Mudiyanselage Sriyani Padmalatha Konara, Tsai Yi-Tseng, Tsai Yi-Jing, Yang Ya-Han, Lu Zan-Ting, Ko Nai-Ying
Department of Nursing, College of Medicine, National Cheng Kung University, No.1, Ta-Hsueh Road, Tainan, 701, Taiwan (R.O.C.).
Operation theater department, The National hospital of Sri Lanka, Colombo, Sri Lanka.
BMC Psychol. 2024 Dec 5;12(1):727. doi: 10.1186/s40359-024-02168-9.
The COVID-19 pandemic, declared by the World Health Organization in early 2020, rapidly escalated from a global health crisis to a significant public health issue worldwide. This scoping review aims to provide a comprehensive global overview of suicidal behavior and associated risk factors during the COVID-19 pandemic.
Adhering to the PRISMA 2020 guidelines, literature searches were conducted across five databases: Embase, MEDLINE, CINAHL, Web of Science, and Academic Search Complete. The review encompassed studies published from January 1, 2019, to November 29, 2023. A total of 286 studies met the inclusion criteria, offering a broad perspective on suicidal behaviors during the pandemic. The studies underwent quality assessment using the Joanna Briggs Institute (JBI) Critical Appraisal for Checklist for Prevalence Studies Scale (CACPSS).
The highest rates of suicidal behavior were observed in the Americas, Europe, and the Western Pacific Region, with China and the United States reporting significant cases. Key risk factors included demographic characteristics, mental health conditions, and social support factors. Suicidal ideation prevalence rates ranged significantly, with the highest in some regions exceeding 50%. Suicide attempts and completed suicides also showed considerable variation across different countries and regions.
The findings emphasize the need for targeted mental health interventions and policies to reduce suicide risk, highlighting the multifaceted nature of suicidal behaviors during the COVID-19 pandemic. Comprehensive, multidisciplinary approaches are necessary to address this pressing concern, and understanding the interplay among diverse risk factors is crucial for developing effective prevention and intervention strategies.
世界卫生组织于2020年初宣布的新冠疫情，迅速从一场全球健康危机升级为全球范围内重大的公共卫生问题。本综述旨在全面概述新冠疫情期间的自杀行为及相关风险因素。
遵循PRISMA 2020指南，在五个数据库中进行文献检索：Embase、MEDLINE、CINAHL、科学网和学术搜索完整版。该综述涵盖了2019年1月1日至2023年11月29日发表的研究。共有286项研究符合纳入标准，提供了有关疫情期间自杀行为的广泛视角。使用乔安娜·布里格斯研究所（JBI）患病率研究清单批判性评估量表（CACPSS）对这些研究进行质量评估。
在美洲、欧洲和西太平洋地区观察到最高的自杀行为发生率，中国和美国报告了大量病例。关键风险因素包括人口统计学特征、心理健康状况和社会支持因素。自杀意念患病率差异很大，一些地区的最高患病率超过50%。自杀未遂和自杀死亡在不同国家和地区也存在很大差异。
研究结果强调需要有针对性的心理健康干预措施和政策来降低自杀风险，突出了新冠疫情期间自杀行为的多方面性质。需要采取综合、多学科的方法来解决这一紧迫问题，了解各种风险因素之间的相互作用对于制定有效的预防和干预策略至关重要。
