Singh Kumkum, Kaur Ravneet, Behera Chittaranjan, Balhara Yatan P S, Kaushik Ruchika
Center for Community Medicine, All India Institute of Medical Sciences, New Delhi, India.
Forensic Medicine and Toxicology, All India Institute of Medical Sciences, New Delhi, India.
Ind Psychiatry J. 2024 Jul-Dec;33(2):390-395. doi: 10.4103/ipj.ipj_304_24. Epub 2024 Dec 17.
Suicides are among the leading causes of death in the world and pose a major public health challenge. Mental health issues intensified during the COVID-19 pandemic, causing an increase in the number of suicides globally. Contributory factors included social isolation, loneliness, unemployment, grief due to loss of family, fear of death, and financial stress.
To assess the pattern of suicide deaths following the COVID-19 pandemic as compared to pre-COVID-19 in the South and South-east districts of Delhi.
Pre-COVID-19 suicide data were reviewed from April 2017 to March 2020. We collected data from police inquest papers, medical records, and the evaluation of autopsy reports. Post-COVID-19 data for suicide deaths were collected from April 2020 and March 2023. The close relatives of the deceased were interviewed using a standardized proforma. Data were analyzed using STATA version 16.
A total of 1435 and 1462 suicide deaths were reported in the pre- and post-COVID-19 pandemic period, respectively. Suicide deaths among males were significantly higher in the post-COVID-19 period ( = 0.001). The place of suicide was non-residence in a significantly higher number of suicide deaths during the post-COVID-19 period ( = 0.001), while there was no significant difference in terms of alcohol use ( = 0.249), and physical illness ( = 0.28) during pre- and post-COVID-19 period. The most common cause of death was hanging both in the pre-COVID-19 (93.91%) and post-COVID-19 (95.5%) period.
There was no significant difference in the number of suicide deaths pre- and post-COVID pandemic. A significantly higher rate among males, non-residence as the place of suicide, and history of psychiatric illness was found in the post-COVID-19 period.
自杀是全球主要死因之一,构成重大公共卫生挑战。在新冠疫情期间,心理健康问题加剧,导致全球自杀人数增加。促成因素包括社会隔离、孤独、失业、丧亲之痛、对死亡的恐惧和经济压力。
评估德里南部和东南部地区新冠疫情后与疫情前相比的自杀死亡模式。
回顾2017年4月至2020年3月疫情前的自杀数据。我们从警方调查报告、医疗记录和尸检报告评估中收集数据。2020年4月至2023年3月收集新冠疫情后的自杀死亡数据。使用标准化表格对死者近亲进行访谈。数据采用STATA 16版进行分析。
疫情前和疫情后分别报告了1435例和1462例自杀死亡。新冠疫情后男性自杀死亡人数显著更高(P = 0.001)。新冠疫情后,自杀地点为非住所的自杀死亡人数显著更多(P = 0.001),而疫情前和疫情后在饮酒(P = 0.249)和身体疾病方面(P = 0.28)无显著差异。最常见的死亡原因在疫情前(93.91%)和疫情后(95.5%)均为上吊。
新冠疫情前后自杀死亡人数无显著差异。在新冠疫情后,发现男性自杀率显著更高、自杀地点为非住所且有精神疾病史。