Pathare Soumitra, Vijayakumar Lakshmi, Fernandes Tanya Nicole, Shastri Manisha, Kapoor Arjun, Pandit Deepa, Lohumi Isha, Ray Somidha, Kulkarni Arti, Korde Palak
Centre for Mental Health Law and Policy, Indian Law Society, Pune, India.
Sneha - Suicide Prevention Centre, Voluntary Health Services, Chennai, Tamil Nadu, India.
Int J Ment Health Syst. 2020 Dec 3;14(1):88. doi: 10.1186/s13033-020-00422-2.
Based on previous experience there is justifiable concern about suicidal behaviour and news media reporting of it during COVID-19 pandemic.
This study used a systematic search of online news media reports (versions of newspapers, magazine and other digital publications) of suicidal behaviour during India's COVID-19 lockdown and compared it to corresponding dates in 2019. Data was gathered using a uniform search strategy from 56 online news media publications 24 March to 3 May for the years 2019 and 2020 using keywords, suicide, attempted suicide, hangs self and kills self. Demographic variables and methods used for suicide were compared for suicide and attempts between the 2 years using chi-squared tests (χ).
There were online news media reports of 369 cases of suicides and attempted suicides during COVID lockdown vs 220 reports in 2019, a 67.7% increase in online news media reports of suicidal behaviour. Compared to 2019, suicides reported during lockdown were significantly older (30 vs 50 years, p < 0.05), men (71.2% vs 58.7%; p < 0.01), married (77.7% vs 49%; p < 0.01) and employed (82.9% vs 59.5%; p < 0.01). During the lockdown, significantly more suicides were by hanging (64.4% vs 42%), while poisoning (8.5% vs 21.5%) and jumping in front of a train (2% vs 9.4%) (p < 0.05) were significantly reduced. Comparison of COVID and non-COVID groups showed that online news media reports of COVID cases of suicide and attempted suicide were significantly more likely to be men (84.7% vs 60.4%; p < 0.01), older (31-50 years 52.9% vs 25.8%; p < 0.01) employed (91.5% vs 64.3%; p < 0.01), had poor mental (40.1% vs 20.8%; p < 0.01) and poor physical health (24.8% vs 7.9%;11.8, p < 0.01).
Increase in online news media reports of suicides and attempts during COVID-19 lockdown may indicate an increase in journalists' awareness about suicide or more sensational media reporting or may be a proxy indicator of a real community increase in suicidal behaviour. It is difficult to attribute changes in demographic profile and methods used only to changes in journalists' reporting behaviour and should be further explored. We therefore call upon the Government of India to urgently release national suicide data to help devise a comprehensive suicide prevention strategy to address COVID-19 suicidal behaviour.
基于以往经验,对于新冠疫情期间的自杀行为及新闻媒体对此的报道,人们有合理担忧。
本研究对印度新冠疫情封锁期间在线新闻媒体报道(报纸、杂志及其他数字出版物版本)中的自杀行为进行系统检索,并与2019年的相应日期进行比较。使用统一检索策略,从2019年和2020年3月24日至5月3日的56种在线新闻媒体出版物中收集数据,使用关键词“自杀”“自杀未遂”“自缢”和“自杀身亡”。使用卡方检验(χ²)比较这两年自杀及自杀未遂的人口统计学变量和自杀方式。
新冠疫情封锁期间有369例自杀及自杀未遂的在线新闻媒体报道,而2019年为220例,自杀行为的在线新闻媒体报道增加了67.7%。与2019年相比,封锁期间报道的自杀者年龄显著更大(30岁对50岁,p<0.05),男性更多(71.2%对58.7%;p<0.01),已婚者更多(77.7%对49%;p<0.01),就业者更多(82.9%对59.5%;p<0.01)。封锁期间,自缢自杀显著增多(64.4%对42%),而中毒(8.5%对21.5%)和卧轨(2%对9.4%)(p<0.05)显著减少。新冠组与非新冠组比较显示,新冠疫情期间自杀及自杀未遂病例的在线新闻媒体报道中男性更常见(84.7%对60.4%;p<0.01),年龄更大(31 - 50岁52.9%对25.8%;p<0.01),就业者更多(91.5%对64.3%;p<0.01),心理健康状况较差(40.1%对20.8%;p<0.01),身体健康状况较差(24.8%对7.9%;11.8,p<0.01)。
新冠疫情封锁期间自杀及自杀未遂的在线新闻媒体报道增加,可能表明记者对自杀的认识提高、媒体报道更耸人听闻,或者可能是社区自杀行为实际增加的替代指标。仅将人口统计学特征和自杀方式的变化归因于记者报道行为的改变很困难,应进一步探讨。因此,我们呼吁印度政府紧急发布全国自杀数据,以帮助制定全面的自杀预防策略,应对新冠疫情期间的自杀行为。