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Suicide trends in the early months of the COVID-19 pandemic: an interrupted time-series analysis of preliminary data from 21 countries

dc.creatorPirkis, Janees_ES
dc.creatorJohn, Annes_ES
dc.creatorShin, Sangsooes_ES
dc.creatorDelPozo-Banos, Marcoses_ES
dc.creatorArya, Vikases_ES
dc.creatorAnaluisa-Aguilar, Pabloes_ES
dc.creatorAppleby, Louises_ES
dc.creatorArensman, Ellaes_ES
dc.creatorBantjes, Jasones_ES
dc.creatorBaran, Annaes_ES
dc.creatorBertolote, Jose M.es_ES
dc.creatorBorges, Guilhermees_ES
dc.creatorBrečić, Petranaes_ES
dc.creatorCaine, Erices_ES
dc.creatorCastelpietra, Giulioes_ES
dc.creatorChang, Shu-Senes_ES
dc.creatorColchester, Davides_ES
dc.creatorCrompton, Davides_ES
dc.creatorCurkovic, Markoes_ES
dc.creatorDeisenhammer, Eberhard A.es_ES
dc.creatorDu, Chenganes_ES
dc.creatorDwyer, Jeremyes_ES
dc.creatorErlangsen, Annettees_ES
dc.creatorFaust, Jeremy S.es_ES
dc.creatorFortune, Sarahes_ES
dc.creatorGarrett, Andrewes_ES
dc.creatorGeorge, Devines_ES
dc.creatorGerstner, Rebekkaes_ES
dc.creatorGilissen, Renskees_ES
dc.creatorGould, Madelynes_ES
dc.creatorHawton, Keithes_ES
dc.creatorKanter, Josephes_ES
dc.creatorKapur, Navneetes_ES
dc.creatorKhan, Murades_ES
dc.creatorKirtley, Olivia J.es_ES
dc.creatorKnipe, Duleekaes_ES
dc.creatorKolves, Kairies_ES
dc.creatorLeske, Stuartes_ES
dc.creatorMarahatta, Kedares_ES
dc.creatorMittendorfer-Rutz, Ellenores_ES
dc.creatorNeznanov, Nikolayes_ES
dc.creatorNiederkrotenthaler, Thomases_ES
dc.creatorNielsen, Emmaes_ES
dc.creatorNordentoft, Meretees_ES
dc.creatorOberlerchner, Herwiges_ES
dc.creatorO’Connor, Rory C.es_ES
dc.creatorPearson, Melissaes_ES
dc.creatorPhillips, Michael R.es_ES
dc.creatorPlatt, Stevees_ES
dc.creatorPlener, Paul L.es_ES
dc.creatorPsota, Georges_ES
dc.creatorQin, Pinges_ES
dc.creatorRadeloff, Danieles_ES
dc.creatorRados, Christaes_ES
dc.creatorReif, Andreases_ES
dc.creatorReif-Leonhard, Christinees_ES
dc.creatorRozanov, Vsevolodes_ES
dc.creatorSchlang, Christianees_ES
dc.creatorSchneider, Barbaraes_ES
dc.creatorSemenova, Nataliaes_ES
dc.creatorSinyor, Markes_ES
dc.creatorTownsend, Ellenes_ES
dc.creatorUeda, Michikoes_ES
dc.creatorVijayakumar, Lakshmies_ES
dc.creatorWebb, Roger T.es_ES
dc.creatorWeerasinghe, Manjulaes_ES
dc.creatorZalsman, Giles_ES
dc.creatorGunnell, Davides_ES
dc.creatorSpittal, Matthew J.es_ES
dc.date2021
dc.date.accessioned2024-04-10T17:02:58Z
dc.date.available2024-04-10T17:02:58Z
dc.date.issued2021
dc.identifierJC67DIEP21es_ES
dc.identifier.issn2215-0366
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/7942
dc.identifier.urihttps://doi.org/10.1016/S2215-0366(21)00091-2
dc.descriptionBackground: The COVID-19 pandemic is having profound mental health consequences for many people. Concerns have been expressed that, at their most extreme, these consequences could manifest as increased suicide rates. We aimed to assess the early effect of the COVID-19 pandemic on suicide rates around the world. Methods: We sourced real-time suicide data from countries or areas within countries through a systematic internet search and recourse to our networks and the published literature. Between Sept 1 and Nov 1, 2020, we searched the official websites of these countries' ministries of health, police agencies, and government-run statistics agencies or equivalents, using the translated search terms "suicide" and "cause of death", before broadening the search in an attempt to identify data through other public sources. Data were included from a given country or area if they came from an official government source and were available at a monthly level from at least Jan 1, 2019, to July 31, 2020. Our internet searches were restricted to countries with more than 3 million residents for pragmatic reasons, but we relaxed this rule for countries identified through the literature and our networks. Areas within countries could also be included with populations of less than 3 million. We used an interrupted time-series analysis to model the trend in monthly suicides before COVID-19 (from at least Jan 1, 2019, to March 31, 2020) in each country or area within a country, comparing the expected number of suicides derived from the model with the observed number of suicides in the early months of the pandemic (from April 1 to July 31, 2020, in the primary analysis). Findings: We sourced data from 21 countries (16 high-income and five upper-middle-income countries), including whole-country data in ten countries and data for various areas in 11 countries). Rate ratios (RRs) and 95% CIs based on the observed versus expected numbers of suicides showed no evidence of a significant increase in risk of suicide since the pandemic began in any country or area. There was statistical evidence of a decrease in suicide compared with the expected number in 12 countries or areas: New South Wales, Australia (RR 0·81 [95% CI 0·72-0·91]); Alberta, Canada (0·80 [0·68-0·93]); British Columbia, Canada (0·76 [0·66-0·87]); Chile (0·85 [0·78-0·94]); Leipzig, Germany (0·49 [0·32-0·74]); Japan (0·94 [0·91-0·96]); New Zealand (0·79 [0·68-0·91]); South Korea (0·94 [0·92-0·97]); California, USA (0·90 [0·85-0·95]); Illinois (Cook County), USA (0·79 [0·67-0·93]); Texas (four counties), USA (0·82 [0·68-0·98]); and Ecuador (0·74 [0·67-0·82]). Interpretation: This is the first study to examine suicides occurring in the context of the COVID-19 pandemic in multiple countries. In high-income and upper-middle-income countries, suicide numbers have remained largely unchanged or declined in the early months of the pandemic compared with the expected levels based on the pre-pandemic period. We need to remain vigilant and be poised to respond if the situation changes as the longer-term mental health and economic effects of the pandemic unfold.es_ES
dc.formatPDFes_ES
dc.language.isoenges_ES
dc.publisherElsevieres_ES
dc.relation8(7):579-588
dc.rightsAcceso Cerradoes_ES
dc.titleSuicide trends in the early months of the COVID-19 pandemic: an interrupted time-series analysis of preliminary data from 21 countrieses_ES
dc.typeArtículoes_ES
dc.contributor.affiliationCentre for Mental Health, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC, Australia
dc.contributor.emailj.pirkis@unimelb.edu.au (Jane Pirkis)
dc.relation.jnabreviadoLANCET PSYCHIATRY
dc.relation.journalLancet Psychiatry
dc.identifier.placeInglaterra
dc.date.published2021
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
dc.identifier.eissn2215-0374
dc.identifier.doi10.1016/S2215-0366(21)00091-2


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