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新冠疫情后自杀的社会学:西班牙案例评估

The Sociology of Suicide After COVID-19: Assessment of the Spanish Case.

作者信息

Fernández-Vilas Enrique, Coca Juan R, Labora González Juan José, Iglesias Carrera Marcos

机构信息

Department of Sociology and Social Work, University of Valladolid, José Tudela 12D, 42004 Soria, Spain.

Department of Political Science and Sociology, University of Santiago de Compostela, Ángel Jorge Echeverri, 15782 Santiago de Compostela, Spain.

出版信息

Behav Sci (Basel). 2025 May 1;15(5):606. doi: 10.3390/bs15050606.

DOI:10.3390/bs15050606
PMID:40426384
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12109368/
Abstract

The phenomenon of suicide has become a significant global concern, claiming over 800,000 lives annually and resulting in millions of suicide attempts worldwide. In the aftermath of the COVID-19 pandemic, these troubling statistics have worsened, with notable increases in suicidal behavior, especially among vulnerable populations such as the youth, the elderly, and those in socioeconomically disadvantaged groups. This paper aims to explore the impact of the COVID-19 pandemic on suicide rates in Spain, using a theoretical ex post facto analysis. Spain has witnessed an alarming rise in suicide rates, particularly among young people, and a disturbing trend of increased suicidal ideation and self-harm behaviors. While some studies report no significant change in suicide rates during the pandemic, others point to the exacerbating effects of social isolation, economic instability, and public health measures. This study provides an in-depth examination of the psychosocial consequences of the pandemic on mental health in Spain, emphasizing the urgency of the need to address pre-existing inequalities and implement effective suicide prevention measures. Furthermore, it highlights the importance of gender-sensitive strategies and the need for systemic reforms to ensure better mental healthcare access for all segments of society. To achieve this goal, this paper uses a narrative literature review combined with a theoretical ex post facto analysis to assess the influence of the COVID-19 pandemic on suicide patterns in Spain.

摘要

自杀现象已成为全球重大关切问题,每年导致80多万人死亡,全球范围内还有数百万起自杀未遂事件。在新冠疫情之后,这些令人不安的统计数据更加恶化,自杀行为显著增加,尤其是在青年、老年人以及社会经济弱势群体等脆弱人群中。本文旨在通过理论事后分析,探讨新冠疫情对西班牙自杀率的影响。西班牙的自杀率急剧上升,尤其是在年轻人当中,自杀意念和自我伤害行为呈令人不安的上升趋势。虽然一些研究报告称疫情期间自杀率没有显著变化,但另一些研究指出社会隔离、经济不稳定和公共卫生措施产生了加剧影响。本研究深入考察了疫情对西班牙心理健康的社会心理后果,强调解决现有不平等问题和实施有效自杀预防措施的紧迫性。此外,它突出了性别敏感策略的重要性以及进行系统性改革以确保社会各阶层都能更好地获得心理医疗服务的必要性。为实现这一目标,本文采用叙述性文献综述结合理论事后分析的方法,评估新冠疫情对西班牙自杀模式的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff5b/12109368/ac4c529500a2/behavsci-15-00606-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff5b/12109368/75cd0efb8951/behavsci-15-00606-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff5b/12109368/edb00cd614e9/behavsci-15-00606-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff5b/12109368/847d90541286/behavsci-15-00606-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff5b/12109368/ac4c529500a2/behavsci-15-00606-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff5b/12109368/75cd0efb8951/behavsci-15-00606-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff5b/12109368/edb00cd614e9/behavsci-15-00606-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff5b/12109368/847d90541286/behavsci-15-00606-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff5b/12109368/ac4c529500a2/behavsci-15-00606-g004.jpg

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本文引用的文献

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Challenges in the evaluation of suicide prevention measures and quality of suicide data in Germany, Austria, and Switzerland: findings from qualitative expert interviews.德国、奥地利和瑞士自杀预防措施评估及自杀数据质量面临的挑战:定性专家访谈的结果。
BMC Public Health. 2024 Aug 13;24(1):2209. doi: 10.1186/s12889-024-19726-w.
2
Implementation of Complex Suicide Prevention Interventions: Insights into Barriers, Facilitators and Lessons Learned.复杂自杀预防干预措施的实施:对障碍、促进因素及经验教训的见解
Arch Suicide Res. 2025 Apr-Jun;29(2):556-579. doi: 10.1080/13811118.2024.2368127. Epub 2024 Jun 20.
3
Suicide mortality in Spain during the COVID-19 pandemic: Longitudinal analysis of sociodemographic factors.
西班牙新冠疫情期间的自杀死亡率:社会人口学因素的纵向分析
Eur Neuropsychopharmacol. 2024 May;82:29-34. doi: 10.1016/j.euroneuro.2024.02.006. Epub 2024 Mar 14.
4
Navigating the Shadows: A Comprehensive Review of Suicide in the Geriatric Population.探索阴影:老年人群自杀问题的全面综述
Cureus. 2024 Jan 31;16(1):e53352. doi: 10.7759/cureus.53352. eCollection 2024 Jan.
5
Implementation strategies in suicide prevention: a scoping review.预防自杀的实施策略:范围综述。
Implement Sci. 2024 Feb 26;19(1):20. doi: 10.1186/s13012-024-01350-2.
6
Suicide rates before and during the COVID-19 pandemic: a systematic review and meta-analysis.新冠大流行前后的自杀率:系统评价和荟萃分析。
Soc Psychiatry Psychiatr Epidemiol. 2024 Nov;59(11):1897-1905. doi: 10.1007/s00127-024-02617-1. Epub 2024 Feb 14.
7
Prototyping the implementation of a suicide prevention protocol in primary care settings using PDSA cycles: a mixed method study.使用计划-实施-检查-行动(PDSA)循环在基层医疗环境中对自杀预防协议的实施进行原型设计:一项混合方法研究。
Front Psychiatry. 2024 Jan 25;15:1286078. doi: 10.3389/fpsyt.2024.1286078. eCollection 2024.
8
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Soc Sci Med. 2024 Jan;340:116461. doi: 10.1016/j.socscimed.2023.116461. Epub 2023 Nov 29.
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