The impact of the COVID-19 pandemic on self-harm and suicidal behaviour: a living systematic review
Top Cited Papers
Open Access
- 4 September 2020
- journal article
- review article
- Published by F1000 Research Ltd in F1000Research
- Vol. 9, 1097
- https://doi.org/10.12688/f1000research.25522.1
Abstract
Background: The COVID-19 pandemic has caused morbidity and mortality, as well as, widespread disruption to people’s lives and livelihoods around the world. Given the health and economic threats posed by the pandemic to the global community, there are concerns that rates of suicide and suicidal behaviour may rise during and in its aftermath. Our living systematic review (LSR) focuses on suicide prevention in relation to COVID-19, with this iteration synthesising relevant evidence up to June 7th 2020. Method: Automated daily searches feed into a web-based database with screening and data extraction functionalities. Eligibility criteria include incidence/prevalence of suicidal behaviour, exposure-outcome relationships and effects of interventions in relation to the COVID-19 pandemic. Outcomes of interest are suicide, self-harm or attempted suicide and suicidal thoughts. No restrictions are placed on language or study type, except for single-person case reports. Results: Searches identified 2070 articles, 29 (28 studies) met our inclusion criteria, of which 14 articles were research letters or pre-prints awaiting peer review. All articles reported observational data: 12 cross-sectional; eight case series; five modelling; and three service utilisation studies. No studies reported on changes in rates of suicidal behaviour. Case series were largely drawn from news reporting in low/middle income countries and factors associated with suicide included fear of infection, social isolation and economic concerns. Conclusions: A marked improvement in the quality of design, methods, and reporting in future studies is needed. There is thus far no clear evidence of an increase in suicide, self-harm, suicidal behaviour, or suicidal thoughts associated with the pandemic. However, suicide data are challenging to collect in real time and economic effects are evolving. Our LSR will provide a regular synthesis of the most up-to-date research evidence to guide public health and clinical policy to mitigate the impact of COVID-19 on suicide. PROSPERO registration: CRD42020183326 01/05/2020Keywords
Funding Information
- NIHR Bristol Biomedical Research Centre (IS-BRC-1215-20011)
- NIHR Greater Manchester Patient Safety Translational Research Centre (PSTRC-2016-003)
- Oxford University Hospitals NHS Foundation Trust
- University of Bristol
- Swansea University
- National Institute for Health Research (DRF-2018-11-ST2-048, RM-SR-2017-09-028)
- Cochrane Satellite for Suicide and Self-Harm Prevention
- NIHR Applied Research Collaboration West
- National Centre for Mental Health (HCRW-CA04)
This publication has 63 references indexed in Scilit:
- Impact of 2008 global economic crisis on suicide: time trend study in 54 countriesBMJ, 2013
- Characteristics of and trends in subgroups of prisoner suicides in England and WalesPsychological Medicine, 2011
- Psychiatric disorders in male prisoners who made near-lethal suicide attempts: case–control studyThe British Journal of Psychiatry, 2010
- The public health effect of economic crises and alternative policy responses in Europe: an empirical analysisThe Lancet, 2009
- Female Suicide Rates in Ghizer, PakistanSuicide and Life-Threatening Behavior, 2009
- A revisit on older adults suicides and Severe Acute Respiratory Syndrome (SARS) epidemic in Hong KongInternational Journal of Geriatric Psychiatry, 2008
- Anxiety among university students during the SARS epidemic in Hong KongStress & Health, 2006
- Loneliness and social uses of the InternetComputers in Human Behavior, 2003
- Detection of Postnatal DepressionThe British Journal of Psychiatry, 1987
- On the Two Different Aspects of the Representative Method: The Method of Stratified Sampling and the Method of Purposive SelectionJournal of the Royal Statistical Society, 1934