Suicide numbers during the first 9-15 months of the COVID-19 pandemic compared with pre-existing trends: An interrupted time series analysis in 33 countries

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Fältnamn	Indikatorer	Metadata
000		11539naa a2201561 4500
001		oai:DiVA.org:lnu-119114
003		SwePub
008		230207s2022 \| \|\|\|\|\|\|\|\|\|\|\|000 \|\|eng\|
009		oai:prod.swepub.kib.ki.se:151600913
024	7	a https://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-1191142 URI
024	7	a https://doi.org/10.1016/j.eclinm.2022.1015732 DOI
024	7	a http://kipublications.ki.se/Default.aspx?queryparsed=id:1516009132 URI
040		a (SwePub)lnud (SwePub)ki
041		a engb eng
042		9 SwePub
072	7	a ref2 swepub-contenttype
072	7	a art2 swepub-publicationtype
100	1	a Pirkis, Janeu Univ Melbourne, Australia4 aut
245	1 0	a Suicide numbers during the first 9-15 months of the COVID-19 pandemic compared with pre-existing trends :b An interrupted time series analysis in 33 countries
264	1	b Elsevier,c 2022
338		a print2 rdacarrier
520		a Background Predicted increases in suicide were not generally observed in the early months of the COVID-19 pandemic. However, the picture may be changing and patterns might vary across demographic groups. We aimed to provide a timely, granular picture of the pandemic's impact on suicides globally. Methods We identified suicide data from official public-sector sources for countries/areas-within-countries, searching websites and academic literature and contacting data custodians and authors as necessary. We sent our first data request on 22nd June 2021 and stopped collecting data on 31st October 2021. We used interrupted time series (ITS) analyses to model the association between the pandemic's emergence and total suicides and suicides by sex-, age-and sex-by-age in each country/area-within-country. We compared the observed and expected numbers of suicides in the pandemic's first nine and first 10-15 months and used meta-regression to explore sources of variation. Findings We sourced data from 33 countries (24 high-income, six upper-middle-income, three lower-middle-income; 25 with whole-country data, 12 with data for area(s)-within-the-country, four with both). There was no evidence of greater-than-expected numbers of suicides in the majority of countries/areas-within-countries in any analysis; more commonly, there was evidence of lower-than-expected numbers. Certain sex, age and sex-by-age groups stood out as potentially concerning, but these were not consistent across countries/areas-within-countries. In the meta-regression, different patterns were not explained by countries' COVID-19 mortality rate, stringency of public health response, economic support level, or presence of a national suicide prevention strategy. Nor were they explained by countries' income level, although the meta-regression only included data from high-income and upper-middle-income countries, and there were suggestions from the ITS analyses that lower-middle-income countries fared less well. Interpretation Although there are some countries/areas-within-countries where overall suicide numbers and numbers for certain sex- and age-based groups are greater-than-expected, these countries/areas-within-countries are in the minority. Any upward movement in suicide numbers in any place or group is concerning, and we need to remain alert to and respond to changes as the pandemic and its mental health and economic consequences continue. Copyright (C) 2022 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi0 (SwePub)303022 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Public Health, Global Health, Social Medicine and Epidemiology0 (SwePub)303022 hsv//eng
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Psykiatri0 (SwePub)302152 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Psychiatry0 (SwePub)302152 hsv//eng
653		a Suicide
653		a COVID-19
653		a Pandemic
653		a Monitoring
653		a Medicin
653		a Medicine
700	1	a Gunnell, Davidu Univ Bristol, UK4 aut
700	1	a Shin, Sangsoou Univ Melbourne, Australia4 aut
700	1	a Del Pozo-Banos, Marcosu Swansea Univ Med Sch, UK4 aut
700	1	a Arya, Vikasu Univ Melbourne, Australia4 aut
700	1	a Aguilar, Pablo Analuisau Minist Publ Hlth, Ecuador4 aut
700	1	a Appleby, Louisu Univ Manchester, UK4 aut
700	1	a Arafat, S. M. Yasiru Enam Med Coll & Hosp, Bangladesh4 aut
700	1	a Arensman, Ellau Univ Coll Cork, Ireland;Griffith Univ, Australia4 aut
700	1	a Ayuso-Mateos, Jose Luisu Univ Autonoma Madrid, Spain4 aut
700	1	a Balhara, Yatan Pal Singhu All India Inst Med Sci, India4 aut
700	1	a Bantjes, Jasonu South African Med Res Council, South Africa;Stellenbosch Univ, South Africa4 aut
700	1	a Baran, Annau Linnéuniversitetet,Institutionen för medicin och optometri (MEO),Minist Hlth, Poland;Blekinge Hospital, Sweden4 aut0 (Swepub:lnu)anbaah
700	1	a Behera, Chittaranjanu All India Inst Med Sci, India4 aut
700	1	a Bertolote, Joseu Univ Estadual Paulista UNESP, Brazil4 aut
700	1	a Borges, Guilhermeu Inst Nacl Psiquiatr Ramon de la Fuente Muniz, Mexico4 aut
700	1	a Bray, Michaelu Johns Hopkins Univ, USA4 aut
700	1	a Brecic, Petranau Univ Psychiat Hosp Vrapce, Croatia;Univ Zagreb, Croatia4 aut
700	1	a Caine, Ericu Univ Rochester Med Ctr, USA4 aut
700	1	a Calati, Raffaellau Univ Milano Bicocca, Italy;Nimes Univ Hosp, France4 aut
700	1	a Carli, Vladimiru Karolinska Institutet, Sweden4 aut
700	1	a Castelpietra, Giuliou Cent Hlth Directorate, Italy4 aut
700	1	a Chan, Lai Fongu Natl Univ Malaysia, Malaysia4 aut
700	1	a Chang, Shu-Senu Natl Taiwan Univ, Taiwan4 aut
700	1	a Colchester, Davidu Thames Valley Police, UK4 aut
700	1	a Coss-Guzman, Mariau Puerto Rico Dept Hlth, USA4 aut
700	1	a Crompton, Davidu Griffith Univ, Australia4 aut
700	1	a Curkovic, Markou Univ Zagreb, Croatia;Univ Psychiat Hosp Vrapce, Croatia4 aut
700	1	a Dandona, Rakhiu Publ Hlth Fdn India, India;Univ Washington, USA4 aut
700	1	a De Jaegere, Evau Univ Ghent, Belgium4 aut
700	1	a De Leo, Diegou Griffith Univ, Australia4 aut
700	1	a Deisenhammer, Eberhard A.u Med Univ Innsbruck, Austria4 aut
700	1	a Dwyer, Jeremyu Coroners Court Victoria, Australia4 aut
700	1	a Erlangsen, Annetteu Mental Hlth Ctr Copenhagen, Denmark;Copenhagen Res Ctr Mental Hlth, Denmark;Australian Natl Univ, Australia;Johns Hopkins Bloomberg Sch Publ Hlth, USA4 aut
700	1	a Faust, Jeremy S.u Harvard Med Sch, USA4 aut
700	1	a Fornaro, Micheleu Federico II Univ Naples, Italy4 aut
700	1	a Fortune, Sarahu Univ Auckland, New Zealand4 aut
700	1	a Garrett, Andrewu Tasmanian Magistrates Court, Australia4 aut
700	1	a Gentile, Guendalinau Univ Milan, Italy4 aut
700	1	a Gerstner, Rebekkau Minist Publ Hlth, Germany4 aut
700	1	a Gilissen, Renskeu 113 Suicide Prevention, Netherlands4 aut
700	1	a Gould, Madelynu Columbia Univ Med Ctr, USA4 aut
700	1	a Gupta, Sudhir Kumaru All India Inst Med Sci, India4 aut
700	1	a Hawton, Keithu Univ Oxford, UK4 aut
700	1	a Holz, Franziskau Goethe Univ Frankfurt, Germany4 aut
700	1	a Kamenshchikov, Iuriiu Udmurtia Republican Clin Psychiat Hosp, Russia4 aut
700	1	a Kapur, Navneetu Univ Manchester, UK;Greater Manchester Mental Hlth NHS Fdn Trust, UK4 aut
700	1	a Kasal, Alexandru Natl Inst Mental Hlth, Czech Republic;Charles Univ Prague, Czech Republic4 aut
700	1	a Khan, Muradu Aga Khan Univ, Pakistan4 aut
700	1	a Kirtley, Olivia J.u Katholieke Univ Leuven, Belgium4 aut
700	1	a Knipe, Duleekau Univ Bristol, UK4 aut
700	1	a Kolves, Kairiu Griffith Univ, Australia4 aut
700	1	a Kolzer, Sarah C.u Goethe Univ Frankfurt, Germany4 aut
700	1	a Krivda, Hryhoriiu Odessa Natl Med Univ, Ukraine4 aut
700	1	a Leske, Stuartu Griffith Univ, Australia4 aut
700	1	a Madeddu, Fabiou Univ Milano Bicocca, Italy4 aut
700	1	a Marshall, Andrewu Harvard Med Sch, USA4 aut
700	1	a Memon, Anjumu Brighton & Sussex Med Sch, UK4 aut
700	1	a Mittendorfer-Rutz, Ellenoru Karolinska Institutet4 aut
700	1	a Nestadt, Paulu Johns Hopkins Univ, USA4 aut
700	1	a Neznanov, Nikolayu Bekhterev Natl Med Res Ctr Psychiat & Neurol, Russia;Pavlov First St Petersburg State Med Univ, Russia4 aut
700	1	a Niederkrotenthaler, Thomasu Med Univ Vienna, Austria4 aut
700	1	a Nielsen, Emmau Univ Nottingham, UK4 aut
700	1	a Nordentoft, Mereteu Mental Hlth Ctr Copenhagen, Denmark4 aut
700	1	a Oberlerchner, Herwigu Klinikum Klagenfurt Worthersee, Austria4 aut
700	1	a O'Connor, Rory C.u Univ Glasgow, UK4 aut
700	1	a Papsdorf, Raineru Univ Hosp Leipzig, Germany4 aut
700	1	a Partonen, Timou Finnish Inst Hlth & Welf, Finland4 aut
700	1	a Phillips, Michael R.u Shanghai Jiao Tong Univ, China;Columbia Univ, USA4 aut
700	1	a Platt, Steveu Univ Edinburgh, UK4 aut
700	1	a Portzky, Gwendolynu Univ Ghent, Belgium4 aut
700	1	a Psota, Georgu Psychosocial Serv Vienna, Austria4 aut
700	1	a Qin, Pingu Univ Oslo, Norway4 aut
700	1	a Radeloff, Danielu Univ Hosp Leipzig, Germany4 aut
700	1	a Reif, Andreasu Goethe Univ, Germany4 aut
700	1	a Reif-Leonhard, Christineu Goethe Univ, Germany4 aut
700	1	a Rezaeian, Mohsenu Rafsanjan Univ Med Sci, Iran4 aut
700	1	a Roman-Vazquez, Naydau Puerto Rico Dept Hlth, USA4 aut
700	1	a Roskar, Saskau Natl Inst Publ Hlth, Slovenia4 aut
700	1	a Rozanov, Vsevolodu Bekhterev Natl Med Res Ctr Psychiat & Neurol, Russia;St Petersburg State Univ, Russia4 aut
700	1	a Sara, Grantu NSW Minist Hlth, Australia4 aut
700	1	a Scavacini, Karenu Inst Vita Alere, Brazil4 aut
700	1	a Schneider, Barbarau Goethe Univ, Germany;LVR Klin Köln, Germany4 aut
700	1	a Semenova, Nataliau Bekhterev Natl Med Res Ctr Psychiat & Neurol, Russia4 aut
700	1	a Sinyor, Marku Sunnybrook Hlth Sci Ctr, Canada;Univ Toronto, Canada4 aut
700	1	a Tambuzzi, Stefanou Univ Milan, Italy4 aut
700	1	a Townsend, Ellenu Univ Nottingham, UK4 aut
700	1	a Ueda, Michikou Waseda Univ, Japan4 aut
700	1	a Wasserman, Danutau Karolinska Institutet, Sweden4 aut
700	1	a Webb, Roger T.u Univ Manchester, UK4 aut
700	1	a Winkler, Petru Natl Inst Mental Hlth, Czech Republic4 aut
700	1	a Yip, Paul S. F.u Univ Hong Kong, China4 aut
700	1	a Zalsman, Gilu Tel Aviv Univ, Israel4 aut
700	1	a Zoja, Riccardou Univ Milan, Italy4 aut
700	1	a John, Annu Swansea Univ Med Sch, UK4 aut
700	1	a Spittal, Matthew J.u Univ Melbourne, Australia4 aut
710	2	a Univ Melbourne, Australiab Univ Bristol, UK4 org
773	0	t eClinicalMedicined : Elsevierg 51q 51x 2589-5370
856	4	u https://doi.org/10.1016/j.eclinm.2022.101573y Fulltext
856	4 8	u https://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-119114
856	4 8	u https://doi.org/10.1016/j.eclinm.2022.101573
856	4 8	u http://kipublications.ki.se/Default.aspx?queryparsed=id:151600913

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By the author/editor: Pirkis, Jane; Gunnell, David; Shin, Sangsoo; Del Pozo-Banos, ...; Arya, Vikas; Aguilar, Pablo A ...; show more...; Appleby, Louis; Arafat, S. M. Ya ...; Arensman, Ella; Ayuso-Mateos, Jo ...; Balhara, Yatan P ...; Bantjes, Jason; Baran, Anna; Behera, Chittara ...; Bertolote, Jose; Borges, Guilherm ...; Bray, Michael; Brecic, Petrana; Caine, Eric; Calati, Raffaell ...; Carli, Vladimir; Castelpietra, Gi ...; Chan, Lai Fong; Chang, Shu-Sen; Colchester, Davi ...; Coss-Guzman, Mar ...; Crompton, David; Curkovic, Marko; Dandona, Rakhi; De Jaegere, Eva; De Leo, Diego; Deisenhammer, Eb ...; Dwyer, Jeremy; Erlangsen, Annet ...; Faust, Jeremy S.; Fornaro, Michele; Fortune, Sarah; Garrett, Andrew; Gentile, Guendal ...; Gerstner, Rebekk ...; Gilissen, Renske; Gould, Madelyn; Gupta, Sudhir Ku ...; Hawton, Keith; Holz, Franziska; Kamenshchikov, I ...; Kapur, Navneet; Kasal, Alexandr; Khan, Murad; Kirtley, Olivia ...; Knipe, Duleeka; Kolves, Kairi; Kolzer, Sarah C.; Krivda, Hryhorii; Leske, Stuart; Madeddu, Fabio; Marshall, Andrew; Memon, Anjum; Mittendorfer-Rut ...; Nestadt, Paul; Neznanov, Nikola ...; Niederkrotenthal ...; Nielsen, Emma; Nordentoft, Mere ...; Oberlerchner, He ...; O'Connor, Rory C ...; Papsdorf, Rainer; Partonen, Timo; Phillips, Michae ...; Platt, Steve; Portzky, Gwendol ...; Psota, Georg; Qin, Ping; Radeloff, Daniel; Reif, Andreas; Reif-Leonhard, C ...; Rezaeian, Mohsen; Roman-Vazquez, N ...; Roskar, Saska; Rozanov, Vsevolo ...; Sara, Grant; Scavacini, Karen; Schneider, Barba ...; Semenova, Natali ...; Sinyor, Mark; Tambuzzi, Stefan ...; Townsend, Ellen; Ueda, Michiko; Wasserman, Danut ...; Webb, Roger T.; Winkler, Petr; Yip, Paul S. F.; Zalsman, Gil; Zoja, Riccardo; John, Ann; Spittal, Matthew ...; show less...

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