Changes in severity of pediatric suicide attempts before and after coronavirus disease 2019.

IF 1 4区医学 Q3 PEDIATRICS Pediatrics International Pub Date : 2024-01-01 DOI:10.1111/ped.15735

Takumi Saito, Shigetoshi Ogiwara, Soichiro Wada, Takuya Tamura

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Abstract

Background: The recent coronavirus disease 2019 (COVID-19) pandemic and school closures were reported to have negatively impacted the mental health of children and adolescents. This study aimed to examine the change in the number and severity of pediatric suicide attempts before and after the COVID-19 pandemic.

Methods: This study enrolled 54 patients (26 vs. 28 patients before and after the COVID-19 pandemic, respectively) under 19 years of age who were transported to the emergency department as a result of suicide attempts between April 2017 and December 2021. The primary outcome includes the rate of serious suicide attempts (SSAs).

Results: The SSA rates were 19% (5/26) and 43% (12/28) before and after the COVID-19 pandemic, respectively (p = 0.62). The average number of transported suicide attempts per month almost doubled (0.72 vs. 1.33, respectively) and suicide attempts as a percentage of all ambulance transportations of individuals under 19 years old increased significantly from 0.95% (26/2729)to 1.98% (28/1414) (p = 0.006).

Conclusions: The COVID-19 pandemic increased the severity of pediatric suicide attempts but not to a statistically significant degree. Social preventive support and early psychological intervention are therefore needed currently and in the future.

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2019年冠状病毒病前后儿科自杀企图严重程度的变化。

背景：据报道，最近发生的2019年冠状病毒病（COVID-19）大流行和学校关闭对儿童和青少年的心理健康产生了负面影响。本研究旨在探讨 COVID-19 大流行前后儿科自杀企图的数量和严重程度的变化：本研究招募了 2017 年 4 月至 2021 年 12 月期间因自杀未遂而被送往急诊科的 54 名 19 岁以下患者（COVID-19 大流行前后分别为 26 对 28 名患者）。主要结果包括严重自杀未遂率（SSA）：COVID-19大流行前后的SSA率分别为19%（5/26）和43%（12/28）（P = 0.62）。平均每月运送的自杀未遂人数几乎翻了一番（分别为 0.72 对 1.33），自杀未遂人数占所有 19 岁以下人员救护车运送人数的比例从 0.95% (26/2729) 显著上升至 1.98% (28/1414)（p = 0.006）：COVID-19大流行增加了儿科自杀企图的严重程度，但在统计学上并不显著。因此，当前和未来都需要社会预防支持和早期心理干预。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatrics International 医学-小儿科

CiteScore

2.00

自引率

7.10%

发文量

519

审稿时长

12 months

期刊介绍： Publishing articles of scientific excellence in pediatrics and child health delivery, Pediatrics International aims to encourage those involved in the research, practice and delivery of child health to share their experiences, ideas and achievements. Formerly Acta Paediatrica Japonica, the change in name in 1999 to Pediatrics International, reflects the Journal''s international status both in readership and contributions (approximately 45% of articles published are from non-Japanese authors). The Editors continue their strong commitment to the sharing of scientific information for the benefit of children everywhere. Pediatrics International opens the door to all authors throughout the world. Manuscripts are judged by two experts solely upon the basis of their contribution of original data, original ideas and their presentation.