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. 2020 Dec:141:106264.
doi: 10.1016/j.ypmed.2020.106264. Epub 2020 Oct 2.

Suicidal behaviors and ideation during emerging viral disease outbreaks before the COVID-19 pandemic: A systematic rapid review

Edouard Leaune  1 , Maeva Samuel  2 , Hans Oh  3 , Emmanuel Poulet  4 , Jérôme Brunelin  5
Affiliations

Suicidal behaviors and ideation during emerging viral disease outbreaks before the COVID-19 pandemic: A systematic rapid review

Edouard Leaune et al. Prev Med. 2020 Dec.

Abstract

The current COVID-19 pandemic is the most severe pandemic of the 21st century, on track to having a rising death toll. Beyond causing respiratory distress, COVID-19 may also cause mortality by way of suicide. The pathways by which emerging viral disease outbreaks (EVDOs) and suicide are related are complex and not entirely understood. We aimed to systematically review the evidence on the association between EVDOs and suicidal behaviors and/or ideation. An electronic search was conducted using five databases: Medline, Embase, Web of Science, PsycINFO and Scopus in April 2020. A rapid systematic review was carried out, which involved separately and independently extracting quantitative data of selected articles. The electronic search yielded 2480 articles, of which 9 met the inclusion criteria. Most of the data were collected in Hong Kong (n = 3) and the USA (n = 3). Four studies reported a slight but significant increase in deaths by suicide during EVDOs. The increase in deaths by suicide was mainly reported during the peak epidemic and in older adults. Psychosocial factors such as the fear of being infected by the virus or social isolation related to quarantine measures were the most prominent factors associated with deaths by suicide during EVDOs. Overall, we found scarce and weak evidence for an increased risk of deaths by suicide during EVDOs. Our results inform the need to orient public health policies toward suicide prevention strategies targeting the psychosocial effects of EVDOs. High-quality research on suicide risk and prevention are warranted during the current pandemic.

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References

    1. Ahorsu D.K., Lin C.Y., Imani V., Saffari M., Griffiths M.D., Pakpour A.H. The fear of COVID-19 scale: development and initial validation. Int J Ment Health Addict, published online March. 2020;27:2020. doi: 10.1007/s11469-020-00270-8. - DOI - PMC - PubMed
    1. Aro A.R., Jallinoja P.T., Henriksson M.M., Lönnqvist J.K. Fear of acquired immunodeficiency syndrome and fear of other illness in suicide. Acta Psychiatr. Scand. 1994;90:65–69. - PubMed
    1. Aro A.R., Henriksson M., Leinikki P., Lönnqvist J. Fear of AIDS and suicide in Finland: a review. AIDS Care. 1995;7:5187–5197. - PubMed
    1. Belsher B.E., Smolenski D.J., Pruitt L.D., Bush N.E., Beech E.H., Workman D.E., Morgan R.L., Evatt D.P., Tucker J., Skopp N.A. Prediction models for suicide attempts and deaths: a systematic review and simulation. JAMA Psych. 2019;76:642–651. - PubMed
    1. Brooks S.K., Webster R.K., Smith L.E., Woodland L., Wessely S., Greenberg N., Rubin G.J. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet. 2020;395:912–920. - PMC - PubMed

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