Que Jianyu, Yuan Kai, Gong Yimiao, Meng Shiqiu, Bao Yanping, Lu Lin
Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, China.
National Institute on Drug Dependence, Peking University, Beijing, China.
Neuropsychopharmacol Rep. 2020 Dec;40(4):392-395. doi: 10.1002/npr2.12141. Epub 2020 Oct 6.
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.
自杀是全球前20大主要死因之一。随着2019冠状病毒病（COVID-19）危机在全球迅速蔓延，许多国家都报告了由COVID-19大流行引发的自杀案例。疑似和确诊感染COVID-19的个体、一线医护人员、失去亲人的家庭、老年人、儿童和青少年都是自杀风险可能升高的脆弱人群。在这篇微型综述中，我们通过PubMed进行了系统检索，以全面调查大流行期间的自杀风险因素。在此基础上，我们提出了预防与大流行相关自杀的考虑因素和建议，包括在隔离期间通过在线平台或应用程序保持社交联系、减少失业、及时消除谣言和错误信息，以及维持基于证据的精神症状管理。更重要的是，对有精神障碍和自杀行为的个体进行早期发现和及时干预将有效减少自杀数量，具体措施包括使用经过验证的量表进行定期自杀风险筛查、提高心理健康服务的可及性，以及为有需求的个体提供适当且基于证据的干预措施。政策制定者、精神科医生、心理学家和其他医疗专业人员需要合作，以控制COVID-19大流行及未来可能危机期间可能发生的自杀事件。
