Hadeiy Seyed Kaveh, Gholami Narges, McDonald Rebecca, Rezaei Omidvar, Kolahi Ali-Asghar, Zamani Nasim, Shamsi-Lahijani Alireza, Noghrehchi Firouzeh, Carter Gregory, Hassanian-Moghaddam Hossein
School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Pediatrics, Loghman Hakim Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Curr Psychol. 2022 May 26:1-8. doi: 10.1007/s12144-022-03248-y.
Hospital-treated intentional self-poisoning is common. The possibility of changed (increased) suicidal behaviors during the COVID-19 pandemic has been raised. To compare frequencies in self-poisoning events (SPEs) and the proportions with in-hospital mortality, in the year prior to and following the official onset of the COVID-19 pandemic, in a population of hospital-treated self-poisoning patients in Iran. All self-poisoned patients admitted to Loghman-Hakim Hospital, a clinical toxicology specialty hospital in Tehran, were included. The frequency of SPEs was compared between the one-year periods immediately before and after the onset of COVID-19 pandemic using Poisson regression. Differences in proportions of in-hospital mortality were also compared using logistic regression. A total of 14,478 patients with 15,391 SPEs (8,863 [61.2%] females) were evaluated in the study. There was no difference in the overall frequency of SPEs (relative risk [RR] of 0.99 [CI95% 0.96-1.03]), but a small increase in males (RR 1.07; 1.02-1.13) and a minor decrease in females (RR 0.95; 0.91-0.99). In total, 330 patients died (2.3% of all SPEs). There was no difference in overall in-hospital mortality odds ratio (OR: 0.98 [0.79-1.22]), in females (OR = 1.14 [0.80-1.60]) or males (OR = 0.92 [0.69-1.23]). There was no change in the frequency of SPEs and no difference in the in-hospital mortality proportions, suggesting that the COVID-19 pandemic had little or no effect on these aspects of suicidal behavior in Iran.
The online version contains supplementary material available at 10.1007/s12144-022-03248-y.
医院治疗的故意自我中毒情况很常见。有人提出在新冠疫情期间自杀行为可能发生变化（增加）。为比较伊朗医院治疗的自我中毒患者群体中，新冠疫情正式爆发前一年和爆发后一年自我中毒事件（SPEs）的发生频率以及院内死亡率的比例。纳入了所有入住德黑兰临床毒理学专科医院洛格曼 - 哈基姆医院的自我中毒患者。使用泊松回归比较新冠疫情爆发前后一年期间SPEs的发生频率。还使用逻辑回归比较院内死亡率比例的差异。该研究共评估了14478名患者的15391起SPEs（8863例[61.2%]为女性）。SPEs的总体发生频率没有差异（相对风险[RR]为0.99[95%CI 0.96 - 1.03]），但男性略有增加（RR 1.07；1.02 - 1.13），女性略有下降（RR 0.95；0.91 - 0.99）。共有330名患者死亡（占所有SPEs的2.3%）。总体院内死亡率比值比没有差异（OR：0.98[0.79 - 1.22]），女性（OR = 1.14[0.80 - 1.60]）或男性（OR = 0.92[0.69 - 1.23]）也没有差异。SPEs的发生频率没有变化，院内死亡率比例也没有差异，这表明新冠疫情对伊朗自杀行为的这些方面几乎没有影响。
在线版本包含可在10.1007/s12144 - 022 - 03248 - y获取的补充材料。
