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面临自杀风险的老年人：新冠疫情封锁期间的一项本地研究

Older People at Risk of Suicide: A Local Study During the COVID-19 Confinement Period.

作者信息

Puig-Amores Ismael, Martín-Mora-Parra Guadalupe, Cuadrado-Gordillo Isabel, Morales-Sanhueza Jessica

机构信息

Department of Psychology and Anthropology, University of Extremadura, 06071 Badajoz, Spain.

Directorate of Humanistic and Christian Formation, General Directorate of Teaching, Catholic University of Temuco, Rudecindo Ortega, Temuco 2950, Chile.

出版信息

Healthcare (Basel). 2025 Jul 18;13(14):1735. doi: 10.3390/healthcare13141735.

DOI:10.3390/healthcare13141735
PMID:40724759
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12294474/
Abstract

BACKGROUND: Suicide in older adults represents an insufficiently addressed public health problem, despite the aging population and the increase in mental disorders in this group. The COVID-19 pandemic and associated measures, such as lockdown, could have exacerbated this phenomenon. This study aimed to analyze the impact of the confinement decreed during the state of alarm in Spain on the incidence of deaths by suicide in people over 70 years of age in Extremadura. METHODS: An observational and retrospective study was carried out, using data from the Institutes of Legal Medicine and Forensic Sciences, comparing the figures for 2020 with the years 2019, 2021, along with the average for the period 2015-2019. Statistical analyses included Chi-square tests and calculation of Relative Risk with 95% CI. RESULTS: The results revealed a significant increase in deaths by suicide in the third quarter of 2020 compared to the periods compared, especially among men. CONCLUSIONS: It is concluded that confinement may have negatively influenced the mental health of older adults, which underscores the need for specific interventions and attention to regional contextual factors.

摘要

背景：尽管老年人口不断增加且该群体精神障碍增多，但老年人自杀仍是一个未得到充分解决的公共卫生问题。新冠疫情及相关措施，如封锁，可能加剧了这一现象。本研究旨在分析西班牙警报状态期间实施的禁闭措施对埃斯特雷马杜拉70岁以上人群自杀死亡率的影响。 方法：采用观察性回顾性研究，利用法律医学和法医学研究所的数据，将2020年的数据与2019年、2021年的数据以及2015 - 2019年期间的平均值进行比较。统计分析包括卡方检验和95%置信区间的相对风险计算。 结果：结果显示，与所比较的时期相比，2020年第三季度自杀死亡人数显著增加，尤其是男性。 结论：得出的结论是，禁闭可能对老年人的心理健康产生了负面影响，这突出了针对区域背景因素进行具体干预和关注的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6b0/12294474/55c7078c0498/healthcare-13-01735-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6b0/12294474/ed82aa4c95c2/healthcare-13-01735-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6b0/12294474/3b3352662f03/healthcare-13-01735-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6b0/12294474/2cc3cac7a621/healthcare-13-01735-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6b0/12294474/2a82afcdbf76/healthcare-13-01735-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6b0/12294474/55c7078c0498/healthcare-13-01735-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6b0/12294474/ed82aa4c95c2/healthcare-13-01735-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6b0/12294474/3b3352662f03/healthcare-13-01735-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6b0/12294474/2cc3cac7a621/healthcare-13-01735-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6b0/12294474/2a82afcdbf76/healthcare-13-01735-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6b0/12294474/55c7078c0498/healthcare-13-01735-g005.jpg

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Older People at Risk of Suicide: A Local Study During the COVID-19 Confinement Period.

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本文引用的文献

[1]
The assessment of lifestyle changes during the COVID-19 pandemic using a multidimensional scale.

Rev Psiquiatr Salud Ment. 2021

[2]
Health Service Protection vis-à-vis the Detection of Psychosocial Risks of Suicide during the Years 2019-2021.

Healthcare (Basel). 2023-5-22

[3]
Reactive surveillance of suicides during the COVID-19 pandemic in France, 2020 to March 2022.

Epidemiol Psychiatr Sci. 2023-4-17

[4]
Mental health service use and associated predisposing, enabling and need factors in community living adults and older adults across Canada.

BMC Health Serv Res. 2023-4-12

[5]
Suicidal ideation and mental health care: Predisposing, enabling and need factors associated with general and specialist mental health service use in France.

Int J Soc Psychiatry. 2023-8

[6]
The impact of the COVID-19 pandemic on suicide mortality in Spain: Differences by sex and age.

J Affect Disord. 2023-5-15

[7]
Suicide and homicide before and during the COVID-19 pandemic in Milan, Italy.

J Affect Disord Rep. 2023-4

[8]
[Suicide attempt before and during the COVID-19 pandemic: A comparative study from the emergency department].

Semergen. 2023-4

[9]
Comparing the centrality symptoms of major depressive disorder samples across junior high school students, senior high school students, college students and elderly adults during city lockdown of COVID-19 pandemic-A network analysis.

J Affect Disord. 2023-3-1

[10]
Cognitive Impairment after Post-Acute COVID-19 Infection: A Systematic Review of the Literature.

J Pers Med. 2022-12-15

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