Suicide before and during the COVID-19 Pandemic: A Systematic Review with Meta-Analysis

International Journal of Environmental Research and Public Health, Год журнала: 2023, Номер 20(4), С. 3346 - 3346

Опубликована: Фев. 14, 2023

Synthesizing evidence to examine changes in suicide-related outcomes before and during the pandemic can inform suicide management COVID-19 crisis. We searched 13 databases as of December 2022 for studies reporting both pre- peri-pandemic prevalence suicidal ideation, attempts, or rate death by suicide. A random-effects model was used pool ratio peri- pre-pandemic ideation attempt (Prevalence Ratio—PR) (Rate Ratio; RR). identified 51, 55, 25 samples attempt, The increased significantly among non-clinical (PR = 1.142; 95% CI: 1.018–1.282; p 0.024; k 28) clinical 1.134; 1.048–1.227; 0.002; 23) samples, pooled estimates differed population study design. Suicide attempts were more prevalent 1.14; 1.053–1.233; 0.001; 30) 1.32; 1.17–1.489; 0.000; 25) participants. RR 0.923 (95% 0.84–1.01; 0.092; 25), indicating a nonsignificant downward trend. An upward trend observed pandemic, despite remaining stable. Our findings suggest that timely prevention intervention programs are highly needed adult patients. Monitoring real-time long-run risk evolves is warranted.

Язык: Английский

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Global, regional, and national burden of suicide, 1990–2021: a systematic analysis for the Global Burden of Disease Study 2021

The Lancet Public Health, Год журнала: 2025, Номер unknown

Опубликована: Фев. 1, 2025

Deaths from suicide are a tragic yet preventable cause of mortality. Quantifying the burden to understand its geographical distribution, temporal trends, and variation by age sex is an essential step in prevention. We aimed present comprehensive set global, regional, national estimates burden. produced number deaths age-standardised mortality rates globally, regionally, for 204 countries territories 1990 2021, disaggregated these results sex. The Global Burden Diseases, Injuries, Risk Factors Study (GBD) 2021 attributable were broken down into two categories: those firearms other specified means. For this analysis, we also mean at time death suicide, incidence attempts compared with deaths, firearm. acquired data vital registration, verbal autopsy, surveillance that included 23 782 study-location-years GBD 2021. Point calculated average 1000 randomly selected possible values age, sex, location. 95% uncertainty intervals (UIs) derived 2·5th 97·5th percentiles 1000-draw distribution. Globally, 746 000 (95% UI 692 000-800 000) occurred including 519 (485 000-556 among males 227 (200 000-255 females. rate has declined over time, 14·9 (12·8-15·7) per 100 population 9·0 (8·3-9·6) Regionally, due highest eastern Europe (19·2 [17·5-20·8] 000), southern sub-Saharan Africa (16·1 [14·0-18·3] central (14·4 [11·0-19·1] 000). which individuals died progressively increased during study period. males, was 43·0 years (38·0-45·8), increasing 47·0 (43·5-50·6) females, it 41·9 (30·9-46·7) 46·9 (41·2-52·8) requiring medical care consistently higher regional level females than males. using substantially varied country region. suicides USA, Uruguay, Venezuela. remain variable across locations, although have continued improve globally since 1990s. This presents, first GBD, quantification death, alongside throughout world. These analyses will help guide future approaches reduce consider public health framework Bill & Melinda Gates Foundation.

Язык: Английский

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Vitamin D in Depression: A Potential Bioactive Agent to Reduce Suicide and Suicide Attempt Risk

Nutrients, Год журнала: 2023, Номер 15(7), С. 1765 - 1765

Опубликована: Апрель 4, 2023

Suicide is one of the leading causes death worldwide. According to World Health Organization (WHO), every year, more than 700 thousand people die from this cause. Therefore, suicide a public health issue. The complex interaction between different factors suicide; however, depression most frequent in who have attempted suicide. Several studies reported that vitamin D deficiency may be relevant risk factor for depression, and supplementation has shown promising effects adjunctive treatment mood disorder. Among beneficial mechanisms D, it been proposed enhance serotonin synthesis modulate proinflammatory cytokines since low levels systemic inflammation associated with present narrative review shows potential pathogenic role benefits reduce their risk.

Язык: Английский

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Exploring research gaps and trends in the management of acute phosphide poisoning: a systematic review

Critical Reviews in Toxicology, Год журнала: 2023, Номер 53(3), С. 181 - 206

Опубликована: Март 16, 2023

Metal phosphides are highly toxic pesticides that result in high morbidities and mortalities worldwide. This systematic review included 350 studies fulfilled the eligibility criteria. There were significant rising trends of on acute aluminum phosphide (AlP) zinc (Zn3P2) poisoning (p-values = <.001), pointing to an increased number phosphide-intoxicated patients. Acute AlP represented 81%, 89.3%, 97.7% all descriptive, analytical, experimental interventional this review, respectively. High mortality explains great research interest poisoning. Thus, after 2016, nearly half (49.7%) issued. Also, 78.82% published 2016. The in-vitro, animal, clinical significantly with p-values equal .021, <.001, Seventy-nine treatment modalities for pooled from 124 studies; 39 management-related case reports, 12 in-vitro studies, animal 34 studies. All therapeutic summarized formulate integrated comprehensive overview. For clinicians, decreased trials extracorporeal membrane oxygenation (ECMO), N-acetyl cysteine (NAC), vitamin E, glucose-insulin-potassium (GIK) infusion, fresh packed RBCs GIT decontamination using oils. However, meta-analyses needed provide solid evidence regarding their efficacies. To date, there is no effective antidote nor evidence-based standardized protocol managing article outlined potential gaps might promote direct future medical context.

Язык: Английский

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From strain to strength: a yearlong study on the transformative influence of inner engineering online program on mental well-being

Frontiers in Psychology, Год журнала: 2025, Номер 16

Опубликована: Фев. 4, 2025

Introduction Health is a multidimensional phenomenon encompassing physical, mental, and social well-being, all of which are deeply interconnected. The COVID-19 pandemic highlighted the importance mental health, as rates loneliness, depression, anxiety surged. Mindfulness practices, such Shambhavi Mahamudra Kriya (SMK), have gained attention for their potential to enhance well-being by integrating breath regulation, meditation, cognitive reframing techniques. During pandemic, Inner Engineering Completion Online (IECO) program was created effectively teach SMK with global travel restrictions in effect. This study examines long-term effects SMK, taught through IECO, on various measures over one-year follow-up period. Methods Participants were recruited from January 2020 IECO course. completed surveys at consent, post-IECO, 6 weeks, months, 1-year post-IECO. consisted 4 validated neuropsychological scales: Perceived Stress Scale (PSS), Positive Emotion/Relationship/Engagement (PERMA) Profiler, Pittsburgh Sleep Quality Index (PSQI), Mindful Attention Awareness (MAAS). Survey data analyzed using linear mixed effect modeling. Two-sided p -values &lt;0.05 considered statistically significant. Results Hundred eighty-eight participants enrolled. sixty-four baseline measurements, 41 timepoints. median [IQR] PSS score 13 [8, 18]; post-IECO 11 16] 6-week 7 [4, 12], suggesting that consistent practice resulted reduced stress. sustained up year [3, 12]. mean mindfulness scale (MAAS) increased 0.97 (95% C.I. 0.7–1.2 &lt; 0.01, η 2 = 0.30) timepoint compared baseline. PSQI week 1.3 0.49–2.0, 0.01) medium size until 1 year. Discussion Within weeks participating regular significantly stress, improved sleep quality, boosted mindfulness. These benefits least continued practice, this an effective path maintaining general well-being. Clinical trial registration ClinicalTrials.gov , identification number NCT04189146.

Язык: Английский

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The relationship between gender identity, economic stressors, social support, concurrent substance use and suicidal ideation

Social Psychiatry and Psychiatric Epidemiology, Год журнала: 2025, Номер unknown

Опубликована: Март 11, 2025

Язык: Английский

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İNTİHAR OLASILIĞI VE ETKİLEYEN FAKTÖRLER: KESİTSEL ÇALIŞMA

Sağlık Bilimleri Dergisi, Год журнала: 2025, Номер 34(1), С. 54 - 60

Опубликована: Март 17, 2025

Bu çalışma, yetişkinlerin intihar olasılığını ve yordayan faktörleri belirlemek amacıyla kesitsel olarak yapılmıştır.Araştırma Türkiye’nin doğusunda bir ilde yürütülmüştür. Araştırma verileri Kişisel Bilgi Formu İntihar Olasılığı Ölçeği ile toplanmıştır.Araştırmanın evrenini Erzurum ilinde yaşayan yetişkin bireyler, örneklemini ise araştırmaya katılmaya gönüllü olan bireyler oluşturmuştur. Araştırma, Mayıs-Haziran 2021 tarihinde, Covid-19 da kademeli normalleşme sürecindeyken, merkez ilçelerinde 18-65 yaş arası katılım esasına dayalı 664 katılımcının çevrimiçi katılımı gerçekleştirilmiştir. Katılımcıların olasılığı ölçeği ortalamasının 76.55±16.69olduğu saptanmıştır. Yaşla birlikte olasılığının azaldığı; bekar olanların, lise mezunu bireylerin, ekonomik durumu kötü daha önce girişiminde bulunmuş kişilerin ruhsal hastalığa sahip ölçek toplam puanı alt boyut puanlarının yüksek olduğu geçirmiş olma cinsiyetin değişkenlerinin üzerinde anlamlı etkisinin bulunmadığı tespit edilmiştir. Değişkenlerin olasılığına etkileri sırasıyla en güçlüden zayıfa doğru; bulunma, durum, medeni yaş, öğrenim hastalık varlığı belirlenmiştir. genel ortalamanın altında çok etkileyen faktörlerin sırasıyla, %8 olma, %7 %5 %4 %2 %1

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Intended and suicidal trauma to the anterior neck in Finnish young adults

European Journal of Trauma and Emergency Surgery, Год журнала: 2025, Номер 51(1)

Опубликована: Март 20, 2025

Abstract Purpose Self-inflicted injuries are a leading cause of death in young adults. Trauma to the anterior neck, such as from cutting and hanging, can have serious consequences given complex anatomy closeness critical structures. Considering recent increase intended inter-personal violence, we evaluated occurrence clinical characteristics self-harm neck Methods We retrospectively reviewed all traumas treated at Helsinki University Hospital patients aged 18 30 years 2005–2023. Patient records were systematically for cohort demographics, injury type, characteristics, treatment, follow-up, possible psychiatric comorbidities. Results In total 169 events recorded, with an evident (45% 2020–2023) particularly females. Females younger than males ( p = 0.010) their trauma generally milder, often managed outpatient care (82%). Severe penetrating occurred primarily 0.005) who older 0.004) without prior suicidal 0.005). They required surgical interventions prolonged in-house treatment. Overall, was characterized by heavy burden comorbidities (98%) substance abuse (53%); 78% had other events. Four (2.9%) deceased recorded suicide during study period. Conclusions report alarming especially among females severe preceding behavior. Our findings warrant timely preventative actions on individual societal level call refined guidelines management.

Язык: Английский

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Association between cardiometabolic index (CMI) and suicidal ideation: The mediating role of depression and cardiovascular disease

Journal of Affective Disorders, Год журнала: 2025, Номер 380, С. 487 - 495

Опубликована: Март 28, 2025

Язык: Английский

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What was associated with suicide planning in middle-aged and older adults during the COVID-19 lockdown?

Archives of Public Health, Год журнала: 2025, Номер 83(1)

Опубликована: Апрель 4, 2025

Abstract Backgrounds During the lockdown period, challenges faced and their consequences differed by age group, making it necessary to understand factors influencing suicidal behaviors, such as suicide planning, across different ages. This study aimed identify risk for planning in middle-aged older adults. Methods A cross-sectional analysis was performed combining KNHANES 2020–2021 data people aged 40 with National Mental Health Statistics on number of mental health professionals per capita. Logistic regression conducted demographic, behavior, status, access that affected dividing participants into (40–64 years old) adult (65 old or older) groups. Results The proportion among adults 1.21% 1.36%, respectively. plans who had attempted 20.52% 14.09% In both groups, a diagnosis depression high stress were consistently associated planning. current smoking (OR = 2.27, p 0.023) unmet healthcare needs 2.32, 0.024) increased living alone 2.72, 0.002) this risk. Conclusion prevalence attempts higher those plan than without plan. For is important provide care at prevention, especially depressive disorders levels. Additionally, providing alternative management resources smokers monitoring isolated could be effective prevention strategies.

Язык: Английский

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