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  1. Article ; Online: Suicide Risk and Prevention During the COVID-19 Pandemic: One Year On.

    Sinyor, Mark / Knipe, Duleeka / Borges, Guilherme / Ueda, Michiko / Pirkis, Jane / Phillips, Michael R / Gunnell, David

    Archives of suicide research : official journal of the International Academy for Suicide Research

    2021  Volume 26, Issue 4, Page(s) 1944–1949

    Abstract: ... not increase during the initial months of the COVID-19 pandemic, yet the pandemic's impact on suicide ... the specific steps that governments and societies must take to mitigate harm and prevent suicides in the late ... Emerging data from high and upper-middle-income countries indicate that suicide rates generally did ...

    Abstract Emerging data from high and upper-middle-income countries indicate that suicide rates generally did not increase during the initial months of the COVID-19 pandemic, yet the pandemic's impact on suicide is complex. We discuss the nuances of this relationship, how it may evolve over time, and describe the specific steps that governments and societies must take to mitigate harm and prevent suicides in the late stages and aftermath of the pandemic.
    MeSH term(s) Humans ; COVID-19 ; Pandemics/prevention & control ; Suicide/prevention & control
    Language English
    Publishing date 2021-08-23
    Publishing country England
    Document type Journal Article
    ZDB-ID 1283671-0
    ISSN 1543-6136 ; 1381-1118
    ISSN (online) 1543-6136
    ISSN 1381-1118
    DOI 10.1080/13811118.2021.1955784
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Loneliness and suicide risks in the general population before and during first-year COVID-19 in Taiwan.

    Hung, Wei-Chieh / Wu, Chia-Yi / Lee, Ming-Been / Chan, Chia-Ta / Chen, Chun-Ying

    Journal of the Formosan Medical Association = Taiwan yi zhi

    2024  Volume 123, Issue 4, Page(s) 510–516

    Abstract: ... and suicide risk were not increased during COVID-19, maintaining trustful relationships to seek ... telephone interview surveys were performed by the Taiwan Suicide Prevention Center in 2015-2017 and 2020 during COVID ... Taiwanese people felt lonely before and during COVID-19. Loneliness was closely linked with various suicide ...

    Abstract Purpose: Loneliness is a critical issue affecting the general population. Current evidence from national surveys of loneliness is scarce. The study aimed to examine the impact of COVID-19 pandemic on the prevalence of loneliness and its associating suicide risks in Taiwan.
    Methods: Four annual telephone interview surveys were performed by the Taiwan Suicide Prevention Center in 2015-2017 and 2020 during COVID outbreak. Each year the sample was randomly selected by stratifying the general public in different geographical areas and fulfilled a questionnaire collecting information including loneliness, psychological distress, and suicide risk assessment. All the data were analyzed using SPSS25 analysis.
    Results: A total of 8460 participants were recruited. The average prevalence of loneliness was 12.6 %. Feelings of loneliness was significantly correlated with psychological distress and most risk factors relating to suicide. The odds of loneliness for lifetime suicidal ideation, lifetime suicide attempt, and future suicide intent were 4.9, 5.1, and 9.2, respectively. During the COVID-19 period, loneliness and suicidality demonstrated a noteworthy decline trend, whereas "no one trustworthy to talk to" was the only item that showed significant increase under the pandemic and also impacted on loneliness.
    Conclusion: Nearly one in ten Taiwanese people felt lonely before and during COVID-19. Loneliness was closely linked with various suicide risk factors such as lifetime suicide ideation and attempt or future intention. Although psychological distress and suicide risk were not increased during COVID-19, maintaining trustful relationships to seek support appeared to be critical to prevent the risks of loneliness or suicide.
    MeSH term(s) Humans ; Loneliness/psychology ; Taiwan/epidemiology ; Pandemics ; COVID-19/epidemiology ; Suicidal Ideation ; Risk Factors ; East Asian People
    Language English
    Publishing date 2024-02-01
    Publishing country Singapore
    Document type Journal Article
    ZDB-ID 2096659-3
    ISSN 1876-0821 ; 0929-6646
    ISSN (online) 1876-0821
    ISSN 0929-6646
    DOI 10.1016/j.jfma.2023.12.014
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Suicide and Suicide Attempts Among Patients Attending Primary Health Care Facilities in Uganda: A Medical Records Review.

    Kaggwa, Mark Mohan / Rukundo, Godfrey Zari / Wakida, Edith K / Maling, Samuel / Sserumaga, Baker Makaya / Atim, Letizia Maria / Obua, Celestino

    Risk management and healthcare policy

    2022  Volume 15, Page(s) 703–711

    Abstract: ... deaths annually. The suicide burden drastically increased since the beginning of the COVID-19 pandemic ... In Uganda, no known study has determined the suicide rate since the beginning of the COVID-19 pandemic ... a rapid increase in suicide attempts since the onset of the COVID-19 pandemic. With suicide by poisoning ...

    Abstract Background: Suicide is one of the leading causes of death globally, accounting for about 800,000 deaths annually. The suicide burden drastically increased since the beginning of the COVID-19 pandemic. In Uganda, no known study has determined the suicide rate since the beginning of the COVID-19 pandemic.
    Objective: To determine the suicide mortality rate and describe the characteristics of victims of suicide attempts from January to December 2020 in south western Uganda.
    Methods: This study was based on the health management information systems (HMIS) of patients' registered data for the year 2020 at 15 selected primary health care facilities in four districts in south-western Uganda. We used a data extraction tool to capture demographic and clinical characteristics of the individuals who had attempted or completed suicide. We estimated yearly incidence rates of fatal and non-fatal suicide attempts, and used chi-square and
    Results: A total of 130 non-fatal suicide attempts and 26 suicides were identified. Majority were male 69.87% (n = 109/156) and the mean age was 27.16 (SD = 14.71) years. The overall incidence of suicide attempts was about 60 attempts per 100,000 people, while that of completed suicide was about three deaths per 100,000 people. The suicide attempts increased following the first month of COVID-19 lockdown in the country (March 2020) and most individuals attempted suicide by poisoning (n = 144).
    Conclusion: Suicide is a common occurrence in primary health care settings of Uganda and there has been a rapid increase in suicide attempts since the onset of the COVID-19 pandemic. With suicide by poisoning being common, there is need for proactive interventions, such as the control of pesticides and herbicides, to prevent suicide among members of this community, especially during pandemic conditions.
    Language English
    Publishing date 2022-04-19
    Publishing country England
    Document type Journal Article
    ZDB-ID 2495128-6
    ISSN 1179-1594
    ISSN 1179-1594
    DOI 10.2147/RMHP.S358187
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Mental health of South Korean adolescents in the COVID-19 Era: Web-based survey focused on suicide-related factors.

    Kim, Sang Mi / Jeong, Yeong Mi / Park, Hye Seon / Choi, Sulki

    Child and adolescent psychiatry and mental health

    2023  Volume 17, Issue 1, Page(s) 117

    Abstract: ... of South Korean adolescents amid the prolonged COVID-19 pandemic, and identifies and analyzes predictors ... the prolonged COVID-19 pandemic, there is a strong need for various individualized programs that identify and ... of life. Measures for preventing the spread of COVID-19 (e.g., school lockdowns, remote and hybrid classes ...

    Abstract Background: The coronavirus disease 2019 (COVID-19) pandemic has negatively impacted many aspects of life. Measures for preventing the spread of COVID-19 (e.g., school lockdowns, remote and hybrid classes, group and outdoor activity restrictions, and social distancing in the classroom and meal time) could have led to adolescents to experience anxiety and depressive symptoms. Such mental health impacts could increase the risk of suicidal ideation in this population. Moreover, according to a report by the Organization for Economic Co-operation and Development, although the total number of suicide deaths in South Korea decreased in 2021, the suicide rate of those aged 10-29 years increased. One factor affecting the result is adolescent mental health by COVID-19. This study examines the mental health status of South Korean adolescents amid the prolonged COVID-19 pandemic, and identifies and analyzes predictors of suicidal ideation, suicide planning, and suicide attempts.
    Methods: The study used data from 54,948 adolescents who participated in the 2020 Korea Youth Risk Behavior Web-based Survey. Based on their responses to suicide-related questions, the sample was divided into a healthy group, suicide-ideation group, suicide-planning group, and suicide-attempt group. The descriptive statistics of these groups were then analyzed. An analysis of covariance, post-hoc tests, and multiple logistic regression analysis were performed on the four groups.
    Results: Overall, 6.9% of the participants reported suicidal ideation, 2.2% reported planning suicide, and 1.9% reported attempting suicide in the previous 12 months.
    Conclusions: During the prolonged COVID-19 pandemic, there is a strong need for various individualized programs that identify and intervene to support adolescents at risk of suicide by accurately assessing their mental health risk factors, such as stress, sadness and despair, loneliness, and generalized anxiety disorder. Accordingly, it is necessary to develop and distribute a mental health and well-being curriculum, strengthen suicide prevention programs and support services, expand mental health diagnostic tests, and school-based mental health programs.
    Language English
    Publishing date 2023-10-13
    Publishing country England
    Document type Journal Article
    ZDB-ID 2379599-2
    ISSN 1753-2000
    ISSN 1753-2000
    DOI 10.1186/s13034-023-00658-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Pathways of depressive symptoms to self-harm and suicide warning signs during COVID-19 pandemic: The role of anxiety and related distress, dysfunction and somatization.

    Morales-Chainé, Silvia / Palafox, Germán / Robles-García, Rebeca / Arenas-Landgrave, Paulina / López-Montoya, Alejandra / Félix-Romero, Violeta / Imaz-Gispert, Mireya Atzala

    Journal of affective disorders

    2024  Volume 350, Page(s) 476–484

    Abstract: ... during the COVID-19 pandemic. A greater percentage of women and participants seeking psychological care ... Background: Early in the COVID-19 pandemic, concern about widespread waves of depression and ... the COVID-19 pandemic. The study also describes the relative risks of these mental health variables for men ...

    Abstract Background: Early in the COVID-19 pandemic, concern about widespread waves of depression and suicide emerged worldwide. Clarity on the relationship between mental health symptoms and warning signs of current self-harm or suicide thoughts and behaviors (ShSTB) in Mexican adults could be useful for designing effective public health policies and preventive strategies during health emergencies.
    Objective: The present study uses a path model to explore the relationship between depressive symptoms, anxiety, and related distress, dysfunction, and somatization with ShSTB warning signs in Mexican adults during the COVID-19 pandemic. The study also describes the relative risks of these mental health variables for men and women, and for those who were seeking psychological care versus those who were not.
    Method: The study was conducted with 18,449 Mexicans (M = 33 years, SD = 11.00, range = 18-59), including 12,188 women (66.10 %) and 2706 (14.67 %) who were seeking psychological care. A web-based application included two multidimensional screening scales to evaluate depression, anxiety and somatic symptoms and related distress/dysfunction, as well as past and current ShSTB. Based on the participants' sex, the entire sample was randomly divided into two sub-samples to compare and replicate the Confirmatory Factor Analysis (CFA) results, getting evidence of the multidimensionality of the scales. With the two sub-samples, we also tested the nested models from a structural equation model (SEM) to suggest a relationship between mental health and self-harm/suicide variables.
    Findings: Our findings suggest that 31 % of participants were at risk for depression, 42.30 % for anxiety, 38.30 % for Marked Distress, Dysfunction and Somatization (MDDS), 33.30 % for at least one ShSTB, and 4.20 % for Previous Self Harm Thoughts and Behaviors (PShTB) during the COVID-19 pandemic. A greater percentage of women and participants seeking psychological care showed high levels of mental health symptoms, PShTB, MDDS, and ShSTB. The path model suggested a direct influence of PShTB and MDDS on ShSTB. Depression symptoms lead to ShSTB in three possible ways: through PShTB, PShTB affecting MDDS, and generalized anxiety affecting MDDS.
    Discussion and outlook: The pandemic was accompanied by a high prevalence of depression-anxiety, marked distress, dysfunction and somatization and self-harm/suicide thoughts and behaviors. The findings of this study suggest evidence over the well-known association between depression and anxiety, and between depression, previous self-harm thoughts and behaviors, and self-harm/suicide. The evidence suggests to distinguish when participants were suffering from MDDS and anxious depression from those only suffering from depression. The methodological conditions of the study suggest a comprehensive model of ShSTB prevention. Findings also suggest the need to care for Mexicans with depressive symptoms and PShTB as well as those suffering from anxious depression with MDDS to prevent suicide, by implementing effective public health policies and preventive strategies to reduce the mental health gap during health emergencies.
    Limitations: This research was a cross-sectional study, suggesting that future analyses should focus on the evaluation of its consistency with confirmed diagnoses of mental health disorders, self-harm/suicide risks, and the effect of remote psychological help to address these problems.
    MeSH term(s) Adult ; Female ; Humans ; Male ; Anxiety/epidemiology ; Anxiety/diagnosis ; COVID-19/epidemiology ; Cross-Sectional Studies ; Depression/epidemiology ; Depression/diagnosis ; Emergencies ; North American People ; Pandemics ; Self-Injurious Behavior/epidemiology ; Suicide ; Adolescent ; Young Adult ; Middle Aged
    Language English
    Publishing date 2024-01-09
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 135449-8
    ISSN 1573-2517 ; 0165-0327
    ISSN (online) 1573-2517
    ISSN 0165-0327
    DOI 10.1016/j.jad.2023.12.077
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Hospital admissions due to suicide attempts during the COVID-19 pandemic, a 3-year longitudinal study.

    Rodriguez-Jimenez, Roberto / García-Fernández, Lorena / Baón-Pérez, Beatriz / Ansede-Cascudo, Juan Carlos / Arroba, Cristina Martín-Arriscado / Sendra-Gutierrez, Juan Manuel / Romero-Ferreiro, Verónica / Sánchez-Cabezudo, Ángeles / Alvarez-Mon, Miguel A / Navío-Acosta, Mercedes

    Psychiatry research

    2023  Volume 327, Page(s) 115346

    Abstract: The appearance of the SARS CoV-2 virus and the associated COVID-19 pandemic has been associated ... adolescents, specifically girls, and the need for preventive measures in the face of future pandemics. ... conditions. One of the areas that has raised the greatest concern is that of suicidality. Most ...

    Abstract The appearance of the SARS CoV-2 virus and the associated COVID-19 pandemic has been associated with the onset of mental disorders in healthy people and the worsening in those with pre-existing mental conditions. One of the areas that has raised the greatest concern is that of suicidality. Most of the published studies have been carried out cross-sectional or with small samples, without stratifying by age and gender. Thus, the aim of this longitudinal research is to study, in a large population sample of around 6,700,000 inhabitants belonging to the entire region of Madrid (Spain), the admissions in psychiatric hospitalization units due to suicidal attempts along 2019, 2020 and 2021. No clear increase in the number of admissions due to suicidality in the total population have been found. In addition, a higher prevalence in admissions among women is verified. Moreover, stratifying by age and gender, a striking and significant increase in hospital admissions due to suicidality has been observed in the group up to 17 years old, from September 2020 until the end of the study. These results highlight the special vulnerability of children and adolescents, specifically girls, and the need for preventive measures in the face of future pandemics.
    MeSH term(s) Adolescent ; Child ; Humans ; Female ; Suicide, Attempted/psychology ; COVID-19 ; Pandemics ; Longitudinal Studies ; Cross-Sectional Studies ; Suicidal Ideation ; Hospitalization ; Hospitals
    Language English
    Publishing date 2023-07-17
    Publishing country Ireland
    Document type Journal Article
    ZDB-ID 445361-x
    ISSN 1872-7123 ; 1872-7506 ; 0925-4927 ; 0165-1781
    ISSN (online) 1872-7123 ; 1872-7506
    ISSN 0925-4927 ; 0165-1781
    DOI 10.1016/j.psychres.2023.115346
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  7. Article ; Online: The development of suicide risk in people with severe mental disorders during the first year of the COVID-19 pandemic: a claims-based cohort study.

    Engels, Alexander / Stein, Janine / Riedel-Heller, Steffi G / Konnopka, Claudia / König, Hans-Helmut

    Social psychiatry and psychiatric epidemiology

    2023  

    Abstract: ... to prevent suicide and to help patients cope with their mental illness in the aftermath of the COVID-19 ... Potential suicides were tracked in both cohorts over one year and compared using logistic regression ... Purpose: In this study, we assess how the first and second waves of the COVID-19 pandemic ...

    Abstract Purpose: In this study, we assess how the first and second waves of the COVID-19 pandemic influenced the suicide risk of patients with severe mental disorders in Germany.
    Methods: We analyzed German health insurance claims data to compare the suicide risk of patients with severe mental disorders before and during the pandemic. We included n = 690,845 patients between October 2019 and March 2020 and n = 693,457 patients the corresponding period of the previous year and applied entropy balancing to adjust for confounding covariates. Given that the cause of death was unknown, we defined potential suicides as deaths of patients with a history of intentional self-harm whose passing could not be explained by COVID-19. Potential suicides were tracked in both cohorts over one year and compared using logistic regression.
    Results: 128 potential suicides were identified in the period during and 101 before the pandemic. This corresponded to a significant increase in the risk for potential suicide of 27.4% compared to the control period (β = 0.24, z = 1.82, p < 0.05).
    Conclusion: The noticeable increase in the risk for potential suicide for patients with severe pre-existing mental disorders emphasizes the call for additional efforts to prevent suicide and to help patients cope with their mental illness in the aftermath of the COVID-19 crisis.
    Language English
    Publishing date 2023-11-23
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 623071-4
    ISSN 1433-9285 ; 0037-7813 ; 0933-7954
    ISSN (online) 1433-9285
    ISSN 0037-7813 ; 0933-7954
    DOI 10.1007/s00127-023-02584-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: National trends in suicide-related behaviors among youths between 2005-2020, including COVID-19: a Korean representative survey of one million adolescents.

    Kim, N / Song, J Y / Yang, H / Kim, M J / Lee, K / Shin, Y H / Rhee, S Y / Hwang, J / Kim, M S / Fond, G / Boyer, L / Kim, S Y / Shin, J I / Lee, S W / Yon, D K

    European review for medical and pharmacological sciences

    2023  Volume 27, Issue 3, Page(s) 1192–1202

    Abstract: ... and suicidal ideation and attempt and the trend changes before and during COVID-19.: Results: Data ... Conclusions: This study found that the observed risk of suicide-related behaviors during the pandemic was ... representative survey (Korea Youth Risk Behavior Survey) and analyzed one million Korean adolescents aged 13 to 18 years ...

    Abstract Objective: It is difficult to conclude that COVID-19 is associated with a decrease in the suicide attempts rate by comparing only a short-term period. Therefore, it is necessary to examine attempted suicide rates through a trend analysis over a longer period. This study aimed to investigate an estimated long-term trend regarding the prevalence of suicide-related behaviors among adolescents in South Korea from 2005 to 2020, including COVID-19.
    Subjects and methods: We sourced data from a national representative survey (Korea Youth Risk Behavior Survey) and analyzed one million Korean adolescents aged 13 to 18 years (n=1,057,885) from 2005 to 2020. The 16-year trends regarding the prevalence of sadness or despair and suicidal ideation and attempt and the trend changes before and during COVID-19.
    Results: Data of 1,057,885 Korean adolescents was analyzed (weighted mean age, 15.03 years; males, 52.5%; females, 47.5%). Although the 16-year trend in the prevalence of sadness or despair and suicide ideation and attempt consistently decreased (prevalence of sadness or despair between 2005-2008, 38.0% with 95% confidence interval [CI], 37.7 to 38.4 vs. prevalence in 2020, 25.0% [24.5 to 25.6]; suicide ideation between 2005-2008, 21.9% [21.6 to 22.1] vs. prevalence in 2020, 10.7% [10.3 to 11.1]; and suicide attempt between 2005-2008, 5.0% [4.9 to 5.2] vs. prevalence in 2020, 1.9% [1.8 to 2.0]), the downward slope decreased during COVID-19 (βdiff in sadness, 0.215 with 95% CI 0.206 to 0.224; βdiff in suicidal ideation, 0.245 [0.234 to 0.256]; and βdiff in suicide attempt, 0.219 [0.201 to 0.237]) compared with pre-pandemic period.
    Conclusions: This study found that the observed risk of suicide-related behaviors during the pandemic was higher than expected through long-term trend analysis of the prevalence of sadness/despair and suicidal ideation and attempts among South Korean adolescents. We need a profound epidemiologic study of the change in mental health due to the pandemic's impact and the establishment of prevention strategies for suicide ideation and attempt.
    MeSH term(s) Male ; Female ; Humans ; Adolescent ; Suicidal Ideation ; COVID-19 ; Suicide, Attempted/psychology ; Surveys and Questionnaires ; Asian People ; Risk Factors ; Prevalence
    Language English
    Publishing date 2023-03-01
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 605550-3
    ISSN 2284-0729 ; 1128-3602 ; 0392-291X
    ISSN (online) 2284-0729
    ISSN 1128-3602 ; 0392-291X
    DOI 10.26355/eurrev_202302_31226
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: The impact of the COVID-19 pandemic on suicide rates in Hungary: an interrupted time-series analysis.

    Lantos, Tamás / Nyári, Tibor András

    BMC psychiatry

    2022  Volume 22, Issue 1, Page(s) 775

    Abstract: ... as the identification of groups at higher risk may be important for suicide prevention; however, further investigations are needed ... the declining trend remained stable, and the suicide rate decreased by more than one-third which was remarkable ... to the socio-economic effects of the COVID-19 pandemic. These findings could prove useful in preventive strategies ...

    Abstract Background: From 2010 to 2019, suicide mortality fell steadily and substantially in Hungary: the declining trend remained stable, and the suicide rate decreased by more than one-third which was remarkable even from an international perspective. However, despite the declining trend, regional inequalities have always characterised the distribution of suicide mortality in Hungary. Following these favourable trends, COVID-19 appeared in Hungary on the 4
    Methods: To test whether the pandemic changed the declining trend of Hungarian suicide rates, the observed number of suicides during March-December 2020 (pre-vaccination period) was compared with the expected numbers (without the appearance of COVID-19). An interrupted time-series analysis was conducted by negative binomial regression using monthly data from January 2010 to February 2020 (pre-pandemic period).
    Results: Suicide mortality increased significantly compared to the trend during the pre-pandemic period: overall (by 16.7%), among males (18.5%), in the age group 35-49 years (32.8%), and among vocational school graduates (26.1%). Additionally, significant growths in suicide rates were detected in the two regions (Central Hungary and Central Transdanubia) with the lowest COVID mortality rates (by 27.3% and 22.2%, respectively).
    Conclusions: Our study revealed reversed trend in suicide mortality during the pre-vaccination period compared to the pre-pandemic period in Hungary. There were significant differences in the pattern of suicide rates by gender, age group, educational attainment, and region during the pre-vaccination period in Hungary, which might be attributed to the socio-economic effects of the COVID-19 pandemic. These findings could prove useful in preventive strategies as the identification of groups at higher risk may be important for suicide prevention; however, further investigations are needed to explore the reasons.
    Language English
    Publishing date 2022-12-09
    Publishing country England
    Document type Journal Article
    ZDB-ID 2050438-X
    ISSN 1471-244X ; 1471-244X
    ISSN (online) 1471-244X
    ISSN 1471-244X
    DOI 10.1186/s12888-022-04322-2
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  10. Article ; Online: The interpersonal-psychological theory of suicide and the role of psychological pain during the COVID-19 pandemic: A network analysis.

    Calati, Raffaella / Romano, Daniele / Magliocca, Sara / Madeddu, Fabio / Zeppegno, Patrizia / Gramaglia, Carla

    Journal of affective disorders

    2022  Volume 302, Page(s) 435–439

    Abstract: ... the COVID-19 pandemic. To be included subjects should have been university students and aged between 18 and ... the interpersonal-psychological theory of suicide (IPTS) by Thomas E. Joiner and the one focused on the construct ... Hence these aspects should be targeted in the treatment for suicide prevention. ...

    Abstract Introduction: Among the most investigated theories explaining suicidal behavior there are the interpersonal-psychological theory of suicide (IPTS) by Thomas E. Joiner and the one focused on the construct of psychological pain (or psychache, or mental pain).
    Objective: Since it remains unclear whether these two different theories correlate with each other in the explanation of suicidal risk, we used a network analysis approach to investigate the complex interplay between both IPTS and psychological pain theories and history of suicidal planning and/or suicide attempt (SP/SA).
    Methods: A sample of 1,586 university students from various Italian universities was recruited between April 24th, 2020 and February 23rd, 2021, hence during the COVID-19 pandemic. To be included subjects should have been university students and aged between 18 and 35 years old.
    Results: Within a network that included the core factors from both models (IPTS and psychological pain), higher fearlessness about death (Acquired Capability for Suicide Scale-Fearlessness About Death, ACSS-FAD) and higher psychological pain (Psychache Scale) were the variables most strongly associated with history of SP/SA.
    Conclusions: Considering a large number of variables, history of SP/SA was explained in particular by fearlessness about death and psychological pain in university students. Hence these aspects should be targeted in the treatment for suicide prevention.
    MeSH term(s) Adolescent ; Adult ; COVID-19 ; Humans ; Interpersonal Relations ; Pain/psychology ; Pandemics ; Psychological Theory ; SARS-CoV-2 ; Suicidal Ideation ; Young Adult
    Language English
    Publishing date 2022-01-22
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 135449-8
    ISSN 1573-2517 ; 0165-0327
    ISSN (online) 1573-2517
    ISSN 0165-0327
    DOI 10.1016/j.jad.2022.01.078
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