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Suicidal Behavior During COVID-19 Pandemic

https://doi.org/10.30629/2618-6667-2022-20-3-74-84

Abstract

Background: during the COVID-19 pandemic, many mental health problems among the population have been exacerbated, which raised fears regarding possible increase in suicides. In response to that, studies of suicidal behavior all around the world have grown substantially. In many countries, given the constantly changing situation, research is based not only on national statistical data, which are usually 1–1.5 years late, but efforts are made to collect real-time information.
The aim: to integrate the results of observations regarding possible associations between suicidal behavior and pandemic waves and restrictive measures and offer explanations for the observed trends.
Materials: relevant papers were identified during the monitoring of domestic and foreign scientific databases.
Results: observations show that after the announcement of severe restrictive measures, despite the fact that the level of stress, anxiety, depression, addictions and other mental health disorders increased in the population, there was no increase in suicide mortality. On the contrary, in many countries, cities and regions, more frequently decrease in completed suicides, as well as in non-fatal suicidal behavior, was observed. The explanation of this phenomenon is related to the concept of crisis and lies in the field of sociological theories to a greater extent than in the field of the medical and psychiatric model of suicide. A pandemic is a typical example of a global crisis, which is characterized by an acute, chronic and recovery phase. After the crisis will be over and in the longer perspective, due to the anticipated serious changes in the lives of large contingents of people, it is necessary to be prepared for possible negative tendencies in suicidal behavior.
Conclusion: despite the fact that the current pandemic did not result in an increase of suicides, it is necessary to intensify research in the field of suicidology. Efforts aimed at developing, organizing and implementing more effective suicide prevention measures are needed. It is essential that they should be culturally and organizationally acceptable and adapted to the current level of intensity of information flows.

About the Authors

V. A. Rozanov
V.M. Bekhterev National Medical Research Center for Psychiatry and Neurology; Saint Petersburg State University
Russian Federation

Vsevolod A. Rozanov, Professor, Dr. of Sci. (Med.), Chair of Health Psychology and Deviant Behaviours, Department of Psychology

Saint Petersburg



N. V. Semenova
V.M. Bekhterev National Medical Research Center for Psychiatry and Neurology
Russian Federation

Natalia V. Semenova, Dr. of Sci. (Med.), Vice-Director for Scienti c, Organizational and Methodological Issues

Saint Petersburg



References

1. Boyko OM, Medvedeva TI, Enikolopov SN, Vorontsova OYu, Kazmina OYu. The psychological state of people during the COVID-19 pandemic and the target of psychological work. Psychological Studies. 2020;13(70):1–12. (In Russ.). doi: 10.54359/ps.v13i70.196

2. Vindegaard N, Benros ME. COVID-19 pandemic and mental health consequences: Systematic review of the current evidence. Brain Behav Immun. 2020;89:531–542. doi: 10.1016/j.bbi.2020.05.048

3. Preti E, Pierro RD, Perego G, Bottini M, Casini E, Ierardi E. Madeddu F, Mazzetti M, Riva Crugnola C, Taranto P, Mattei VD. Short-term psychological consequences of the COVID-19 pandemic: Results of the first wave of an ecological daily study in the Italian population. Psychiatry Res. 2021;305:114206. doi: 10.1016/j.psychres.2021.114206

4. Malykh SB, Sitnikova MA. Psychological risks during the COVID-19 pandemic. In: Psychological Guidance during the COVID-19 Pandemic. (Ed) YuP Zinchenko. Moscow: MSU; 2021:31–61. (In Russ.).

5. Sher L. The impact of the COVID-19 pandemic on suicide rates. QJM. 2020 Oct 1;113(10):707–712. doi: 10.1093/qjmed/hcaa202 PMID: 32539153; PMCID: PMC7313777.

6. Brown S, Schuman DL. Suicide in the time of COVID-19: A perfect storm. J Rural Health. 2021 Jan;37(1):211–214. doi: 10.1111/jrh.12458 Epub 2020 Jun 8. PMID: 32362027; PMCID: PMC7267332.

7. Lyubov EB, Zotov PB, Polozhy BS. Pandemics and suicide: a perfect storm and a moment of truth. Suicidology. 2020;11(1):3–38. (In Russ.). doi: 10.32878/suiciderus.20-11-01(38)-3-38

8. Garfin DR, Silver RC, Holman EA. The novel coronavirus (COVID-2019) outbreak: Amplification of public health consequences by media exposure. Health Psychol. 2020;39:355–357. doi: 10.1037/hea0000875

9. Rozanov VA, Rutz W. Psychological trauma through mass media: implications for a current “pandemic- infodemic” situation (A narrative review). World Soc Psychiatry. 2021;3:77–86. doi: 10.4103/wsp.wsp_90_20

10. Watson C. Rise of the preprint: how rapid data sharing during COVID-19 has changed science forever. Nat Med. 2022;28:2–5. doi: 10.1038/s41591-021-01654-6

11. Mamun MA, Griffiths MD. First COVID-19 suicide case in Bangladesh due to fear of COVID-19 and xenophobia: Possible suicide prevention strategies. Asian J Psychiatr. 2020;51:102073. doi: 10.1016/j.ajp.2020.102073 Epub 2020 Apr 7. PMID: 32278889; PMCID: PMC7139250.

12. Goyal K, Chauhan P, Chhikara K, Gupta P, Singh MP. Fear of COVID 2019: First suicidal case in India! Asian J Psychiatr. 2020;49:101989. doi: 10.1016/j.ajp.2020.101989

13. Ueda M, Nordström R, Matsubayashi T. Suicide and mental health during the COVID-19 pandemic in Japan. J Public Health (Oxf ). 2021:fdab113. doi: 10.1093/pubmed/fdab113 Epub ahead of print. PMID: 33855451; PMCID: PMC8083330.

14. Qin P, Mehlum L. National observation of death by suicide in the first 3 months under COVID-19 pandemic. Acta Psychiatr Scand. 2021;143(1):92–93. doi: 10.1111/acps.13246

15. Calderon-Anyosa RJC, Kaufman JS. Impact of COVID-19 lockdown policy on homicide, suicide, and motor vehicle deaths in Peru. Prev Med. 2021;143:106331. doi: 10.1016/j.ypmed.2020.106331 Epub 2020 Nov 21. PMID: 33232687; PMCID: PMC7680039.

16. Deisenhammer EA, Kemmler G. Decreased suicide numbers during the first 6 months of the COVID-19 pandemic. Psychiatry Res. 2021;295:113623. doi: 10.1016/j.psychres.2020.113623

17. Kekelidze ZI, Polozhy BS, Boyko OE, Vasiliev VV, Evtushenko EM, Kamenshchikov YuG, Ruzhenkov VA, Ruzhenkova VV. Sakharov AV, Stupina OP, Timerbulatov IF, Suicide during the pandemic self-isolation. Russian Psychiatric Journal. 2020;3:4–13. (In Russ.). doi: 10.24411/1560-957X-2020-10301

18. Rozanov VA, Semenova NV, Isakov VD, Yagmurov OD, Vuks AYa, Freize VV, Neznanov NG. Suicides in the COVID-19 pandemic — are we well informed regarding current risks and future prospects? Consortium Psychiatricum. 2021;2(1):32–39. doi: 10.17816/CP56

19. John A, Eyles E, McGuinness L, Okolie C, Olorisade B, Schmidt L, Webb R, Arensman E, Hawton K, Kapur N, Moran P, O’Connor R, O’neill S, Gunnell D, Higgins J. The impact of the COVID-19 pandemic on selfharm and suicidal behaviour: a living systematic review. F1000Research. 2020;9:1097 doi: 10.12688/f1000research.25522.1

20. John A, Pirkis J, Gunnell D, Appleby L, Morrissey J. Trends in suicide during the covid-19 pandemic Prevention must be prioritised while we wait for a clearer picture. BMJ. 2020;371:m4352. doi: 10.1136/bmj.m4352

21. Pirkis J, John A, Shin S., DelPozo-Banos M, Arya V, Analuisa-Aguilar, P Appleby L, Arensman E, Bantjes J, Baran A, Bertolote JM, Borges G, Brečić P, Caine E, Castelpietra G, Chang S-S, Colchester D, Crompton D, Curkovic M, Deisenhammer EA, Du C, Dwyer J, Erlangsen A, Faust JS, Fortune S, Garrett A, George D, Gerstner R, Gilissen R, Gould M, Hawton K, Kanter J, Kapur N, Khan M, Kirtley OJ, Knipe D, Kolves K, Leske S, Marahatta K, Mittendorfer-Rutz E, Neznanov N, Niederkrotenthaler T, Nielsen E, Nordentoft M, Oberlerchner H, O’Connor RC, Pearson M, Phillips MR, Platt S, Plener PL, Psota G, Qin P, Radeloff D, Rados C, Reif A, Reif-Leonhard C, Rozanov V, Schlang C, Schneider B, Semenova N, Sinyor M, Townsend E, Ueda M, Vijayakumar L, Webb RT, Weerasinghe M, Zalsman G, Gunnell D, Spittal MJ. Suicide trends in the early months of the COVID-19 pandemic: an interrupted time-series analysis of preliminary data from 21 countries. Lancet Psychiatry. 2021;8(7):579–588. doi: 10.1016/S2215-0366(21)00091-2

22. Partonen T, Kiviruusu O, Grainger M, Suvisaari J, Eklin A, Virtanen A, Kauppila R. Suicides from 2016 to 2020 in Finland and the effect of the COVID-19 pandemic. Br J Psychiatry. 2022;220(1):38–40. doi: 10.1192/bjp.2021.136 PMID: 35045896.

23. Lin C-Y, Chang S-S, Shen L-J. Decrease in suicide during the first year of the COVID-19 pandemic in Taiwan. J Clin Psychiatry. 2021;82(6):21br14137. doi: 10.4088/JCP.21br14137

24. Rozanov VA, Semenova NV, Kamenshchikov YuG, Vuks AYa, Freize VV, Malyshko LV, Zakharov SE, Kamenshchikov AYu, Isakov VD, Krivda GF, Yagmurov OD, Neznanov NG. Suicides during the COVID-19 pandemic: comparing frequencies in three population groups, 9.2 million people overall. Health Risk Analysis. 2021;2:132–144. doi: 10.21668/health.risk/2021.2.13.eng

25. Travis-Lumer Y, Kodesh A, Goldberg Y, Frangou S, Levine S. Attempted suicide rates before and during the COVID-19 pandemic: Interrupted time series analysis of a nationally representative sample. Psychol Med. 2021;1–7. doi: 10.1017/S0033291721004384

26. Valdez-Santiago R, Villalobos A, Arenas-Monreal L, González-Forteza C, Hermosillo-de-la-Torre AE, Benjet C, Wagner FA. Comparison of suicide attempts among nationally representative samples of Mexican adolescents 12 months before and after the outbreak of the Covid-19 pandemic, J Aff Disord. 2022;298(A):65–68. doi: 10.1016/j.jad.2021.10.111

27. Knipe D, Silva T, Aroos A, Senarathna L, Hettiarachchi NM, Galappaththi SR, Spittal MJ, Gunnell D, Metcalfe C, Rajapakse T. Hospital presentations for self-poisoning during COVID-19 in Sri Lanka: an interrupted time-series analysis. Lancet Psychiatry. 2021;8(10):892–900. doi: 10.1016/S2215-0366(21)00242-X

28. Steeg S, Bojanić L, Tilston G, Williams R, Jenkins DA, Carr MJ, Peek N, Ashcroft DM, Kapur N, Voorhees J, Webb RT. Temporal trends in primary care-recorded self-harm during and beyond the first year of the COVID-19 pandemic: Time series analysis of electronic healthcare records for 2.8 million patients in the Greater Manchester Care Record. EClinicalMedicine. 2021;41:101175. doi: 10.1016/j.eclinm.2021.101175

29. Moore H, Siriwardena A, Gussy M, Tanser F, Hil, B, Spaight R. Mental health emergencies and COVID-19: The impact of ‘lockdown’ in the East Midlands of the UK. BJPsych Open. 2021;7(4):E139. doi: 10.1192/bjo.2021.973

30. DelPozo-Banos M, Lee SC, Friedmann Y, Akbari A, Torabi F, Lloyd K, Lyons RA, John A. Healthcare presentations with self-harm and the association with COVID-19: an e-cohort whole population-based study using individual-level linked routine electronic health records in Wales, UK, 2016 — March 2021. medRxiv. doi: 10.1101/2021. 08.13.21261861

31. Osváth P, Bálint L, Németh A, Kapitány B, Rihmer Z, Döme P. [Changes in suicide mortality of Hungary during the first year of the COVID-19 pandemic] Orv. Hetil. 2021;162(41):1631–1636. doi: 10.1556/650.2021.32346

32. Eguchi A, Nomura S, Gilmour S, Harada N, Sakamoto H, Ueda P, Yoneoka D, Tanoue Y, Kawashima T, Hayashi TI, Arima Y, Suzuki M, Hashizume M, Suicide by gender and 10-year age groups during the COVID-19 pandemic vs previous five years in Japan: An analysis of national vital statistics. Psychiatry Res. 2021;305:114173. doi: 10.1016/j.psychres.2021.114173

33. Chen Y-Y, Yang C-T, Pinkney E, Yip PSF. Suicide trends varied by age-subgroups during the COVID-19 pandemic in 2020 in Taiwan. J Formos Med Assoc. 2021. doi: 10.1016/j.jfma.2021.09.021

34. Acharya B, Subedi K, Acharya P, Ghimire S. Association between COVID-19 pandemic and the suicide rates in Nepal. PLoS ONE. 2022;17(1):e0262958. doi: 10.1371/journal.pone.0262958

35. Rodríguez-Rey R, Garrido-Hernansaiz H, Collado S. Psychological impact and associated factors during the initial stage of the coronavirus (COVID-19) pandemic among the general population in Spain. Front. Psychol. 2020;11:1540. doi: 10.3389/fpsyg.2020.01540

36. Carison A, Babl FE, O’Donnell SM. Increased paediatric emergency mental health and suicidality presentations during COVID-19 stay at home restrictions. Emerg Med Australas. 2022;34:85–91. doi: 10.1111/1742-6723.13901

37. de Oliveira SMT, Galdeano EA, da Trindade EMGG, Fernandez RS, Buchaim RL, Buchaim DV, da Cunha MR, Passos SD. Epidemiological Study of Violence against Children and Its Increase during the COVID-19 Pandemic. Int J Environ Res Public Health. 2021;18:10061. doi: 10.3390/ijerph181910061

38. Thornley S, Grant C, Sundborn G. Higher rates of hospital treatment for parasuicide are temporally associated with COVID-19 lockdowns in New Zealand children. J Paediatr Child Health. 2021;57(12):2039–2040. doi: 10.1111/jpc.15743

39. Cousien A, Acquaviva E, Kernéis S, Yazdanpanah Y, Delorme R. Temporal trends in suicide attempts among children in the decade before and during the COVID-19 pandemic in Paris, France. JAMA Netw Open. 2021;4(10):e2128611. doi: 10.1001/jamanetworkopen.2021.28611

40. Coates L, Marshall R, Johnson K, Foster BA. Mental health utilization in children in the time of COVID-19. medRxiv. 2021.08.11.21261712. doi: 10.1101/2021.08.11.21261712

41. Steinhoff A, Bechtiger L, Ribeaud D, Murray AL, Hepp U, Eisner M, Shanahan L. Self-injury and domestic violence in young adults during the COVID-19 pandemic: trajectories, precursors, and correlates. J Res Adolesc. 2021;31(3):560–575. doi: 10.1111/jora.12659

42. Bruns N, Willemsen L, Holtkamp K, Kamp O, Dudda M, Kowall B, Stang A, Hey F, Blankenburg J, Hemmen S, Eifinger F, Fuchs H, Haase R, Andrée C, Heldmann M, Potratz J, Kurz D, Schumann A, Müller-Knapp M, Mand N, Doerfel C, Dahlem P, Rothoeft T, Ohlert M, Silkenbäumer K, Dohle F, Indraswari F, Niemann F, Jahn P, Merker M, Braun N, Nunez FB, Engler M, Heimann K, Wolf G, Wulf D, Hollborn C, Freymann H, Allgaier N, Knirsch F, Dercks M, Reinhard J, Hoppenz M, Felderhoff-Müser U, Dohna-Schwake C.Trends in accident-related admissions to pediatric intensive care units during the first COVID-19 lockdown in Germany. medRxiv. Preprint. doi: 10.1101/2021.08.06.21261728

43. Odd D, Williams T, Appleby L, Gunnell D, Luyt K. Child suicide rates during the COVID-19 pandemic in England. J Affect Disord Rep. 2021;6:100273. doi: 10.1016/j.jadr.2021.100273

44. Wand A, Zhong BL, Chiu H, Draper B, De Leo D. COVID-19: the implications for suicide in older adults. International Psychogeriatrics. 2020;32(10):1225–1230. doi: 10.1017/S1041610220000770

45. John A, Eyles E, Webb RT, Okolie C, Schmidt L, Arensman E, Hawton K, O’Connor RC, Kapur N, Moran P, O’Neill S, McGuinness LA, Olorisade BK, Dekel D, Macleod-Hall C, Cheng H-Y, Higgins JPT, Gunnell D. The impact of the COVID-19 pandemic on self-harm and suicidal behaviour: update of living systematic review [version 2; peer review: 1 approved, 2 approved with reservations]. F1000Research. 2021;9:1097. doi: 10.12688/f1000research.25522.2

46. McIntyre RS, Lui LM, Rosenblat JD, Ho R, Gill H, Mansur RB, Teopiz K, Liao Y, Lu C, Subramaniapillai M, Nasri F, Lee Y. Suicide reduction in Canada during the COVID-19 pandemic: lessons informing national prevention strategies for suicide reduction. J R Soc Med. 2021;114(10):473–479. doi: 10.1177/01410768211043186

47. Brülhart M, Klotzbücher V, Lalive R, Reich SK. Mental health concerns during the COVID-19 pandemic as revealed by helpline calls. Nature. 2021;600:121–126. doi: 10.1038/s41586-021-04099-6

48. Knipe D, John A, Padmanathan P, Eyles E, Dekel D, Higgins JPT, Bantjes J, Dandona R, Macleod-Hall K, McGuinness LA, Schmidt L, Webb RT, Gunnell D. Suicide and self-harm in low- and middle- income countries during the COVID-19 pandemic: A systematic review. medRxiv. doi: 10.1101/2021.09.03.21263083

49. Niederkrotenthaler T, Laido Z, Kirchner S, Braun M, Metzler H, Waldhör T, Strauss MJ, Garcia D, Till B. Mental health over nine months during the SARSCoV-2 pandemic: Representative cross-sectional survey in twelve waves between April and December 2020 in Austria. J Affect Disord. 2022;296:49–58. doi: 10.1016/j.jad.2021.08.153

50. Rozanov VA. Global crises and catastrophes and suicidal behavior (on the example of the COVID-19 pandemic. In: COVID-19: the first experiences. 2020. Collective monograph. (Ed) PB Zotov. Tymen’: Vector-Book. 2021:61–87. (In Russ.).

51. Sinyor M, Knipe D, Borges G, Ueda M, Pirkis J, Phillips MR, Gunnell D, the International COVID-19 Suicide Prevention Research Collaboration. Suicide Risk and prevention during the COVID-19 pandemic: One year on. Arch Suicide Res. 2021;23:1–6. doi: 10.1080/13811118.2021.1955784

52. Gordeeva TO, Sychev OA. Psychological predictors of well-being and following healthy life guidelines during the COVID-19 pandemic in Russia. In: Psychological Guidance during the COVID-19 Pandemic. (Ed) YuP. Zinchenko. Moscow: MSU; 2021:62–98. (In Russ.).

53. Berardelli I, Sarubbi S, Rogante E, Cifrodelli M, Erbuto D, Innamorati M, Lester D, Pompili M. The impact of the COVID-19 pandemic on suicide ideation and suicide attempts in a sample of psychiatric inpatients. Psychiatry Res. 2021;303:114072. doi: 10.1016/j.psychres.2021.114072

54. Manchia M, Gathier AW, Yapici-Eser H, Schmidt MV, de Quervain D, van Amelsvoort T, Bisson JI, Cryan JF, Howes OD, Pinto L, van der Wee NJ, Domschke K, Branchi I, Vinkers CH. The impact of the prolonged COVID-19 pandemic on stress resilience and mental health: A critical review across waves. Eur Neuropsychopharmacol. 2022;55:22–83. doi: 10.1016/j.euroneuro.2021.10.864

55. Smitham E, Glassman A. The Next Pandemic Could Come Soon and Be Deadlier. Center for Global Development. August 25, 2021. https://www.cgdev.org/blog/the-next-pandemic-could-come-soon-and-bedeadlier

56. Wasserman IM. The impact of epidemic, war, prohibition and media on suicide: United States, 1910–1920. Suicide Life Threat Behav. 1992;22:240–254.

57. Stack S, Rockett IRH. Social distancing predicts suicide rates: Analysis of the 1918  u pandemic in 43 large cities, research note. Suicide Life Threat Behav. 2021;51(5):833–835. doi: 10.1111/sltb.12729

58. Gaddy HG. Social distancing and in uenza mortality in 1918 did not increase suicide rates in the United States. Popul Health. 2021;16:100944. doi: 10.1016/j.ssmph.2021.100944

59. Bastiampillai T, Allison S, Looi J. Spanish Flu (1918–1920) Impact on US Suicide Rates by Race: Potential Future Effects of the COVID-19 Pandemic. Prim Care Companion CNS Disord. 2021;23(6):21com03088. doi: 10.4088/PCC.21com03088

60. Bastiampillai T, Allison S, Smith D, Mulder R, Looi JC. The Spanish Flu pandemic and stable New Zealand suicide rates: historical lessons for COVID-19. N Z Med J. 2021;134(1541):134–137.

61. Lester D. Suicide during war and genocide. In: Oxford Textbook on Suicidology and Suicide Prevention. D. Wasserman, C. Wasserman (eds). NY: Oxford University Press, 2009:215–218.

62. Rozanov VA. Nasushchnye zadachi v sfere suicidal’noj prevencii v svyazi s pandemiej COVID-19. Suicidologiya. 2020;11(1):39–52. (In Russ.). doi: 10.32878/suiciderus.20-11-01(38)-39-52


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Rozanov V.A., Semenova N.V. Suicidal Behavior During COVID-19 Pandemic. Psychiatry (Moscow) (Psikhiatriya). 2022;20(3):74-84. (In Russ.) https://doi.org/10.30629/2618-6667-2022-20-3-74-84

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