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儿童自杀企图在COVID-19大流行期间滞后:欧洲多中心研究

Ana Moscoso¹, Anthony Cousien², Giulia Serra³

¹Child and Adolescent Psychiatry Department, Robert Debré Hospital, APHP & Université Paris Cité Paris, 48, Boulevard Sérurier, 75935 Paris Cedex 19, Paris, France. ana.moscoso@aphp.fr.

Child and adolescent psychiatry and mental health

|August 7, 2024

概括

在COVID-19大流行期间,儿童和青少年的自杀行为增加,在大流行后6-10个月观察到延迟的增加.

科学领域:

儿童和青少年精神病学儿童和青少年精神病学
公共卫生公共卫生
流行病学流行病学

背景情况:

由于COVID-19大流行和相关的封锁,青少年的自杀行为可能有所增加.
关于患者个人资料和流行病相关因素对青少年自杀企图的具体影响的数据有限.

研究的目的:

分析COVID-19大流行期间儿童和青少年自杀企图 (SA) 的趋势和患者特征.
确定与SA率变化相关的环境指标.

主要方法:

在六个欧洲国家 (2018-2021) 的18岁以下个体中对SA发作的回顾性分析.
使用了精神病紧急服务记录和牛津COVID-19政府响应追踪器 (OxCGRT) 数据.
采用时间序列分析 (PELT) 和后勤/负二项式回归来评估SA趋势和相关因素,包括时间滞后.

主要成果:

在大流行后6-10个月发生了SA的显著增加,因国家而异.
女性患者和那些使用除了自我中毒以外的方法的人更有可能尝试自杀.
接触者追踪 (11个月滞后) 和COVID-19死亡 (3个月滞后) 显示与SA率的关联.

结论:

随着COVID-19大流行,青少年自杀企图的增长有所延迟,患者的个人资料也发生了变化.
流行病的持续时间和严重程度是增加SA的关键预测因素.
流行病发作和SA增加之间的时间延迟为预防性干预提供了一个窗口.

关键词:

COVID-19的持续时间和严重程度.儿童和青少年儿童和青少年牛津的COVID-19政府响应追踪器 (OxCGRT)自杀企图自杀企图自杀企图

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