Abstract
There is growing evidence that the effects of the COVID-19 pandemic have extended well beyond those who have been infected or bereaved by COVID-19. However, the extent of the effects remains unknown. The public health measures put in place in countries around the world to mitigate the spread of the virus have led to significant disruption to people’s lives. In particular, the implementation of lockdown measures which have included restrictions on movement, social gatherings and the closing of all nonessential retail and hospitality, have impacted upon people’s sense of isolation and uncertainty [1]. As many of these factors may also be associated with suicidal ideation and suicidal behaviors, in this chapter we review the evidence from before and during the pandemic to better understand the mental health impact of COVID-19.
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O’Connor DB, Aggleton JP, Chakrabarti B, Cooper CL, Creswell C, Dunsmuir S, … Armitage CJ. Research priorities for the COVID-19 pandemic and beyond: a call to action for psychological science. Br J Psychol. 2020;111(4):e12468. https://doi.org/10.1111/bjop.12468.
Franklin JC, Ribeiro JD, Fox KR, Bentley KH, Kleiman EM, Huang X, … Nock MK. Risk factors for suicidal thoughts and behaviors: a meta-analysis of 50 years of research. Psychol Bull. 2017;143(2):187–232. https://doi.org/10.1037/bul0000084.
Turecki G, Brent DA, Gunnell D, O’Connor RC, Oquendo MA, Pirkis J, Stanley BH. Suicide and suicide risk. Nat Rev Dis Primers. 2019;5(1):74. https://doi.org/10.1038/s41572-019-0121-0.
de Beurs D, Bockting C, Kerkhof A, Scheepers F, O’Connor R, Penninx B, van de Leemput I. A network perspective on suicidal behavior: understanding suicidality as a complex system. Suicide Life Threat Behav. 2021;51(1):115–26. https://doi.org/10.1111/sltb.12676.
Platt S. Unemployment and suicidal behaviour: a review of the literature. Soc Sci Med. 1984;19(2):93–115. https://doi.org/10.1016/0277-9536(84)90276-4.
Wasserman IM. The impact of epidemic, war, prohibition and media on suicide: United States, 1910–1920. Suicide Life Threat Behav. 1992;22(2):240–54. https://doi.org/10.1111/j.1943-278X.1992.tb00231.x.
Niederkrotenthaler T, Braun M, Pirkis J, Till B, Stack S, Sinyor M, … Spittal MJ. Association between suicide reporting in the media and suicide: systematic review and meta-analysis. BMJ. 2020a;368. https://doi.org/10.1136/bmj.m575.
Kõlves K, Kõlves KE, De Leo D. Natural disasters and suicidal behaviours: a systematic literature review. J Affect Disord. 2013;146(1):1–14. https://doi.org/10.1016/j.jad.2012.07.037.
Niederkrotenthaler T, Gunnell D, Arensman E, Pirkis J, Appleby L, Hawton K, … Zalsman G. Suicide research, prevention, and COVID-19: towards a global response and the establishment of an international research collaboration. Crisis. 2020b;41(5):321–30. https://doi.org/10.1027/0227-5910/a000731.
Zortea TC, Brenna CTA, Joyce M, McClelland H, Tippett M, Tran MM, … Platt S. The impact of infectious disease-related public health emergencies on suicide, suicidal behavior, and suicidal thoughts. Crisis. 2020;1–14. https://doi.org/10.1027/0227-5910/a000753.
Honigsbaum M. The great dread: cultural and psychological impacts and responses to the “Russian” influenza in the United Kingdom, 1889–1893. Soc Hist Med. 2010;23(2):299–319. https://doi.org/10.1093/shm/hkq011.
Chan SMS, Chiu FKH, Lam CWL, Leung PYV, Conwell Y. Elderly suicide and the 2003 SARS epidemic in Hong Kong. Int J Geriatr Psychiatry. 2006;21(2):113–8. https://doi.org/10.1002/gps.1432.
Cheung YT, Chau PH, Yip PSFF. A revisit on older adults suicides and Severe Acute Respiratory Syndrome (SARS) epidemic in Hong Kong. Int J Geriatr Psychiatry. 2008;23(12):1231–8. https://doi.org/10.1002/gps.2056.
Huang C-C, Yen DH-T, Huang H-H, Kao W-F, Wang L-M, Huang C-I, Lee C-H. Impact of Severe Acute Respiratory Syndrome (SARS) outbreaks on the use of emergency department medical resources. J Chin Med Assoc. 2005;68(6):254–9. https://doi.org/10.1016/S1726-4901(09)70146-7.
Yip PSFF, Cheung YT, Chau PH, Law YW. The impact of epidemic outbreak: the case of Severe Acute Respiratory Syndrome (SARS) and suicide among older adults in Hong Kong. Crisis. 2010;31(2):86–92. https://doi.org/10.1027/0227-5910/a000015.
Keita MM, Taverne B, Savané SS, March L, Doukoure M, Sow MS, … Delaporte E. Depressive symptoms among survivors of Ebola virus disease in Conakry (Guinea): preliminary results of the PostEboGui cohort. BMC Psychiatry. 2017;17(1):127. https://doi.org/10.1186/s12888-017-1280-8.
Gunnell D, Appleby L, Arensman E, Hawton K, John A, Kapur N, Khan M, O’Connor RC, Pirkis J, Caine ED, Chan LF, Chang SS, Chen YY, Christensen H, Dandona R, Eddleston M, Erlangsen A, Harkavy-Friedman J, Kirtley OJ, … Yip PS. Suicide risk and prevention during the COVID-19 pandemic. Lancet Psychiatry. 2020;7(6):468–71. https://doi.org/10.1016/S2215-0366(20)30171-1.
John A, Pirkis J, Gunnell D, Appleby L, Morrissey J. Trends in suicide during the covid-19 pandemic. BMJ. 2020;371:m4352. https://doi.org/10.1136/bmj.m4352.
Klomek AB. Suicide prevention during the COVID-19 outbreak. Lancet Psychiatry. 2020;7(5):390. https://doi.org/10.1016/S2215-0366(20)30142-5.
Zortea TC. Inequalities, COVID-19 pandemic, and possible impacts on suicide risk in Brazil. SMAD Revista Eletrônica Saúde Mental Álcool e Drogas. 2020;16(4):1–2. https://doi.org/10.11606/issn.1806-6976.smad.2020.0142.
Moutier C. Suicide prevention in the COVID-19 era: transforming threat into opportunity. JAMA Psychiatry. 2021;78(4):433–8. https://doi.org/10.1001/jamapsychiatry.2020.3746.
Reger M, Stanley I, Joiner T. Suicide mortality and coronavirus disease 2019 – a perfect storm? JAMA Psychiatry. 2020;77(11):1093–4. https://doi.org/10.1001/jamapsychiatry.2020.1060.
John A, Eyles E, Webb RT, Okolie C, Schmidt L, Arensman E, Hawton K, O’Connor RC, Kapur N, Moran P, O’Neill S, McGuinness LA, Olorisade BK, Dekel D, Macleod-Hall C, Cheng H-Y, Higgins JPT, Gunnell D. The impact of the COVID-19 pandemic on self-harm and suicidal behaviour: update of living systematic review. F1000Res. 2021;9:1097.
Appleby L, Richards N, Ibrahim S, Turnbull P, Rodway C, Kapur N. Suicide in England in the COVID-19 pandemic: early figures from real time surveillance. SSRN Electron J. 2021;2021:19–21. https://doi.org/10.2139/ssrn.3781695.
Office for National Statistics. Suicides in England and Wales: 2020 registrations. Statistical bulletin; 2021. p. 1–12.
Pirkis J, John A, Shin S, DelPozo-Banos M, Arya V, Analuisa-Aguilar P, Appleby L, Arensman E, Bantjes J, Baran A, Bertolote JM, Borges G, Brečić P, Caine E, Castelpietra G, Chang SS, Colchester D, Crompton D, Curkovic M, … Spittal MJ. Suicide trends in the early months of the COVID-19 pandemic: an interrupted time-series analysis of preliminary data from 21 countries. Lancet Psychiatry. 2021;8(7):579–88. https://doi.org/10.1016/S2215-0366(21)00091-2.
Behera C, Gupta SK, Singh S, Balhara YPS. Trends in deaths attributable to suicide during COVID-19 pandemic and its association with alcohol use and mental disorders: findings from autopsies conducted in two districts of India. Asian J Psychiatry. 2021;58:102597. https://doi.org/10.1016/j.ajp.2021.102597.
Knipe D, Silva T, Aroos A, Senarathna L, Hettiarachchi NM, Galappaththi SR, … Rajapakse T. Hospital presentations for self-poisoning during COVID-19 in Sri Lanka: an interrupted time-series analysis. Lancet Psychiatry. 2021;8(10):892–900. https://doi.org/10.1016/S2215-0366(21)00242-X.
McIntyre A, Tong K, McMahon E, Doherty AM. COVID-19 and its effect on emergency presentations to a tertiary hospital with self-harm in Ireland. Ir J Psychol Med. 2021;38(2):116–22. https://doi.org/10.1017/ipm.2020.116.
Ueda M, Nordström R, Matsubayashi T. Suicide and mental health during the COVID-19 pandemic in Japan. J Public Health. 2021;2021:1–8. https://doi.org/10.1093/pubmed/fdab113.
Tanaka T, Okamoto S. Increase in suicide following an initial decline during the COVID-19 pandemic in Japan. Nat Hum Behav. 2021;5(2):229–38. https://doi.org/10.1038/s41562-020-01042-z.
Sinyor M, Knipe D, Borges G, Ueda M, Pirkis J, Phillips MR, Gunnell D. Suicide risk and prevention during the COVID-19 pandemic: one year on. Arch Suicide Res. 2021;2021:1–6. https://doi.org/10.1080/13811118.2021.1955784.
Samaritans. Dying from inequality. 2017. http://www.samaritans.org/sites/default/files/kcfinder/files/Samaritans Dying from inequality report - summary.pdf
O’Connor RC, Wetherall K, Cleare S, McClelland H, Melson AJ, Niedzwiedz CL, O’Carroll RE, O’Connor DB, Platt S, Scowcroft E, Watson B, Zortea T, Ferguson E, Robb KA. Mental health and well-being during the COVID-19 pandemic: longitudinal analyses of adults in the UK COVID-19 Mental Health & Wellbeing study. Br J Psychiatry. 2021;218(6):326–33. https://doi.org/10.1192/bjp.2020.212.
Wetherall K, Cleare S, McClelland H, Melson A, Niedzwiedz C, O’Carroll R, … O’Connor R. Mental health and well-being during the second wave of COVID-19: Longitudinal analyses of the UK COVID-19 Mental Health and Wellbeing study (UK COVID-MH). BJPsych Open. 2022;8(4):E103. https://doi.org/10.1192/bjo.2022.58
O’Connor RC, Kirtley OJ. The integrated motivational-volitional model of suicidal behaviour. Philos Trans R Soc Lond B Biol Sci. 2018;373(1754):20170268.
Dubé JP, Smith MM, Sherry SB, Hewitt PL, Stewart SH. Suicide behaviors during the COVID-19 pandemic: a meta-analysis of 54 studies. Psychiatry Res. 2021;301:113998. https://doi.org/10.1016/j.psychres.2021.113998.
Hao F, Tan W, Jiang L, Zhang L, Zhao X, Zou Y, … Tam W. Do psychiatric patients experience more psychiatric symptoms during COVID-19 pandemic and lockdown? A case-control study with service and research implications for immunopsychiatry. Brain Behav Immun. 2020;87:100–6. https://doi.org/10.1016/j.bbi.2020.04.069.
Mortier P, Vilagut G, Ferrer M, Serra C, Molina JD, López-Fresneña N, … Alonso J. Thirty-day suicidal thoughts and behaviors among hospital workers during the first wave of the Spain COVID-19 outbreak. Depress Anxiety. 2021;38(5):528–44. https://doi.org/10.1002/da.23129.
Al-Humadi S, Bronson B, Muhlrad S, Paulus M, Hong H, Cáceda R. Depression, suicidal thoughts, and burnout among physicians during the COVID-19 pandemic: a survey-based cross-sectional study. Acad Psychiatry. 2021;45(5):557–65. https://doi.org/10.1007/s40596-021-01490-3.
Okoro CA, Strine TW, McKnight-Eily L, Verlenden J, Hollis ND. Indicators of poor mental health and stressors during the COVID-19 pandemic, by disability status: a cross-sectional analysis. Disabil Health J. 2021;14(4):101110. https://doi.org/10.1016/j.dhjo.2021.101110.
Smith K, Bhui K, Cipriani A. COVID-19, mental health and ethnic minorities. Evid Based Ment Health. 2020;23(3):89. https://doi.org/10.1136/ebmental-2020-300174.
Allan NP, Volarov M, Koscinski B, Pizzonia KL, Potter K, Accorso C, … Allan DM. Lonely, anxious, and uncertain: critical risk factors for suicidal desire during the COVID-19 pandemic. Psychiatry Res. 2021;304:114144. https://doi.org/10.1016/j.psychres.2021.114144.
Antonelli-Salgado T, Monteiro GMC, Marcon G, Roza TH, Zimerman A, Hoffmann MS, … Passos IC. Loneliness, but not social distancing, is associated with the incidence of suicidal ideation during the COVID-19 outbreak: a longitudinal study. J Affect Disord. 2021;290:52–60. https://doi.org/10.1016/j.jad.2021.04.044.
Knowles JRP, Gray NS, O’Connor C, Pink J, Simkiss NJ, Snowden RJ. The role of hope and resilience in protecting against suicidal thoughts and behaviors during the COVID-19 pandemic. Arch Suicide Res. 2021;2021:1–18. https://doi.org/10.1080/13811118.2021.1923599.
Elbogen EB, Lanier M, Blakey SM, Wagner HR, Tsai J. Suicidal ideation and thoughts of self-harm during the COVID-19 pandemic: the role of COVID-19-related stress, social isolation, and financial strain. Depress Anxiety. 2021; https://doi.org/10.1002/da.23162.
Samaritans. One year on: how the coronavirus pandemic has affected wellbeing and suicidality. 2021. https://media.samaritans.org/documents/Samaritans_Covid_1YearOn_Report_2021.pdf
Holmes EA, O’Connor RC, Perry VH, Tracey I, Wessely S, Arseneault L, et al. Multidisciplinary research priorities for the COVID-19 pandemic: a call for action for mental health science. Lancet Psychiatry. 2020;7(6):547–60.
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Wetherall, K., Cleare, S., Zortea, T., O’Connor, R.C. (2022). Suicide and Suicidal Ideation During the COVID-19 Pandemic. In: Pompili, M. (eds) Suicide Risk Assessment and Prevention. Springer, Cham. https://doi.org/10.1007/978-3-030-42003-1_95
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DOI: https://doi.org/10.1007/978-3-030-42003-1_95
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