预防或推迟了自杀吗? 在北卡罗来纳州的居家禁令期间的自杀率
Vanessa E Miller1, Brian W Pence2,3, Monica E Swilley-Martinez2,3
1Injury Prevention Research Center, University of North Carolina, Chapel Hill, North Carolina, USA vmiller@unc.edu.
概括
首次,COVID-19在家禁令降低了北卡罗来纳州的自杀率. 然而,自杀死亡率在命令解除后恢复到以前的水平.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 心理健康研究 心理健康研究
背景情况:
- 由于COVID-19大流行,需要采取公共卫生干预措施,包括停留在家 (SAH) 的命令.
- 了解这些措施对自杀死亡率等敏感健康结果的影响至关重要.
研究的目的:
- 评估北卡罗来纳州 (NC) 与COVID-19相关的SAH命令对自杀死亡率的影响.
- 将SAH期间的自杀死亡率与历史数据进行比较.
主要方法:
- 使用受控中断时间序列分析.
- 检查了北卡罗来纳州SAH订单之前,期间和之后的每周自杀死亡率.
- 将观察到的比率与2015-2019年的汇总数据进行比较.
主要成果:
- 自杀死亡率保持稳定,直到SAH命令实施.
- 在SAH订单的第一周观察到自杀率的立即下降,随后在八周内持续每周下降.
- 在取消SAH命令后,自杀死亡率立即增加,并在2020年底每周继续上升.
结论:
- 在NC的SAH顺序与自杀死亡率最初的8周下降有关.
- 自杀死亡率在SAH限制被取消后恢复到预订水平.
- 在SAH期间减少的潜在因素包括增加家庭监督和减少对致命手段的访问.
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