had a effect satisfaction, while negative satisfaction; (2) Psychological capital social play mediating role in relationship between (3) After considering potential endogenous problems conducting additional robustness analysis, including changing dependent variable independent variable, our main influence are remain robust reliable. With emergence an increasingly competitive knowledge economy era, employees' plays important Thus, it is imperative for managers enhance better implement humanistic management by nurturing psychological through health.

Язык: Английский

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The Influence of Adverse Childhood Experiences in Pain Management: Mechanisms, Processes, and Trauma-Informed Care

Frontiers in Pain Research, Год журнала: 2022, Номер 3

Опубликована: Июнь 10, 2022

Adverse childhood experiences (ACEs) increase the likelihood of reduced physical and psychological health in adulthood. Though understanding management traumatic is growing, empirical exploration ACEs clinical outcomes remains under-represented under-explored. This topical review aimed to highlight role experience chronic pain, pain services decision making by: ( 1 ) providing an overview relationship between pain; 2 identifying biopsychosocial mechanisms through which may risk persistent 3 highlighting impact on patient adherence completion treatment; 4 practical implications for management. Review findings demonstrated that are associated with increased complications, catastrophizing depression combination these factors further heightens early treatment attrition. The pervasive detrimental impacts COVID-19 pandemic their cyclical effects discussed context decline during long waitlists. highlights how people can be supported by maintaining trauma-informed practices acknowledging outcomes. Clinicians who ACE-informed have potential minimize negative influence outcomes, ultimately optimizing services.

Язык: Английский

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The Role of Unemployment, Financial Hardship, and Economic Recession on Suicidal Behaviors and Interventions to Mitigate Their Impact: A Review

Frontiers in Public Health, Год журнала: 2022, Номер 10

Опубликована: Июль 6, 2022

Understanding the social determinants and risk factors for suicidal behaviors underlies development of effective suicide prevention interventions. This review focused on recently published literature (2010 onwards), with aim to determine role economic (at individual population level) ideation as well effectiveness interventions addressing these in reducing ideation. Where available, examining impact COVID-19 was highlighted. Economic recession unemployment are associated increased behavior at level. Additionally, personal financial problems such debt strain Regarding interventions, benefits, employment protection legislation, higher minimum wage active labor market programs may reduce However, it is not clear what they have level, nor relation attempts, self-harm, or There a lack evidence financially either Current findings were contextualized within, advance, prominent theoretical models. Recommendations future areas research, including unfolding COVID-19, co-design evaluation tailored and/or gatekeeper training those welfare sector, enhanced early education aimed increasing literacy young people before onset exacerbation hardship.

Язык: Английский

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COVID-19-Related Social Isolation Predispose to Problematic Internet and Online Video Gaming Use in Italy

International Journal of Environmental Research and Public Health, Год журнала: 2022, Номер 19(3), С. 1539 - 1539

Опубликована: Янв. 29, 2022

COVID-19 pandemic and its related containment measures have been associated with increased levels of stress, anxiety depression in the general population. While use digital media has greatly promoted by national governments international authorities to maintain social contacts healthy lifestyle behaviors, access may also bear risk inappropriate or excessive internet-related resources. The present study, part COVID Mental hEalth Trial (COMET) aims at investigating possible relationship between isolation, resources development their problematic use. A cross sectional survey was carried out explore prevalence internet addiction, media, video gaming binge watching, during Italian phase II (May-June 2020) III (June-September 1385 individuals (62.5% female, mean age 32.5 ± 12.9) mainly living Central Italy (52.4%). Data were stratified according II/III three groups regions (northern, central southern). Compared larger COMET most participants exhibited significant higher severe-to-extremely-severe depressive symptoms (46.3% vs. 12.4%; p < 0.01) extremely severe (77.8% 7.5%; 0.01). We observed a rise over time. Mediation analyses revealed that COVID-19-related psychopathology, anxiety, isolation play role emergence use, addiction gaming. Professional gamers younger subjects emerged as sub-populations particularly developing addictions. If confirmed more homogenous samples, our findings help shedding light on preventive treatment strategies for

Язык: Английский

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Effects of COVID-19 pandemic on mental health among frontline healthcare workers: A systematic review and meta-analysis

Frontiers in Psychology, Год журнала: 2023, Номер 13

Опубликована: Янв. 27, 2023

Background As some countries announced to remove Coronavirus Disease 2019 (COVID-19) border, it indicates that the COVID-19 may have entered its terminal stage. In this pandemic, mental health of frontline healthcare workers (HCWs) experienced unprecedented challenges. However, impact pandemic on among HCWs lacks a high-quality and long-term systematic review meta-analysis. Methods We conducted meta-analysis according PRISMA guidelines. The system searches EMBASE, MEDLINE, PsycINFO, Cochrane Library, ScienceNet, ERIC. Analyze problems in different regions periods, including insomnia, stress, anxiety depression. This study was registered PROSPERO under number CRD42021253821. Results A total 19 studies effects were included study. overall prevalence insomnia 42.9% (95% CI, 33.9–51.9%, I 2 = 99.0%) extracted from data 14 cross-sectional ( n 10 127), 1 cohort 4,804), randomized controlled trial (RCT; 482) countries. stress 53.0% 41.1–64.9%, 78.3%) nine 5,494) RCT eight depression 43.0% 33.8–52.3%, 44.6% 36.1–53.1%, 17 11,727), one 12 higher 2020, while 2021. physicians than other HCWs. is South America lower North America. Conclusions showed significant high. Therefore, policy-makers should pay attention respond context public emergencies. Systematic registration https://www.crd.york.ac.uk/PROSPERO/ .

Язык: Английский

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Mental health problems among COVID‐19 survivors in Wuhan, China

World Psychiatry, Год журнала: 2021, Номер 20(1), С. 139 - 140

Опубликована: Янв. 12, 2021

The COVID-19 pandemic is profoundly impacting mental health worldwide1-3. Wuhan, China has been the first city to experience emergency of and its high hospitalization casualty rates, as well mandatory curfews that were strictly enforced for infection control, with their significant implications4. Although a large number hospitalized patients recovered met clinical criteria discharge, we hypothesized problems would occur major sequelae among survivors. A total 4,328 who relevant criteria5 discharged between January 18 March 29, 2020 from five hospitals in (Wuhan No.1 Hospital, Wuhan Wuchang Hubei Provincial Hospital Traditional Chinese Medicine, Integrated Western Pulmonary Hospital). All these survivors (median age: 59 years, interquartile range, IQR: 47-68 years; 54.1% female) followed up assessed by care specialists. evaluation period started on date hospital discharge continued through July 28, 2020. Among survivors, 156 (3.6%) dropped out at some point follow-up. validated versions Patient Health Questionnaire-9 (PHQ-9)6 Generalized Anxiety Disorder-7 (GAD-7)7 administered evaluate post-discharge depression anxiety. As reference group, 1,500 randomly selected individuals general population province using same instruments during time frame. Chi-square tests used compare prevalence mild-to-severe two samples. or anxiety, logistic regression analysis was applied test whether several variables (including age, gender, education, income level, comorbid chronic physical diseases, retesting positive SARS-CoV-2) influenced severity condition. study approved institutional ethics board Tongji Medical College, Huazhong University Science Technology. participants provided informed consent. median duration follow-up 144.0 days (IQR: 135-157). During this period, 615 (14.2%) found have clinically defined (i.e., score least 5 PHQ-9) 528 (12.2%) anxiety GAD-7). Four attempted suicide. Compared risk both significantly higher (relative risk, RR=1.2, 95% CI: 1.1-1.4, p=0.002; RR=1.4, 1.2-1.7, p=0.001, respectively). depression, severe condition 10 living alone (odds ratio, OR=5.2, 3.6-7.1, p<0.001), females (OR=3.4, 2.8-5.3, those low level (OR=2.4, 1.8-3.5, p=0.012), disease (OR=2.8, 2.1-3.7, p=0.032), retested SARS-CoV-2 (OR=10.4, 8.3-12.5, p<0.001). Age did not influence depression. GAD-7) educational (OR=3.5, 3.1-4.2, unmarried subjects (OR=1.7, 1.2-2.8, p=0.025), (OR=4.7, 3.7-5.8, Age, gender other social status indices four suicide elderly, had SARS-CoV-2, experienced levels In summary, documents are more common than province. Risk factors include alone, female education levels. Clinicians policy makers should be aware implement appropriate preventive treatment measures.

Язык: Английский

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How is COVID-19 affecting patients with obsessive–compulsive disorder? A longitudinal study on the initial phase of the pandemic in a Spanish cohort

European Psychiatry, Год журнала: 2021, Номер 64(1)

Опубликована: Янв. 1, 2021

Abstract Background Although the consequences of COVID-19 pandemic on emotional health are evident, little is known about its impact patients with obsessive-compulsive disorder (OCD). Methods One hundred and twenty-seven OCD who attended a specialist Clinic in Barcelona, Spain, were assessed by phone from April 27 to May 25, 2020, during early phase pandemic, using Yale–Brown Obsessive–Compulsive Scale (Y-BOCS) structured interview that collected clinical sociodemographic information. Results compared those for 237 healthy controls same geographic area completed an online survey. 65.3% described worsening their symptoms, only 31.4% had Y-BOCS scores increased >25%. The risk getting infected SARS-CoV2 was reported as new obsession 44.8%, but this became main obsessive concern approximately 10% patients. Suicide-related thoughts more frequent among cohort than controls. presence prepandemic depression, higher scores, contamination/washing lower perceived social support all predicted significantly worsening. Conclusions Most appear be capable coping stress outbreak initial pandemic. Nevertheless, current crisis constitutes factor significant symptoms suicidal ideation. Action needed ensure effective individualized follow-up care era.

Язык: Английский

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