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Suicide and self-harm in low- and middle- income countries during the COVID-19 pandemic: A systematic review

Duleeka Knipe Orcid Logo, Ann John Orcid Logo, Prianka Padmanathan Orcid Logo, Emily Eyles Orcid Logo, Dana Dekel Orcid Logo, Julian PT Higgins Orcid Logo, Jason Bantjes Orcid Logo, Rakhi Dandona Orcid Logo, Catherine Macleod-Hall, Luke A McGuinness Orcid Logo, Lena Schmidt Orcid Logo, Roger T Webb, David Gunnell Orcid Logo

Medrxiv

Swansea University Authors: Ann John Orcid Logo, Dana Dekel Orcid Logo

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DOI (Published version): 10.1101/2021.09.03.21263083

Abstract

There is widespread concern over the potential impact of the COVID-19 pandemic on suicide and self-harm globally, particularly in low- and middle-income countries (LMIC) where the burden of these behaviours is greatest. We synthesised the evidence from the published literature on the impact of the p...

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Published in: Medrxiv
Published: Cold Spring Harbor Laboratory
URI: https://cronfa.swan.ac.uk/Record/cronfa59741
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We synthesised the evidence from the published literature on the impact of the pandemic on suicide and self-harm in LMIC.This review is nested within a living systematic review that continuously identifies published evidence (all languages) through a comprehensive automated search of multiple databases (PubMed; Scopus; medRxiv, PsyArXiv; SocArXiv; bioRxiv; the WHO COVID-19 database; and the COVID-19 Open Research Dataset by Semantic Scholar (up to 11/2020), including data from Microsoft Academic, Elsevier, arXiv and PubMed Central.) All articles identified by the 4th August 2021 were screened. Papers reporting on data from a LMIC and presenting evidence on the impact of the pandemic on suicide or self-harm were included.A total of 22 studies from LMIC were identified representing data from 12 countries. There was an absence of data from Africa. The reviewed studies mostly report on the early months of COVID-19 and were generally methodologically poor. Few studies directly assessed the impact of the pandemic. The most robust evidence, from time-series studies, indicate either a reduction or no change in suicide and self-harm behaviour.As LMIC continue to experience repeated waves of the virus and increased associated mortality, against a backdrop of vaccine inaccessibility and limited welfare support, continued efforts are needed to track the indirect impact of the pandemic on suicide and self-harm in these countries.</abstract><type>Other</type><journal>Medrxiv</journal><volume/><journalNumber/><paginationStart/><paginationEnd/><publisher>Cold Spring Harbor Laboratory</publisher><placeOfPublication/><isbnPrint/><isbnElectronic/><issnPrint/><issnElectronic/><keywords/><publishedDay>0</publishedDay><publishedMonth>0</publishedMonth><publishedYear>0</publishedYear><publishedDate>0001-01-01</publishedDate><doi>10.1101/2021.09.03.21263083</doi><url/><notes>Preprint article before certification by peer review. 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spelling 2022-04-26T15:03:07.6153460 v2 59741 2022-03-30 Suicide and self-harm in low- and middle- income countries during the COVID-19 pandemic: A systematic review ed8a9c37bd7b7235b762d941ef18ee55 0000-0002-5657-6995 Ann John Ann John true false 7904c581b4da2217c348434c9f04f165 0000-0003-0137-5149 Dana Dekel Dana Dekel true false 2022-03-30 HDAT There is widespread concern over the potential impact of the COVID-19 pandemic on suicide and self-harm globally, particularly in low- and middle-income countries (LMIC) where the burden of these behaviours is greatest. We synthesised the evidence from the published literature on the impact of the pandemic on suicide and self-harm in LMIC.This review is nested within a living systematic review that continuously identifies published evidence (all languages) through a comprehensive automated search of multiple databases (PubMed; Scopus; medRxiv, PsyArXiv; SocArXiv; bioRxiv; the WHO COVID-19 database; and the COVID-19 Open Research Dataset by Semantic Scholar (up to 11/2020), including data from Microsoft Academic, Elsevier, arXiv and PubMed Central.) All articles identified by the 4th August 2021 were screened. Papers reporting on data from a LMIC and presenting evidence on the impact of the pandemic on suicide or self-harm were included.A total of 22 studies from LMIC were identified representing data from 12 countries. There was an absence of data from Africa. The reviewed studies mostly report on the early months of COVID-19 and were generally methodologically poor. Few studies directly assessed the impact of the pandemic. The most robust evidence, from time-series studies, indicate either a reduction or no change in suicide and self-harm behaviour.As LMIC continue to experience repeated waves of the virus and increased associated mortality, against a backdrop of vaccine inaccessibility and limited welfare support, continued efforts are needed to track the indirect impact of the pandemic on suicide and self-harm in these countries. Other Medrxiv Cold Spring Harbor Laboratory 0 0 0 0001-01-01 10.1101/2021.09.03.21263083 Preprint article before certification by peer review. Full text available via DOI link to medRxiv COLLEGE NANME Health Data Science COLLEGE CODE HDAT Swansea University 2022-04-26T15:03:07.6153460 2022-03-30T09:19:45.3608253 Swansea University Medical School Medicine Duleeka Knipe 0000-0002-1040-7635 1 Ann John 0000-0002-5657-6995 2 Prianka Padmanathan 0000-0003-1292-6575 3 Emily Eyles 0000-0002-2695-7172 4 Dana Dekel 0000-0003-0137-5149 5 Julian PT Higgins 0000-0002-8323-2514 6 Jason Bantjes 0000-0002-3626-9883 7 Rakhi Dandona 0000-0003-0926-788x 8 Catherine Macleod-Hall 9 Luke A McGuinness 0000-0001-8730-9761 10 Lena Schmidt 0000-0003-0709-8226 11 Roger T Webb 12 David Gunnell 0000-0002-0829-6470 13
title Suicide and self-harm in low- and middle- income countries during the COVID-19 pandemic: A systematic review
spellingShingle Suicide and self-harm in low- and middle- income countries during the COVID-19 pandemic: A systematic review
Ann John
Dana Dekel
title_short Suicide and self-harm in low- and middle- income countries during the COVID-19 pandemic: A systematic review
title_full Suicide and self-harm in low- and middle- income countries during the COVID-19 pandemic: A systematic review
title_fullStr Suicide and self-harm in low- and middle- income countries during the COVID-19 pandemic: A systematic review
title_full_unstemmed Suicide and self-harm in low- and middle- income countries during the COVID-19 pandemic: A systematic review
title_sort Suicide and self-harm in low- and middle- income countries during the COVID-19 pandemic: A systematic review
author_id_str_mv ed8a9c37bd7b7235b762d941ef18ee55
7904c581b4da2217c348434c9f04f165
author_id_fullname_str_mv ed8a9c37bd7b7235b762d941ef18ee55_***_Ann John
7904c581b4da2217c348434c9f04f165_***_Dana Dekel
author Ann John
Dana Dekel
author2 Duleeka Knipe
Ann John
Prianka Padmanathan
Emily Eyles
Dana Dekel
Julian PT Higgins
Jason Bantjes
Rakhi Dandona
Catherine Macleod-Hall
Luke A McGuinness
Lena Schmidt
Roger T Webb
David Gunnell
format Other
container_title Medrxiv
institution Swansea University
doi_str_mv 10.1101/2021.09.03.21263083
publisher Cold Spring Harbor Laboratory
college_str Swansea University Medical School
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hierarchy_top_id swanseauniversitymedicalschool
hierarchy_top_title Swansea University Medical School
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hierarchy_parent_title Swansea University Medical School
department_str Medicine{{{_:::_}}}Swansea University Medical School{{{_:::_}}}Medicine
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description There is widespread concern over the potential impact of the COVID-19 pandemic on suicide and self-harm globally, particularly in low- and middle-income countries (LMIC) where the burden of these behaviours is greatest. We synthesised the evidence from the published literature on the impact of the pandemic on suicide and self-harm in LMIC.This review is nested within a living systematic review that continuously identifies published evidence (all languages) through a comprehensive automated search of multiple databases (PubMed; Scopus; medRxiv, PsyArXiv; SocArXiv; bioRxiv; the WHO COVID-19 database; and the COVID-19 Open Research Dataset by Semantic Scholar (up to 11/2020), including data from Microsoft Academic, Elsevier, arXiv and PubMed Central.) All articles identified by the 4th August 2021 were screened. Papers reporting on data from a LMIC and presenting evidence on the impact of the pandemic on suicide or self-harm were included.A total of 22 studies from LMIC were identified representing data from 12 countries. There was an absence of data from Africa. The reviewed studies mostly report on the early months of COVID-19 and were generally methodologically poor. Few studies directly assessed the impact of the pandemic. The most robust evidence, from time-series studies, indicate either a reduction or no change in suicide and self-harm behaviour.As LMIC continue to experience repeated waves of the virus and increased associated mortality, against a backdrop of vaccine inaccessibility and limited welfare support, continued efforts are needed to track the indirect impact of the pandemic on suicide and self-harm in these countries.
published_date 0001-01-01T04:17:09Z
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