在COVID-19大流行期间,物质使用和自杀行为之间的关系:系统性审查和随机效应比例的元分析
Estefano D Cadena Barberis1, Ha Ram Oh2, Luis David Vélez Ordóñez1
1NeurALL Research Group, Quito 170157, Ecuador.
Journal of clinical medicine
|February 27, 2026
概括
在COVID-19大流行期间,药物使用和自杀行为经常同时发生,特别是自杀念头和酒精使用. 在公共卫生危机期间,综合干预对心理健康和物质使用至关重要.
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:
- COVID-19大流行严重影响了社会结构,医疗保健和心理健康.
- 这种干扰可能会加剧物质使用和自杀行为.
- 之前的研究集中在这些问题上独立,缺乏综合他们的共同发生在疫情期间.
研究的目的:
- 在COVID-19大流行期间系统地审查和元分析使用物质的个体中自杀行为的流行率和模式.
- 量化物质使用和自杀行为同时发生的情况.
- 为了确定与增加自杀行为相关的特定物质.
主要方法:
- 从2020年3月到2022年10月,对主要数据库 (PubMed,Scopus,科学网,EBSCO主机) 进行系统搜索.
- 包括在大流行期间报告物质使用和自杀行为的成年人的观察性研究.
- 随机效应比例元分析与异质性评估 (I2统计).
主要成果:
- 分析了20项研究 (70,684人).
- 在吸毒者中,自杀行为的总流行率为33.8%.
- 自杀念头 (36.8%) 和酒精使用 (36.2%) 是最常见的;与大流行前相比,物质使用和自杀行为之间的联系增加.
结论:
- 在COVID-19大流行期间,药物使用和自杀行为经常同时发生.
- 自杀念头和酒精使用在物质使用者中尤为普遍.
- 在公共卫生危机期间,综合心理健康和物质滥用干预措施至关重要.
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