Du Wei, Jia Yi Jie, Hu Fei Hong, Ge Meng Wei, Cheng Yu Jie, Qu Xin, Chen Hong Lin
Nantong University Medical School, PR China.
School of Medicine, Nantong University, Nantong, Jiangsu, PR China.
J Psychiatr Res. 2023 Oct;166:147-168. doi: 10.1016/j.jpsychires.2023.07.040. Epub 2023 Sep 4.
The purpose of this study was to estimate the prevalence of suicidal ideation and correlated risk factors during the COVID-19 pandemic. Web of Science (WOS) and PubMed were searched according to a pre-set strategy. A total of 132 studies were identified, 104 of which were included in the meta-analysis. The prevalence of suicidal ideation was approximately 14.7% (95%CI: 12.5%, 16.8%, P < 0.01) in the general population, approximately 22.4% (95%CI: 17.1%, 27.8%, P < 0.01）in adolescents, approximately 21.0% (95%CI: 12.8%, 29.2%, P < 0.01) in psychiatric patients, approximately 20.6% (95%CI: 18.7%, 22.5%, P < 0.01）in university students, approximately 18.9% (95%CI: 8.3%, 29.5%, P < 0.01) in younger adults, approximately 10.6% (95%CI: 1.0%, 20.2%, P = 0.031) in COVID-19 patients and approximately 7.4% (95%CI: 4.3%, 10.5%, P < 0.01) in healthcare workers. The prevalence in North America was approximately 16.0% (95%CI: 13.6%-18.4%, P < 0.001), approximately 14.5% in Asia (95%CI: 9.5%-19.4%, P < 0.001), approximately 10.5% in Europe (95%CI: 8.5%-12.4%, P < 0.001), and approximately 20.5% in South America (95%CI: 19.5%-21.5%, P < 0.001). The following were risk factors which might be correlated with suicidal ideation: severe anxiety symptoms, mild to moderate depression, a strong feeling of loneliness/social isolation, poor sleep quality, having COVID-19-related experience, having quarantine or lockdown experience, being female, being single or divorced, having financial problems and having a history of suicidal ideation/attempt. This article reports the prevalence of suicidal ideation and discussing potential risk factors during the pandemic among general population and vulnerable groups. Early detection and follow-up were necessary for the noteworthy population.
本研究的目的是评估新型冠状病毒肺炎（COVID-19）大流行期间自杀意念的流行率及相关危险因素。按照预先设定的策略检索了科学网（WOS）和PubMed。共识别出132项研究，其中104项纳入了荟萃分析。一般人群中自杀意念的流行率约为14.7%（95%置信区间：12.5%，16.8%，P<0.01），青少年中约为22.4%（95%置信区间：17.1%，27.8%，P<0.01），精神科患者中约为21.0%（95%置信区间：12.8%，29.2%，P<0.01），大学生中约为20.6%（95%置信区间：18.7%，22.5%，P<0.01），年轻人中约为18.9%（95%置信区间：8.3%，29.5%，P<0.01），COVID-19患者中约为10.6%（95%置信区间：1.0%，20.2%，P=0.031），医护人员中约为7.4%（95%置信区间：4.3%，10.5%，P<0.01）。北美洲的流行率约为16.0%（95%置信区间：13.6%-18.4%，P<0.001），亚洲约为14.5%（95%置信区间：9.5%-19.4%，P<0.001），欧洲约为10.5%（95%置信区间：8.5%-12.4%，P<0.001），南美洲约为20.5%（95%置信区间：19.5%-21.5%，P<0.001）。以下是可能与自杀意念相关的危险因素：严重焦虑症状、轻至中度抑郁、强烈的孤独感/社会隔离感、睡眠质量差、有与COVID-19相关的经历、有隔离或封锁经历、女性、单身或离异、有经济问题以及有自杀意念/自杀未遂史。本文报告了大流行期间一般人群和弱势群体中自杀意念的流行率，并讨论了潜在的危险因素。对重点人群进行早期检测和随访很有必要。
