2019年新冠肺炎疾病前后儿童自杀企图严重程度的变化2019年新冠肺炎疾病前后的变化
Takumi Saito1, Shigetoshi Ogiwara1, Soichiro Wada1
1Department of Pediatrics, Teine-Keijinkai Hospital, Sapporo, Japan.
概括
随着COVID-19大流行,儿童自杀企图的数量和严重性有所增加. 早期心理干预和社会支持对儿童和青少年至关重要.
科学领域:
- 儿科心理健康 儿科心理健康
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- COVID-19大流行和相关的学校关闭与儿童和青少年心理健康的不良影响有关.
- 以前的报道表明,疫情期间对年轻人的心理健康产生了负面影响.
- 这项研究专门调查了与大流行有关的儿童自杀企图的变化.
研究的目的:
- 分析COVID-19流行病爆发前后儿童自杀企图的定量和质量变化.
- 评估疫情对19岁以下人群自杀企图严重性的影响.
- 提供可以为弱势青年提供公共卫生干预信息的数据.
主要方法:
- 一项回顾性研究分析了来自急诊室运输的患者数据.
- 纳入标准:19岁以下的个人在2017年4月至2021年12月期间出现自杀企图.
- 关键结果指标:严重自杀未遂率 (SSAs) 和自杀未遂的总体发生率.
主要成果:
- 严重自杀企图 (SSA) 的比率从疫情前的19%增加到疫情后的43%,尽管这在统计学上并不显著 (p=0.62).
- 每月运输自杀企图的平均数量几乎翻了一番,从0.72上升到1.33.
- 自杀企图作为所有救护车运输中的比例,对于19岁以下的个人来说,显著增加,从0.95%增加到1.98% (p=0.006).
结论:
- COVID-19 流行病与儿科自杀企图的严重程度增加有关,尽管在统计学上没有显著程度.
- 在流行病后,儿童自杀企图的总体发病率显著增加.
- 迫切需要加强对儿童和青少年的社会预防性支持和早期心理干预.
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