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法国巴黎儿童和青少年自杀行为与 COVID-19 封锁的关联:一项回顾性观察研究。

Association between suicide behaviours in children and adolescents and the COVID-19 lockdown in Paris, France: a retrospective observational study.

机构信息

Department of Child and Adolescent Psychiatry, Necker-Enfants Malades University Hospital, University of Paris, Assistance Publique - Hôpitaux de Paris (AP-HP), Paris, Île-de-France, France.

Department of Child and Adolescent Psychiatry, Necker-Enfants Malades University Hospital, University of Paris, Assistance Publique - Hôpitaux de Paris (AP-HP), Paris, Île-de-France, France

出版信息

Arch Dis Child. 2021 Sep;106(9):918-919. doi: 10.1136/archdischild-2020-320628. Epub 2020 Dec 22.

Abstract

This retrospective observational study conducted in Necker Hospital for Sick Children, France (January 2018-June 2020) evaluated a potential temporal association between admissions for suicide behaviours in children and adolescents and the national COVID-19 lockdown (March-May 2020). During the study period, 234 patients were admitted for suicide behaviours (28% male; mean age 13.4 years). Using Poisson regression, we found a significant decrease in the incidence of admissions for suicide behaviour during the lockdown (adjusted incidence rate ratio: 0.46; 95% CI 0.24 to 0.86). This association might result from reduced help-seeking and decreased hospital admission rates during the lockdown, as well as cognitive and environmental factors. Further multicentre studies should be conducted to confirm these findings and investigate whether a compensatory rise in admissions for suicide behaviour occurred in the postlockdown period.

摘要

这项在法国内克尔儿童医院进行的回顾性观察研究(2018 年 1 月至 2020 年 6 月)评估了儿童和青少年因自杀行为住院与全国 COVID-19 封锁(2020 年 3 月至 5 月)之间的潜在时间关联。在研究期间,有 234 名患者因自杀行为住院(28%为男性;平均年龄 13.4 岁)。使用泊松回归,我们发现封锁期间自杀行为住院的发生率显著下降(调整后的发病率比:0.46;95%CI 0.24 至 0.86)。这种关联可能是由于封锁期间寻求帮助减少和住院率下降,以及认知和环境因素所致。应开展更多的多中心研究来证实这些发现,并研究封锁后是否会出现自杀行为住院人数的补偿性增加。

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