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Child suicide rates during the COVID-19 pandemic in England
David Odd1,2, Tom Williams2, Louis Appleby3
1School of Medicine, Division of Population Medicine, Cardiff University, UK.
Insights
Child suicide deaths did not consistently increase during the COVID-19 pandemic. However, a potential rise was observed during the first UK lockdown, with contributing factors including social restrictions and home tensions.
Area of Science:
- Child and Adolescent Psychiatry
- Public Health
- Epidemiology
Background:
- Concerns exist regarding the mental health impact of COVID-19 and associated control measures on children.
- The study investigates potential increases in childhood suicide rates during the pandemic.
Purpose of the Study:
- To determine if childhood suicide rates rose during the COVID-19 pandemic.
- To compare suicide characteristics and rates in 2020 versus 2019.
Main Methods:
- Utilized data from England's National Child Mortality Database (NCMD).
- Compared suicide rates and characteristics of children in April-December 2020 with 2019.
- Analyzed a subset from January-May 2020 for contributing factors.
Main Results:
- 193 likely childhood suicide deaths were reported.
- No overall increase in child suicide deaths was found in 2020 compared to 2019 (RR 1.09).
- Weak evidence suggested a possible increase during the first UK lockdown (April-May 2020) (RR 1.56).
- Contributing factors included social restrictions, disrupted services, home tensions, and isolation.
Conclusions:
- No consistent evidence of increased child suicide deaths during the COVID-19 pandemic.
- A possible increase during the first UK lockdown warrants further investigation.
- Small numbers limit statistical power to detect minor increases.
Background:
There is concern about the impact of COVID-19, and the control measures to prevent the spread, on children's mental health. The aim of this work was to identify if there had been a rise of childhood suicide during the COVID pandemic.
Method:
Using data from England's National Child Mortality Database (NCMD) the characteristics and rates of children dying of suicide between April and December 2020 were compared with those in 2019. In a subset (1st January to 17th May 2020) further characteristics and possible contributing factors were obtained.
Results:
A total of 193 likely childhood deaths by suicide were reported. There was no evidence overall suicide deaths were higher in 2020 than 2019 (RR 1.09 (0.80-1.48), p = 0.584) but weak evidence that the rate in the first lockdown period (April to May 2020) was higher than the corresponding period in 2019 (RR 1.56 (0.86-2.81), p = 0.144). Characteristics of individuals were similar between periods. Social restrictions (e.g. to education), disruption to care and support services, tensions at home and isolation appeared to be contributing factors.
Limitations:
As child suicides are fortunately rare, the analysis is based on small numbers of deaths with limited statistical power to detect anything but major increases in incidence.
Conclusion:
We found no consistent evidence that child suicide deaths increased during the COVID-19 pandemic although there was a possibility that they may have increased during the first UK lockdown. A similar peak was not seen during the following months, or the second lockdown.
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