Kim Min-Jung, Paek So-Hyun, Kwon Jae-Hyun, Park Soo-Hyun, Chung Hyun-Jung, Byun Young-Hoon
CHA Bundang Medical Center, Department of Emergency Medicine, CHA University, Seongnam 13496, Korea.
Children (Basel). 2022 Jan 25;9(2):151. doi: 10.3390/children9020151.
This study aims to identify age-related suicide-related factors and changes in suicide rate before and after the onset of the COVID-19 pandemic.
From 2018 to 2020, the patients who presented to the ED of a university hospital with a suicide attempt were classified into adolescents (≤18 years), adults (19-65 years), and elderly (>65 years), and the visits were grouped into before and after COVID-19.
There were 853 visits before and 388 visits after COVID-19, and the results showed that the number of adolescent and adult suicide patients increased immediately after the pandemic, but the overall trend did not show a significant difference from before the pandemic. In the adolescents, the ratio of male patients increased, interpersonal and school-related motivations decreased, the poisoning and cutting methods of suicide were more common, and hospitalization admissions increased. Among the elderly, the ratio of female patients increased, the number of single patients and patients without previous psychiatric problems increased, the motives for physical illness and death of people around increased, the falling and hanging methods of suicide were more common, and hospitalization admissions and deaths increased.
The impact of COVID-19 on suicide rates and suicide-related factors varies by age group. This finding requires different approaches and methods to suicide prevention based on age.
本研究旨在确定与年龄相关的自杀相关因素以及新冠疫情爆发前后自杀率的变化。
2018年至2020年，将到某大学医院急诊科就诊的自杀未遂患者分为青少年（≤18岁）、成年人（19 - 65岁）和老年人（>65岁），就诊时间分为新冠疫情之前和之后。
新冠疫情之前有853次就诊，之后有388次就诊，结果显示疫情爆发后青少年和成年自杀患者数量立即增加，但总体趋势与疫情之前相比无显著差异。青少年中男性患者比例增加，人际和学校相关动机减少，中毒和割伤自杀方式更常见，住院人数增加。老年人中女性患者比例增加，单身患者和既往无精神问题患者数量增加，身体疾病和周围人死亡的动机增加，坠落和上吊自杀方式更常见，住院人数和死亡人数增加。
新冠疫情对自杀率和自杀相关因素的影响因年龄组而异。这一发现需要基于年龄采取不同的自杀预防方法和措施。
