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The impact of the COVID-19 pandemic on self-harm and suicidal behaviour: update of living systematic review

Ann John Orcid Logo, Emily Eyles Orcid Logo, Roger T. Webb, Chukwudi Okolie Orcid Logo, Lena Schmidt Orcid Logo, Ella Arensman, Keith Hawton Orcid Logo, Rory C. O'Connor, Nav Kapur, Paul Moran, Siobhan O'Neill, Luke A. McGuinness Orcid Logo, Babatunde K. Olorisade Orcid Logo, Dana Dekel Orcid Logo, Catherine Macleod-Hall Orcid Logo, Hung-Yuan Cheng, Julian P.T. Higgins, David Gunnell

F1000Research, Volume: 9, Start page: 1097

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

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Abstract

Background: The COVID-19 pandemic has caused considerable morbidity, mortality and disruption to people’s lives around the world. There are concerns that rates of suicide and suicidal behaviour may rise during and in its aftermath. Our living systematic review synthesises findings from emerging lite...

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ISSN: 2046-1402
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fullrecord <?xml version="1.0"?><rfc1807><datestamp>2022-04-20T16:57:10.9780896</datestamp><bib-version>v2</bib-version><id>59742</id><entry>2022-03-30</entry><title>The impact of the COVID-19 pandemic on self-harm and suicidal behaviour: update of living systematic review</title><swanseaauthors><author><sid>ed8a9c37bd7b7235b762d941ef18ee55</sid><ORCID>0000-0002-5657-6995</ORCID><firstname>Ann</firstname><surname>John</surname><name>Ann John</name><active>true</active><ethesisStudent>false</ethesisStudent></author><author><sid>c1a120da443481dda8a6d30c1d9c8b4c</sid><ORCID>0000-0003-1423-9306</ORCID><firstname>Chukwudi</firstname><surname>Okolie</surname><name>Chukwudi Okolie</name><active>true</active><ethesisStudent>false</ethesisStudent></author><author><sid>7904c581b4da2217c348434c9f04f165</sid><ORCID>0000-0003-0137-5149</ORCID><firstname>Dana</firstname><surname>Dekel</surname><name>Dana Dekel</name><active>true</active><ethesisStudent>false</ethesisStudent></author></swanseaauthors><date>2022-03-30</date><deptcode>HDAT</deptcode><abstract>Background: The COVID-19 pandemic has caused considerable morbidity, mortality and disruption to people&#x2019;s lives around the world. There are concerns that rates of suicide and suicidal behaviour may rise during and in its aftermath. Our living systematic review synthesises findings from emerging literature on incidence and prevalence of suicidal behaviour as well as suicide prevention efforts in relation to COVID-19, with this iteration synthesising relevant evidence up to 19th October 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. We exclude one-off cross-sectional studies without either pre-pandemic measures or comparisons of COVID-19 positive vs. unaffected individuals.Results: Searches identified 6,226 articles. Seventy-eight articles met our inclusion criteria. We identified a further 64 relevant cross-sectional studies that did not meet our revised inclusion criteria. Thirty-four articles were not peer-reviewed (e.g. research letters, pre-prints). All articles were based on observational studies.There was no consistent evidence of a rise in suicide but many studies noted adverse economic effects were evolving. There was evidence of a rise in community distress, fall in hospital presentation for suicidal behaviour and early evidence of an increased frequency of suicidal thoughts in those who had become infected with COVID-19.Conclusions: Research evidence of the impact of COVID-19 on suicidal behaviour is accumulating rapidly. This living review provides 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 risk as the longer term impacts of the pandemic on suicide risk are researched.</abstract><type>Journal Article</type><journal>F1000Research</journal><volume>9</volume><journalNumber/><paginationStart>1097</paginationStart><paginationEnd/><publisher>F1000 Research Ltd</publisher><placeOfPublication/><isbnPrint/><isbnElectronic/><issnPrint/><issnElectronic>2046-1402</issnElectronic><keywords>COVID-19, Living systematic review, Suicide; Attempted suicide, Self-harm, Suicidal thoughts</keywords><publishedDay>17</publishedDay><publishedMonth>6</publishedMonth><publishedYear>2021</publishedYear><publishedDate>2021-06-17</publishedDate><doi>10.12688/f1000research.25522.2</doi><url/><notes>Systematic Review</notes><college>COLLEGE NANME</college><department>Health Data Science</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>HDAT</DepartmentCode><institution>Swansea University</institution><apcterm>Another institution paid the OA fee</apcterm><funders>Grant information: This work was supported by Swansea University and the University of Bristol. DG, BKO, JPTH are supported by the NIHR Bristol Biomedical Research Centre [IS-BRC-1215-20011]. JPTH and EE are suported by the NIHR Applied Research Collaboration West. LAMcG is by the NIHR through a NIHR Doctoral Research Fellowship [DRF-2018-11-ST2-048]. LS is supported by the NIHR through a NIHR Systematic Reviews Fellowship [RM-SR-2017-09-028]. AJ and CO are supported by the Swansea University Cochrane Satellite for Suicide and Self-Harm Prevention. AJ is supported by the National Centre for Mental Health [HCRW-CA04] NK and RW are supported by the NIHR Greater Manchester Patient Safety Translational Research Centre [PSTRC-2016-003]. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.</funders><lastEdited>2022-04-20T16:57:10.9780896</lastEdited><Created>2022-03-30T09:37:52.7204597</Created><path><level id="1">Swansea University Medical School</level><level id="2">Medicine</level></path><authors><author><firstname>Ann</firstname><surname>John</surname><orcid>0000-0002-5657-6995</orcid><order>1</order></author><author><firstname>Emily</firstname><surname>Eyles</surname><orcid>0000-0002-2695-7172</orcid><order>2</order></author><author><firstname>Roger T.</firstname><surname>Webb</surname><order>3</order></author><author><firstname>Chukwudi</firstname><surname>Okolie</surname><orcid>0000-0003-1423-9306</orcid><order>4</order></author><author><firstname>Lena</firstname><surname>Schmidt</surname><orcid>0000-0003-0709-8226</orcid><order>5</order></author><author><firstname>Ella</firstname><surname>Arensman</surname><order>6</order></author><author><firstname>Keith</firstname><surname>Hawton</surname><orcid>0000-0003-4985-5715</orcid><order>7</order></author><author><firstname>Rory C.</firstname><surname>O'Connor</surname><order>8</order></author><author><firstname>Nav</firstname><surname>Kapur</surname><order>9</order></author><author><firstname>Paul</firstname><surname>Moran</surname><order>10</order></author><author><firstname>Siobhan</firstname><surname>O'Neill</surname><order>11</order></author><author><firstname>Luke A.</firstname><surname>McGuinness</surname><orcid>0000-0001-8730-9761</orcid><order>12</order></author><author><firstname>Babatunde K.</firstname><surname>Olorisade</surname><orcid>0000-0003-3196-0111</orcid><order>13</order></author><author><firstname>Dana</firstname><surname>Dekel</surname><orcid>0000-0003-0137-5149</orcid><order>14</order></author><author><firstname>Catherine</firstname><surname>Macleod-Hall</surname><orcid>0000-0002-0487-0674</orcid><order>15</order></author><author><firstname>Hung-Yuan</firstname><surname>Cheng</surname><order>16</order></author><author><firstname>Julian P.T.</firstname><surname>Higgins</surname><order>17</order></author><author><firstname>David</firstname><surname>Gunnell</surname><order>18</order></author></authors><documents><document><filename>59742__23762__dcd2245a34a8479ea26ce7447e1e873a.pdf</filename><originalFilename>59742.VOR2.pdf</originalFilename><uploaded>2022-04-01T16:50:31.1663013</uploaded><type>Output</type><contentLength>2124440</contentLength><contentType>application/pdf</contentType><version>Version of Record</version><cronfaStatus>true</cronfaStatus><documentNotes>Copyright: &#xA9; 2021 John A et al. 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spelling 2022-04-20T16:57:10.9780896 v2 59742 2022-03-30 The impact of the COVID-19 pandemic on self-harm and suicidal behaviour: update of living systematic review ed8a9c37bd7b7235b762d941ef18ee55 0000-0002-5657-6995 Ann John Ann John true false c1a120da443481dda8a6d30c1d9c8b4c 0000-0003-1423-9306 Chukwudi Okolie Chukwudi Okolie true false 7904c581b4da2217c348434c9f04f165 0000-0003-0137-5149 Dana Dekel Dana Dekel true false 2022-03-30 HDAT Background: The COVID-19 pandemic has caused considerable morbidity, mortality and disruption to people’s lives around the world. There are concerns that rates of suicide and suicidal behaviour may rise during and in its aftermath. Our living systematic review synthesises findings from emerging literature on incidence and prevalence of suicidal behaviour as well as suicide prevention efforts in relation to COVID-19, with this iteration synthesising relevant evidence up to 19th October 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. We exclude one-off cross-sectional studies without either pre-pandemic measures or comparisons of COVID-19 positive vs. unaffected individuals.Results: Searches identified 6,226 articles. Seventy-eight articles met our inclusion criteria. We identified a further 64 relevant cross-sectional studies that did not meet our revised inclusion criteria. Thirty-four articles were not peer-reviewed (e.g. research letters, pre-prints). All articles were based on observational studies.There was no consistent evidence of a rise in suicide but many studies noted adverse economic effects were evolving. There was evidence of a rise in community distress, fall in hospital presentation for suicidal behaviour and early evidence of an increased frequency of suicidal thoughts in those who had become infected with COVID-19.Conclusions: Research evidence of the impact of COVID-19 on suicidal behaviour is accumulating rapidly. This living review provides 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 risk as the longer term impacts of the pandemic on suicide risk are researched. Journal Article F1000Research 9 1097 F1000 Research Ltd 2046-1402 COVID-19, Living systematic review, Suicide; Attempted suicide, Self-harm, Suicidal thoughts 17 6 2021 2021-06-17 10.12688/f1000research.25522.2 Systematic Review COLLEGE NANME Health Data Science COLLEGE CODE HDAT Swansea University Another institution paid the OA fee Grant information: This work was supported by Swansea University and the University of Bristol. DG, BKO, JPTH are supported by the NIHR Bristol Biomedical Research Centre [IS-BRC-1215-20011]. JPTH and EE are suported by the NIHR Applied Research Collaboration West. LAMcG is by the NIHR through a NIHR Doctoral Research Fellowship [DRF-2018-11-ST2-048]. LS is supported by the NIHR through a NIHR Systematic Reviews Fellowship [RM-SR-2017-09-028]. AJ and CO are supported by the Swansea University Cochrane Satellite for Suicide and Self-Harm Prevention. AJ is supported by the National Centre for Mental Health [HCRW-CA04] NK and RW are supported by the NIHR Greater Manchester Patient Safety Translational Research Centre [PSTRC-2016-003]. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. 2022-04-20T16:57:10.9780896 2022-03-30T09:37:52.7204597 Swansea University Medical School Medicine Ann John 0000-0002-5657-6995 1 Emily Eyles 0000-0002-2695-7172 2 Roger T. Webb 3 Chukwudi Okolie 0000-0003-1423-9306 4 Lena Schmidt 0000-0003-0709-8226 5 Ella Arensman 6 Keith Hawton 0000-0003-4985-5715 7 Rory C. O'Connor 8 Nav Kapur 9 Paul Moran 10 Siobhan O'Neill 11 Luke A. McGuinness 0000-0001-8730-9761 12 Babatunde K. Olorisade 0000-0003-3196-0111 13 Dana Dekel 0000-0003-0137-5149 14 Catherine Macleod-Hall 0000-0002-0487-0674 15 Hung-Yuan Cheng 16 Julian P.T. Higgins 17 David Gunnell 18 59742__23762__dcd2245a34a8479ea26ce7447e1e873a.pdf 59742.VOR2.pdf 2022-04-01T16:50:31.1663013 Output 2124440 application/pdf Version of Record true Copyright: © 2021 John A et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. true eng https://creativecommons.org/licenses/by/4.0/
title The impact of the COVID-19 pandemic on self-harm and suicidal behaviour: update of living systematic review
spellingShingle The impact of the COVID-19 pandemic on self-harm and suicidal behaviour: update of living systematic review
Ann John
Chukwudi Okolie
Dana Dekel
title_short The impact of the COVID-19 pandemic on self-harm and suicidal behaviour: update of living systematic review
title_full The impact of the COVID-19 pandemic on self-harm and suicidal behaviour: update of living systematic review
title_fullStr The impact of the COVID-19 pandemic on self-harm and suicidal behaviour: update of living systematic review
title_full_unstemmed The impact of the COVID-19 pandemic on self-harm and suicidal behaviour: update of living systematic review
title_sort The impact of the COVID-19 pandemic on self-harm and suicidal behaviour: update of living systematic review
author_id_str_mv ed8a9c37bd7b7235b762d941ef18ee55
c1a120da443481dda8a6d30c1d9c8b4c
7904c581b4da2217c348434c9f04f165
author_id_fullname_str_mv ed8a9c37bd7b7235b762d941ef18ee55_***_Ann John
c1a120da443481dda8a6d30c1d9c8b4c_***_Chukwudi Okolie
7904c581b4da2217c348434c9f04f165_***_Dana Dekel
author Ann John
Chukwudi Okolie
Dana Dekel
author2 Ann John
Emily Eyles
Roger T. Webb
Chukwudi Okolie
Lena Schmidt
Ella Arensman
Keith Hawton
Rory C. O'Connor
Nav Kapur
Paul Moran
Siobhan O'Neill
Luke A. McGuinness
Babatunde K. Olorisade
Dana Dekel
Catherine Macleod-Hall
Hung-Yuan Cheng
Julian P.T. Higgins
David Gunnell
format Journal article
container_title F1000Research
container_volume 9
container_start_page 1097
publishDate 2021
institution Swansea University
issn 2046-1402
doi_str_mv 10.12688/f1000research.25522.2
publisher F1000 Research Ltd
college_str Swansea University Medical School
hierarchytype
hierarchy_top_id swanseauniversitymedicalschool
hierarchy_top_title Swansea University Medical School
hierarchy_parent_id swanseauniversitymedicalschool
hierarchy_parent_title Swansea University Medical School
department_str Medicine{{{_:::_}}}Swansea University Medical School{{{_:::_}}}Medicine
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description Background: The COVID-19 pandemic has caused considerable morbidity, mortality and disruption to people’s lives around the world. There are concerns that rates of suicide and suicidal behaviour may rise during and in its aftermath. Our living systematic review synthesises findings from emerging literature on incidence and prevalence of suicidal behaviour as well as suicide prevention efforts in relation to COVID-19, with this iteration synthesising relevant evidence up to 19th October 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. We exclude one-off cross-sectional studies without either pre-pandemic measures or comparisons of COVID-19 positive vs. unaffected individuals.Results: Searches identified 6,226 articles. Seventy-eight articles met our inclusion criteria. We identified a further 64 relevant cross-sectional studies that did not meet our revised inclusion criteria. Thirty-four articles were not peer-reviewed (e.g. research letters, pre-prints). All articles were based on observational studies.There was no consistent evidence of a rise in suicide but many studies noted adverse economic effects were evolving. There was evidence of a rise in community distress, fall in hospital presentation for suicidal behaviour and early evidence of an increased frequency of suicidal thoughts in those who had become infected with COVID-19.Conclusions: Research evidence of the impact of COVID-19 on suicidal behaviour is accumulating rapidly. This living review provides 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 risk as the longer term impacts of the pandemic on suicide risk are researched.
published_date 2021-06-17T04:17:09Z
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