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严重急性呼吸综合征冠状病毒2(SARS-CoV-2)大流行对自杀的影响:一项词汇分析

The Impacts of SARS-CoV-2 Pandemic on Suicide: A Lexical Analysis.

作者信息

Gonçalves Júnior Jucier, de Sales Jair Paulino, Moreno Marcial Moreira, Rolim-Neto Modesto Leite

机构信息

Department of Internal Medicine, Santa Casa de Misericórdia de Fortaleza, Fortaleza, Brazil.

Post Graduate Program in Information Sciences (CIn), Federal University of Pernambuco (UFPE), Recife, Brazil.

出版信息

Front Psychiatry. 2021 Feb 10;12:593918. doi: 10.3389/fpsyt.2021.593918. eCollection 2021.

Abstract

Although COVID-19 is a public health emergency, its consequences for the mental health of the population are still scarce. Likewise, its impact on critical situations such as suicide is still poorly explored in the literature. Therefore, this study aimed to analyze in a pioneering way, through lexical and content analysis techniques, the possible impacts of the new COVID-19 pandemic on suicide behavior. A lexical analysis, whose sample (not probabilistic, i.e., for convenience) was made up of full-length papers (abstracts) and short communications, about suicide behavior in COVID-19 pandemic, in PubMed and Virtual Health Library (VHL) was carried out following a lexical and content analysis using the software IRaMuTeQ, version 0.7 alpha 2. The most frequent active words were suicide behavior ( = 649), covid ( = 439), health ( = 358), mental ( = 268), and social ( = 220). Four lexical classes were found and organized into two large groups: the first group, formed by the classes 2 ("methods for psychological treatment") and 3 ("strategies to minimize the COVID-19 impacts"), was the most representative, totaling 50.6% of the text segments and second group formed by classes 1 ("signs of clinical depression") and 4 ("COVID-19 pandemic as a public health problem") with 49.4% of the text segments. Facing suicide behavior, the direct effects of the COVID-19 pandemic, and the negative feelings and trigger of previous psychiatric illnesses; the measures to deal with the pandemic such as social isolation, decrease in the number of professionals, the opening hours of health establishments, and decrease in the demand for medications; and competing phenomena such as the spread of fake news and lack of empathy are aggressive and potentiating factors of suicidal ideation.

摘要

尽管新冠疫情是一场突发公共卫生事件,但其对民众心理健康的影响仍鲜为人知。同样,其对自杀等危急情况的影响在文献中也鲜有探讨。因此,本研究旨在通过词汇和内容分析技术,率先分析新冠疫情对自杀行为可能产生的影响。我们使用IRaMuTeQ软件0.7 alpha 2版本,对PubMed和虚拟健康图书馆(VHL)中有关新冠疫情下自杀行为的全长论文(摘要)和简短通讯进行了词汇和内容分析,样本(非概率性,即方便抽样)用于词汇分析。最常见的实词是自杀行为(=649)、新冠(=439)、健康(=358)、心理(=268)和社会(=220)。共发现四个词汇类别,并分为两大组:第一组由类别2(“心理治疗方法”)和类别3(“减轻新冠疫情影响的策略”)组成,是最具代表性的,占文本片段总数的50.6%;第二组由类别1(“临床抑郁症状”)和类别4(“作为公共卫生问题的新冠疫情”)组成,占文本片段总数的49.4%。面对自杀行为、新冠疫情的直接影响、既往精神疾病引发的负面情绪和诱因;应对疫情的措施,如社交隔离、专业人员数量减少、医疗机构营业时间缩短以及药品需求下降;以及虚假新闻传播和缺乏同理心等竞争现象,都是自杀意念的促发因素和强化因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/604b/7902719/b55baebf07df/fpsyt-12-593918-g0001.jpg

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