Mejía-Castrejón Jessica, Caro-Vega Yanink, Sierra-Madero Juan G, López-Iñiguez Alvaro, Crabtree-Ramírez Brenda E
Department of Infectious Diseases, Instituto Nacional de Ciencias Médicas y Nutrición "Salvador Zubirán", Av. Vasco de Quiroga No. 15, Col. Belisario Domínguez sección XVI, Tlalpan, Z.P.14080, Mexico City, Mexico.
AIDS Behav. 2025 Feb;29(2):664-672. doi: 10.1007/s10461-024-04548-z. Epub 2024 Dec 7.
Suicide Risk (SR) and the COVID-19 pandemic affected People with HIV (PWH) disproportionately in comparison with the general population, but little information on SR during and after the COVID-19 lockdown on the Latino PWH has been described, therefore, this study aimed to describe SR in PWH attended the HIV clinic before (2018-2019), during (2020), and after (2021-2022) the COVID-19 lockdown, the trend of SR, and the factors associated. Three standardized questions from the "Columbia-Suicide Severity Rating Scale" (C-SSRS) were routinely applied as screening for suicide risk to all PWH attending their clinical visits during 2018-2022. We estimated suicidality risk and rate. We compared sociodemographic characteristics in those with and without SR. We evaluated the potential association of SR with the calendar year before, during, and after the COVID-19 lockdown using a mixed-effects logistic regression. A total of 2330 patients were seen during the study period; 2157 (93%) were evaluated for suicidality at least once, of those, 75 (3.5%) had SR. Those with SR compared with non-SR were more frequently women (20% vs 10%) and with a heterosexual HIV transmission route (29% vs 23%). SR rates per 1000 patients-day among those evaluated were 0.03 in 2018, 0.25 in 2019, 3.16 in 2020, 7.0 in 2021 and 11.98 in 2022. Throughout the model, independently of covariables, a significant increase in the OR of SR was observed in these years compared to 2018: 1.07 in 2019; 2.74 in 2021; and 4.82 in 2022, except in 2020, OR = 0.18.
与普通人群相比，自杀风险（SR）和新冠疫情对艾滋病毒感染者（PWH）的影响尤为严重，但关于新冠疫情封锁期间及之后拉丁裔艾滋病毒感染者的自杀风险的信息描述甚少。因此，本研究旨在描述在新冠疫情封锁之前（2018 - 2019年）、期间（2020年）和之后（2021 - 2022年）到艾滋病毒诊所就诊的艾滋病毒感染者的自杀风险、自杀风险趋势以及相关因素。在2018 - 2022年期间，对所有前来临床就诊的艾滋病毒感染者，常规应用“哥伦比亚自杀严重程度评定量表”（C - SSRS）中的三个标准化问题进行自杀风险筛查。我们估计了自杀风险和发生率。我们比较了有自杀风险和无自杀风险者的社会人口学特征。我们使用混合效应逻辑回归评估了新冠疫情封锁之前、期间和之后的日历年份与自杀风险之间的潜在关联。在研究期间共诊治了2330名患者；其中2157名（93%）至少接受过一次自杀风险评估，其中75名（3.5%）有自杀风险。有自杀风险者与无自杀风险者相比，女性更为常见（20%对10%），且艾滋病毒传播途径为异性传播的比例更高（29%对23%）。在接受评估者中，每1000患者日的自杀风险发生率在2018年为0.
