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以移民为主的人群中的自杀行为及其对新冠疫情早期趋势的影响:卡塔尔的一项横断面研究

Suicidal behavior in a migrant majority population and impact on trends during the early Covid-19 period: a cross sectional study in Qatar.

作者信息

AlAbdulla Majid, Reagu Shuja Mohd, Hassan Mohamed H M O, Elhassan Nahid M, Sayed Sagda, Makki Ibrahim, Elzain Marwa, Wadoo Ovais, Kumar Rajeev

机构信息

Department of Psychiatry, Hamad Medical Corporation, Doha, Qatar.

College of Medicine, Qatar University, Doha, Qatar.

出版信息

Discov Psychol. 2022;2(1):28. doi: 10.1007/s44202-022-00040-8. Epub 2022 May 25.

DOI:10.1007/s44202-022-00040-8
PMID:40477982
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9130969/
Abstract

BACKGROUND

Qatar is a high-income country with 90% of the population being economic migrants from low income countries. Due to this unique population composition, it has been suggested that Qatar may not follow suicide trends of high-income countries. Additionally, there is paucity of information on suicidal trends and rates due to social and cultural reasons. The Covid-19 pandemic has additionally impacted mental health of migrants differently form native Qataris.

OBJECTIVES

This study explores suicidal behavior trends among individuals attending the main Emergency Department in the state of Qatar for mental health emergencies. The study also compared these trends for pre-pandemic period to early post pandemic period.

METHODS

A cross-sectional study of individuals attending the main emergency department of the country from 1st December 2019 to 30th June 2020 was carried out using a composite data collection form. This identified 799 individuals presenting with mental health emergencies. Suicidal behaviors, relevant sociodemographic data, along with factors known to be associated with suicidal behaviors were collected for this group.

RESULTS

24.9% (n = 199) of the sample presented with suicidal behaviors. Younger age (31.16 ± 9.497), current hopelessness (70; 54.7%), history of suicidal thoughts (50; 47.2%), history of suicidal attempts (43; 34.7%), history of self-harm thoughts (35; 39.3%), history of self-harm attempts (41; 37.6%) were highly significantly associated with suicidal behavior ( < 0.01). Qataris formed 27% of the group presenting with suicidal behaviors although they constitute only around 10% of the population. There was no significant change in the rate of presenting with suicidal behaviors during the early stages of the Covid-19 pandemic.

CONCLUSIONS

This study reports an annual incidence of suicidal behaviors in Qatar lower than that has been previously reported. The authors surmise that this may be due to improved availability and early intervention of mental health services and decreased stigma around mental health.

SUPPLEMENTARY INFORMATION

The online version contains supplementary material available at 10.1007/s44202-022-00040-8.

摘要

背景

卡塔尔是一个高收入国家,其90%的人口是来自低收入国家的经济移民。由于这种独特的人口构成,有人认为卡塔尔可能不符合高收入国家的自杀趋势。此外,由于社会和文化原因,关于自杀趋势和比率的信息匮乏。新冠疫情对移民心理健康的影响也与卡塔尔本地人不同。

目的

本研究探讨在卡塔尔国主要急诊科就诊的心理健康紧急情况患者中的自杀行为趋势。该研究还比较了疫情前时期与疫情后早期的这些趋势。

方法

使用综合数据收集表对2019年12月1日至2020年6月30日期间在该国主要急诊科就诊的患者进行了横断面研究。这确定了799名出现心理健康紧急情况的患者。收集了该组患者的自杀行为、相关社会人口学数据以及已知与自杀行为相关的因素。

结果

24.9%(n = 199)的样本出现了自杀行为。年龄较小(31.16 ± 9.497)、当前绝望感(70例;54.7%)、自杀念头史(50例;47.2%)、自杀未遂史(43例;34.7%)、自伤念头史(35例;39.3%)、自伤未遂史(41例;37.6%)与自杀行为高度显著相关(P < 0.01)。卡塔尔人在出现自杀行为的群体中占27%,尽管他们仅占人口的约10%。在新冠疫情早期,出现自杀行为的比率没有显著变化。

结论

本研究报告卡塔尔自杀行为的年发病率低于先前报告的水平。作者推测这可能是由于心理健康服务的可及性提高和早期干预以及围绕心理健康的污名化减少。

补充信息

在线版本包含可在10.1007/s44202-022-00040-8获取的补充材料。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20be/9130969/b11a26acf152/44202_2022_40_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20be/9130969/b11a26acf152/44202_2022_40_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20be/9130969/b11a26acf152/44202_2022_40_Fig1_HTML.jpg

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