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3.
JMIR Public Health Surveill ; 6(4): e24694, 2020 12 30.
Artigo em Inglês | MEDLINE | ID: mdl-33326407

RESUMO

BACKGROUND: The COVID-19 pandemic has overwhelmed health care systems around the world. Emerging evidence has suggested that substantially few patients seek help for suicidality at clinical settings during the COVID-19 pandemic, which has elicited concerns of an imminent mental health crisis as the course of the pandemic continues to unfold. Clarifying the relationship between the public's attention to knowledge about suicide and the public's attention to knowledge about the COVID-19 pandemic may provide insight into developing prevention strategies for a putative surge of suicide in relation to the impact of the COVID-19 pandemic. OBJECTIVE: The goal of this retrospective, longitudinal time-series study is to understand the relationship between temporal trends of interest for the search term "suicide" and those of COVID-19-related terms, such as "social distancing," "school closure," and "lockdown." METHODS: We used the Google Trends platform to collect data on daily interest levels for search terms related to suicide, several other mental health-related issues, and COVID-19 over the period between February 14, 2020 and May 13, 2020. A correlational analysis was performed to determine the association between the search term ''suicide'' and COVID-19-related search terms in 16 countries. The Mann-Kendall test was used to examine significant differences between interest levels for the search term "suicide" before and after school closure. RESULTS: We found that interest levels for the search term "suicide" statistically significantly inversely correlated with interest levels for the search terms "COVID-19" or "coronavirus" in nearly all countries between February 14, 2020 and May 13, 2020. Additionally, search interest for the term ''suicide'' significantly and negatively correlated with that of many COVID-19-related search terms, and search interest varied between countries. The Mann-Kendall test was used to examine significant differences between search interest levels for the term "suicide" before and after school closure. The Netherlands (P=.19), New Zealand (P=.003), the United Kingdom (P=.006), and the United States (P=.049) showed significant negative trends in interest levels for suicide in the 2-week period preceding school closures. In contrast, interest levels for suicide had a significant positive trend in Canada (P<.001) and the United States (P=.002) after school closures. CONCLUSIONS: The public's attention to suicide might inversely correlate with the public's attention to COVID-19-related issues. Additionally, several anticontagion policies, such as school closure, might have led to a turning point for mental health crises, because the attention to suicidality increased after restrictions were implemented. Our results suggest that an increased risk of suicidal ideation may ensue due to the ongoing anticontagion policies. Timely intervention strategies for suicides should therefore be an integral part of efforts to flatten the epidemic curve.


Assuntos
Atenção , Opinião Pública , Ferramenta de Busca/tendências , Suicídio/psicologia , Humanos , Estudos Longitudinais , Estudos Retrospectivos , Fatores de Tempo
4.
Asian J Psychiatr ; 54: 102365, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-33271687

RESUMO

BACKGROUND: The global suicide occurrences have been aggravated because of COVID-19 crisis-related issues such as fear of infection, the financial crisis, being infected with COVID-19, loneliness, social boycott, etc. Although two studies reported about the seven dyadic suicidality cases (i.e., suicide pacts), child homicide-suicide has not been studied. CASE PRESENTATION: On 14 May, two dead bodies (i.e., a 30-years old Indian woman and her six-month-old baby) were found in a Riyadh apartment complex. The perpetrator (a person who kills the others and later commits suicide) - a trained nurse, was in search of a job. The woman's husband was recently retrenched from his technician job at a company in Madinah Airport. Her husband was admitted to a hospital with symptoms related to the COVID-19 infection four days before the suicide incidence. The 70-year-old mother-in-law alerted the neighbors after finding that the apartment is locked from inside and there was no response on knocking the doors. After this, the neighbors gathered and called the police. Police found two dead-bodies after opening the flat and suspected that the child was killed before the woman committed suicide. CONCLUSIONS: Based on the present findings, further child filicide-suicide possibilities in families with economically distressed and/or positive COVID-19 status are expected. Hence, proper financial supports, providing authentic information (COVID-19), and mental health promotional strategies are suggested for decreasing incidences of COVID-19 related infanticide-suicide cases.


Assuntos
/psicologia , Medo/psicologia , Infanticídio/psicologia , Suicídio/psicologia , Adulto , Feminino , Humanos , Lactente , Pandemias
9.
Mo Med ; 117(5): 426-429, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33311744

RESUMO

The rates of physician burnout, depression, and suicide have been on the rise over the past 50 years. Despite increased attention to these topics over the past decade these numbers have remained steady. In the age of SARS-Cov-2 and COVID-19 these numbers are predicted to show a steep increase due to the increased work demands, social isolation, decreased self-care, and increased exposure to emotionally traumatic events at work and home. The potential solutions to these issues generally remain the same; however, we are now in an environment with even more barriers to those solutions.


Assuntos
Esgotamento Profissional/psicologia , Médicos/psicologia , Suicídio/tendências , Esgotamento Profissional/mortalidade , Humanos , Suicídio/psicologia
10.
Rev. Hosp. Ital. B. Aires (2004) ; 40(4): 191-198, dic. 2020. tab
Artigo em Espanhol | LILACS | ID: biblio-1145493

RESUMO

Introducción: el siguiente estudio tuvo como finalidad explorar algunas características demográficas asociadas al dolor crónico y el desarrollo de ideas de suicidio en una población de pacientes mayores de 65 años. Método: se realizó un estudio observacional y analítico de corte transversal mediante el relevamiento de datos a partir historias clínicas de pacientes mayores de 65 años que concurrieron a los consultorios externos del equipo de geriatría del Servicio de Psiquiatría del Hospital Italiano de Buenos Aires, entre junio de 2018 y diciembre de 2018. Resultados: se incluyó en el estudio un total de 222 pacientes, de los cuales 50 (23%) presentaron indicadores de dolor crónico y 33 pacientes (14,6%) lo hicieron de ideación suicida. Mediante estudio de correlación se estableció que estar ocupado, padecer dolor crónico y haber tenido más de una internación psiquiátrica son factores que incrementan el riesgo de presentar ideación suicida. Las variables ideación suicida, edad, y el estado civil ‒separado o divorciado en comparación con estar casado‒ son factores asociados a la presencia de dolor crónico. Conclusiones: el dolor crónico y la ideación suicida son factores que contribuyen a aumentar la fragilidad en personas mayores y deben ser estudiados en mayor profundidad para comprender los distintos modos de expresión de la patología psiquiátrica en esta población. (AU)


Introduction: the following study aimed to explore some demographic characteristics associated with chronic pain and the development of suicidal ideas in a population of patients over 65 years. Method: an cross-sectional observational and analytical study was carried out by collecting data from clinical histories of patients over 65 years of age who attended the external offices of the geriatrics team of the Psychiatry service of the Italian Hospital of Buenos Aires between June 2018 and December 2018. Results: a total of 222 patients were included in the study, of which 50 (23%) presented indicators of chronic pain and 33 patients (14.6%) had suicidal ideation. A correlation study established that being employed, suffering from chronic pain and having had more than one psychiatric hospitalization are factors that increase the risk of presenting suicidal ideation. The variables suicidal ideation, age, and separated or divorced marital status compared to being married are factors associated with the presence of chronic pain. Conclusions: chronic pain and suicidal ideation are factors that contribute to increasing frailty in elderly patients and should be studied in greater depth to understand the different modes of expression of psychiatric pathology in this population. (AU)


Assuntos
Humanos , Masculino , Feminino , Idoso , Idoso de 80 Anos ou mais , Ideação Suicida , Dor Crônica/epidemiologia , Argentina/epidemiologia , Psicotrópicos/uso terapêutico , Suicídio/psicologia , Suicídio/estatística & dados numéricos , Pesar , Estudos Transversais , Fatores de Risco , Fatores Etários , Estado Civil/estatística & dados numéricos , Demência/psicologia , Dor Crônica/psicologia , Disfunção Cognitiva/psicologia , Fragilidade/psicologia , Psiquiatria Geriátrica/estatística & dados numéricos
11.
Psychiatry Res ; 293: 113478, 2020 11.
Artigo em Inglês | MEDLINE | ID: mdl-33198049

RESUMO

In a previous study, body dysmorphic disorder (BDD) was shown to have comorbidity-independent associations with suicidality among patients in a partial hospital program. Here, we replicated and extended this study in an independent cohort (N = 1612) from the same program using a different measure of suicidality. Semi-structured interviews were used to assess psychiatric diagnoses and suicide risk. We also documented inpatient hospitalization during treatment. BDD was associated with suicide risk and inpatient hospitalization even after adjusting for age, gender and other psychiatric disorders. The results suggest that BDD is associated with risk for suicidality and clinical deterioration in acute psychiatric settings.


Assuntos
Transtornos Dismórficos Corporais/psicologia , Pacientes Internados/estatística & dados numéricos , Suicídio/estatística & dados numéricos , Adulto , Biometria , Transtornos Dismórficos Corporais/epidemiologia , Comorbidade , Feminino , Hospitalização , Humanos , Pacientes Internados/psicologia , Entrevistas como Assunto , Masculino , Massachusetts , Pessoa de Meia-Idade , Pesquisa Qualitativa , Suicídio/psicologia
12.
Arch Suicide Res ; 24(4): 477-482, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33200946

RESUMO

The coronavirus (COVID-19) pandemic presents us with unusual challenges to the global health system and economics. The pandemic may not have an immediate impact on suicide rates, however, given that it is likely to result in a confluence of risk factors for suicide and economic crisis, it is highly possibly that it will lead to increases in suicide rates in the long-run. Elderly persons are more likely to live alone, be socially isolated during COVID-19 and have physical health problems, which are risk factors for suicide. Young children and health professionals may also be population at risk. Isolation, quarantine and the economic crisis that follows may impact mental health significantly. The International Academy of Suicide Research (IASR) is an organization dedicated to promote high standards of research and scholarship in the field of suicidal behaviour to support efforts to prevent suicide globally. This IASR's board position paper gives recommendations for suicide research during the COVID-10 pandemic. Clinical research has to be modified due to COVID-19 shutdown.


Assuntos
/psicologia , Quarentena/psicologia , Resiliência Psicológica , Tentativa de Suicídio/prevenção & controle , Suicídio/prevenção & controle , Adaptação Psicológica , Humanos , Fatores de Risco , Apoio Social , Ideação Suicida , Suicídio/psicologia , Tentativa de Suicídio/psicologia
13.
PLoS One ; 15(11): e0241658, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33147259

RESUMO

New Zealand's early response to the novel coronavirus pandemic included a strict lockdown which eliminated community transmission of COVID-19. However, this success was not without cost, both economic and social. In our study, we examined the psychological wellbeing of New Zealanders during the COVID-19 lockdown when restrictions reduced social contact, limited recreation opportunities, and resulted in job losses and financial insecurity. We conducted an online panel survey of a demographically representative sample of 2010 adult New Zealanders in April 2020. The survey contained three standardised measures-the Kessler Psychological Distress Scale (K10), the GAD-7, and the Well-Being Index (WHO-5)-as well as questions designed specifically to measure family violence, suicidal ideation, and alcohol consumption. It also included items assessing positive aspects of the lockdown. Thirty percent of respondents reported moderate to severe psychological distress (K10), 16% moderate to high levels of anxiety, and 39% low wellbeing; well above baseline measures. Poorer outcomes were seen among young people and those who had lost jobs or had less work, those with poor health status, and who had past diagnoses of mental illness. Suicidal ideation was reported by 6%, with 2% reporting making plans for suicide and 2% reporting suicide attempts. Suicidality was highest in those aged 18-34. Just under 10% of participants had directly experienced some form of family harm over the lockdown period. However, not all consequences of the lockdown were negative, with 62% reporting 'silver linings', which included enjoying working from home, spending more time with family, and a quieter, less polluted environment. New Zealand's lockdown successfully eliminated COVID-19 from the community, but our results show this achievement brought a significant psychological toll. Although much of the debate about lockdown measures has focused on their economic effects, our findings emphasise the need to pay equal attention to their effects on psychological wellbeing.


Assuntos
Ansiedade/psicologia , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/psicologia , Violência Doméstica/psicologia , Pandemias , Pneumonia Viral/epidemiologia , Pneumonia Viral/psicologia , Quarentena/psicologia , Estresse Psicológico/psicologia , Suicídio/psicologia , Adolescente , Adulto , Idoso , Ansiedade/epidemiologia , Ansiedade/virologia , Estudos Transversais , Depressão/epidemiologia , Depressão/psicologia , Depressão/virologia , Feminino , Humanos , Masculino , Saúde Mental , Pessoa de Meia-Idade , Nova Zelândia/epidemiologia , Angústia Psicológica , Estresse Psicológico/epidemiologia , Estresse Psicológico/virologia , Adulto Jovem
16.
Prev Med ; 141: 106264, 2020 12.
Artigo em Inglês | MEDLINE | ID: mdl-33017599

RESUMO

The current COVID-19 pandemic is the most severe pandemic of the 21st century, on track to having a rising death toll. Beyond causing respiratory distress, COVID-19 may also cause mortality by way of suicide. The pathways by which emerging viral disease outbreaks (EVDOs) and suicide are related are complex and not entirely understood. We aimed to systematically review the evidence on the association between EVDOs and suicidal behaviors and/or ideation. An electronic search was conducted using five databases: Medline, Embase, Web of Science, PsycINFO and Scopus in April 2020. A rapid systematic review was carried out, which involved separately and independently extracting quantitative data of selected articles. The electronic search yielded 2480 articles, of which 9 met the inclusion criteria. Most of the data were collected in Hong Kong (n = 3) and the USA (n = 3). Four studies reported a slight but significant increase in deaths by suicide during EVDOs. The increase in deaths by suicide was mainly reported during the peak epidemic and in older adults. Psychosocial factors such as the fear of being infected by the virus or social isolation related to quarantine measures were the most prominent factors associated with deaths by suicide during EVDOs. Overall, we found scarce and weak evidence for an increased risk of deaths by suicide during EVDOs. Our results inform the need to orient public health policies toward suicide prevention strategies targeting the psychosocial effects of EVDOs. High-quality research on suicide risk and prevention are warranted during the current pandemic.


Assuntos
Surtos de Doenças/estatística & dados numéricos , Ideação Suicida , Tentativa de Suicídio/psicologia , Tentativa de Suicídio/estatística & dados numéricos , Suicídio/psicologia , Suicídio/estatística & dados numéricos , Viroses/psicologia , Idoso , Feminino , Hong Kong , Humanos , Pandemias/estatística & dados numéricos
17.
Neuropsychopharmacol Rep ; 40(4): 392-395, 2020 12.
Artigo em Inglês | MEDLINE | ID: mdl-33022901

RESUMO

Suicide is one of the top 20 leading causes of death worldwide. With the rapid spreading of coronavirus disease 2019 (COVID-19) crisis around the world, suicide cases induced by the COVID-19 pandemic have been reported in many countries. Individuals with suspected and confirmed COVID-19 infection, frontline healthcare workers, bereaved families, elders, children, and adolescents are vulnerable populations who might be at elevated suicide risk. In this micro-review, a systematic search through PubMed was performed for a comprehensive investigation of suicide risk factors during the pandemic. On this basis, we put forward considerations and advice for preventing pandemic related suicide, including staying socially connected through online platform or apps during period of quarantine, reducing unemployment, dispelling rumors and misinformation in time, and maintaining evidenced-based management of psychiatric symptoms. More importantly, early detection and timely intervention of individuals with psychiatric disorders and suicide behaviors will be effective to reduce the number of suicides, with specific measurements of using validated scales to perform regular suicide risk screening, improving the availability of mental health services, and providing appropriate and evidence-based interventions for individuals in demand. Policy makers, psychiatrists, psychologists, and other healthcare professionals need to collaborate to control the possible suicide events during the COVID-19 pandemic and future possible crisis.


Assuntos
/psicologia , Suicídio/prevenção & controle , Suicídio/psicologia , Humanos
20.
Medicine (Baltimore) ; 99(44): e22905, 2020 Oct 30.
Artigo em Inglês | MEDLINE | ID: mdl-33126345

RESUMO

Coupled with the lowest level of social connectedness, South Korea has the highest suicide rate among the Organization for Economic Co-operation and Development countries. A possible link between community and suicide is social capital imprinted in social connectedness. This study explores whether social capital is protective against suicide ideation in relation to the poverty level of communities, and whether the associations are specific to certain elements of social capital.A total of 908 participants were included to assess cross-sectional association of social capital at individual level with suicide ideation by comparing between poor (government-leased apartments) and non-poor communities (nongovernment-leased apartments). Logistic regression analyses were performed to examine various social capital dimensions in relation to suicide ideation.Suicide ideation was far higher among those living in the poor communities (poor communities 12%; non poor communities 6.3%) and the level of social capital was lower in the poor communities. Nevertheless, the protective effect of social capital, in particular, the cognitive dimension against suicide ideation was demonstrated only in the poor communities (eg, odds ratio = 0.27, 95% confidence interval: 0.12-0.58 for trust in the poor communities). Low income was significantly associated with suicide ideation only in the poor communities, but depression and resilience were associated with suicide ideation both in the poor and non-poor communities.To increase the reliability of the results, established measures based on relevant literature were utilized, but measures on bridging social capital and social network might have relatively low reliability.As to protection against suicide ideation, the extent of reliance on social capital was higher in poor communities than in non-poor communities, in particular, the cognitive dimension was likely to activate in this regard.


Assuntos
Relações Interpessoais , Pobreza/psicologia , Capital Social , Condições Sociais , Ideação Suicida , Suicídio , Adulto , Estudos Transversais , Feminino , Humanos , Masculino , Fatores de Proteção , Sistemas de Apoio Psicossocial , Saúde Pública , República da Coreia/epidemiologia , Características de Residência , Resiliência Psicológica , Condições Sociais/economia , Condições Sociais/estatística & dados numéricos , Suicídio/economia , Suicídio/prevenção & controle , Suicídio/psicologia , Suicídio/estatística & dados numéricos
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