新冠疫情封锁对自杀的影响:孟加拉国和印度封锁前后报纸报道分析。

Impact of COVID-19 pandemic related lockdown on Suicide: Analysis of newspaper reports during pre-lockdown and lockdown period in Bangladesh and India.

机构信息

Department of Psychiatry, King George's Medical University, Lucknow, 226003, Uttar Pradesh, India.

Department of Psychiatry, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, 605006, India.

出版信息

Asian J Psychiatr. 2021 Jun;60:102649. doi: 10.1016/j.ajp.2021.102649. Epub 2021 Apr 15.

Abstract

The economic and social devastation wrought by the COVID-19 crisiscoupled with the unavailability of traditional coping resources is a "perfect storm" for suicide. Evidence suggests that its impact may be disproportionately high in low-and-middle-income countries. The study aimed to assess and compare nature and correlates of suicidesfrom news reportsduring the immediate pre-lockdown and lockdown phase of COVID-19 in Bangladesh and India. We performed analysis of suicide reports from purposively selected online vernacular and English newspapers of Bangladesh and two states/union territory in India, between January to June 2020. We divided the time period of observation into two phases: pre-lockdown and lockdown phase. Country wise findings between the two phases were compared in terms of demographic and characteristics of the reported suicide. A total of 769 news reports wereanalysed; 141 from Bangladesh and 628 from India. When compared to the pre-lockdown period, the odds of suicide by hanging was significantly higher during lockdownin India (adjusted Odds Ratios [aOR] = 3.8, p = 0.018) and Bangladesh (aOR = 3.1, p = 0.048). Suicide demographics in India were different from Bangladesh during lockdown; more males died by suicide in India (aOR = 2.7, p = 0.023) and more people died by hanging (aOR = 2.6, p = 0.029). The pandemic restrictions impacted suicide demographics in the studied regions of India and Bangladesh. Further research using population-based time-series data are warranted to investigate the issue.

摘要

新冠疫情造成的经济和社会破坏,加上传统应对资源的缺乏,是导致自杀的“完美风暴”。有证据表明,中低收入国家的自杀率可能受到的影响不成比例地高。本研究旨在评估和比较孟加拉国和印度在新冠疫情封锁前和封锁期间,从新闻报道中自杀的性质和相关因素。我们对 2020 年 1 月至 6 月期间,从孟加拉国和印度两个邦/联邦属地的有针对性选择的在线白话和英文报纸中,有选择地分析了自杀报道。我们将观察期分为两个阶段:封锁前和封锁期间。在两个阶段之间,对两国的发现进行了比较,比较了报告的自杀事件的人口统计学和特征。共分析了 769 篇新闻报道;其中 141 篇来自孟加拉国,628 篇来自印度。与封锁前相比,印度(调整后的优势比[aOR]=3.8,p=0.018)和孟加拉国(aOR=3.1,p=0.048)的自杀风险在封锁期间显著更高。封锁期间,印度的自杀人口统计学特征与孟加拉国不同;印度自杀的男性更多(aOR=2.7,p=0.023),更多人死于上吊(aOR=2.6,p=0.029)。疫情限制措施影响了印度和孟加拉国研究地区的自杀人口统计学特征。需要使用基于人群的时间序列数据进行进一步研究,以调查这一问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9186/9760196/860063e95c3e/gr1_lrg.jpg

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