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新冠疫情封锁期间及之前有自杀高风险的患者:生态瞬时评估研究

Patients at high risk of suicide before and during a COVID-19 lockdown: ecological momentary assessment study.

作者信息

Cobo Aurora, Porras-Segovia Alejandro, Pérez-Rodríguez María Mercedes, Artés-Rodríguez Antonio, Barrigón Maria Luisa, Courtet Philippe, Baca-García Enrique

机构信息

Department of Signal Theory, Universidad Carlos III de Madrid, Spain; and Instituto de Investigación Sanitaria Gregorio Marañón, Spain.

Instituto de Investigación Sanitaria Fundación Jiménez Díaz, Spain; and Department of Psychiatry, Hospital Universitario Rey Juan Carlos, Spain.

出版信息

BJPsych Open. 2021 Apr 16;7(3):e82. doi: 10.1192/bjo.2021.43.

Abstract

The coronavirus disease 2019 (COVID-19) outbreak may have affected the mental health of patients at high risk of suicide. In this study we explored the wish to die and other suicide risk factors using smartphone-based ecological momentary assessment (EMA) in patients with a history of suicidal thoughts and behaviour. Contrary to our expectations we found a decrease in the wish to die during lockdown. This is consistent with previous studies showing that suicide rates decrease during periods of social emergency. Smartphone-based EMA can allow us to remotely assess patients and overcome the physical barriers imposed by lockdown.

摘要

2019年冠状病毒病(COVID-19)疫情可能影响了有自杀高风险患者的心理健康。在本研究中,我们使用基于智能手机的生态瞬时评估(EMA),对有自杀想法和行为史的患者的死亡意愿及其他自杀风险因素进行了探究。与我们的预期相反,我们发现在封锁期间死亡意愿有所下降。这与之前的研究结果一致,即社会紧急状态期间自杀率会下降。基于智能手机的EMA能够让我们远程评估患者,并克服封锁带来的物理障碍。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc33/8060530/c79172d12596/S2056472421000430_fig1.jpg

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