fce624e419ae8179b12022465532c2d3 pmc_9654221.pdf 022c5e6c55a0a4bf4140649d93968e74aad4df8f pmc_9654221.pdf 7c009abacf6a65c3284efc577170f7e2b3bfefb88e7995912f33d981a86e711e pmc_9654221.pdf Title: Impact of the COVID-19 Pandemic on the Incidence of Suicidal Behaviors: A Retrospective Analysis of Integrated Electronic Health Records in a Population of 7.5 Million Subject: The COVID-19 pandemic has caused remarkable psychological overwhelming and an increase in stressors that may trigger suicidal behaviors. However, its impact on the rate of suicidal behaviors has been poorly reported. We conducted a population-based retrospective analysis of all suicidal behaviors attended in healthcare centers of Catalonia (northeast Spain; 7.5 million inhabitants) between January 2017 and June 2022 (secondary use of data routinely reported to central suicide and diagnosis registries). We retrieved data from this period, including an assessment of suicide risk and individuals’ socioeconomic as well as clinical characteristics. Data were summarized yearly and for the periods before and after the onset of the COVID-19 pandemic in Spain in March 2020. The analysis included 26,458 episodes of suicidal behavior (21,920 individuals); of these, 16,414 (62.0%) were suicide attempts. The monthly moving average ranged between 300 and 400 episodes until July 2020, and progressively increased to over 600 episodes monthly. In the postpandemic period, suicidal ideation increased at the expense of suicidal attempts. Cases showed a lower suicide risk; the percentage of females and younger individuals increased, whereas the prevalence of classical risk factors, such as living alone, lacking a family network, and a history of psychiatric diagnosis, decreased. In summary, suicidal behaviors have increased during the COVID-19 pandemic, with more episodes of suicidal ideation without attempts in addition to younger and lower risk profiles. Keywords: suicide; COVID-19 pandemic; mental health Author: Damià Valero-Bover, Marc Fradera, Gerard Carot-Sans, Isabel Parra, Jordi Piera-Jiménez, Caridad Pontes and Diego Palao Creator: LaTeX with hyperref Producer: pdfTeX-1.40.21 CreationDate: Thu Nov 10 03:51:39 2022 CET ModDate: Thu Nov 10 03:55:43 2022 CET Tagged: no UserProperties: no Suspects: no Form: none JavaScript: no Pages: 12 Encrypted: no Page size: 595.276 x 841.89 pts (A4) Page rot: 0 File size: 1610500 bytes Optimized: no PDF version: 1.7 name type encoding emb sub uni object ID ------------------------------------ ----------------- ---------------- --- --- --- --------- IYDCBB+VnURWPalladioL Type 1 Custom yes yes no 10 0 NEQSBU+URWPalladioL-Bold Type 1 Custom yes yes no 15 0 OHPPPV+URWPalladioL-Roma Type 1 Custom yes yes no 20 0 BDMPBF+URWPalladioL-Ital Type 1 Custom yes yes no 24 0 MWJZGO+VnURWPalladioL-Bold Type 1 Custom yes yes no 28 0 LWQXII+TimesNewRomanPS-BoldItalicMT Type 1C WinAnsi yes yes no 46 0 IRWHZX+TimesNewRomanPSMT Type 1C WinAnsi yes yes no 49 0 PDTLUH+CMSY10 Type 1 Builtin yes yes no 74 0 BCDEEE+PalatinoLinotype-Bold TrueType WinAnsi yes yes no 89 0 BCDFEE+PalatinoLinotype-Roman TrueType WinAnsi yes yes no 93 0 BCDGEE+PalatinoLinotype-Italic TrueType WinAnsi yes yes no 97 0 BCDEEE+PalatinoLinotype-Bold TrueType WinAnsi yes yes no 110 0 BCDFEE+PalatinoLinotype-Roman TrueType WinAnsi yes yes no 114 0 BCDGEE+PalatinoLinotype-Italic TrueType WinAnsi yes yes no 118 0 BCDEEE+PalatinoLinotype-Bold TrueType WinAnsi yes yes no 134 0 BCDFEE+PalatinoLinotype-Roman TrueType WinAnsi yes yes no 138 0 BCDGEE+PalatinoLinotype-Italic TrueType WinAnsi yes yes no 142 0 BCDHEE+PalatinoLinotype-Roman CID TrueType Identity-H yes yes yes 146 0 Jhove (Rel. 1.22.1, 2019-04-17) Date: 2023-02-15 02:30:47 CET RepresentationInformation: pmc_9654221.pdf ReportingModule: PDF-hul, Rel. 1.12.1 (2019-04-17) LastModified: 2022-11-24 02:13:31 CET Size: 1610500 Format: PDF Version: 1.7 Status: Well-Formed and valid SignatureMatches: PDF-hul MIMEtype: application/pdf PDFMetadata: Objects: 286 FreeObjects: 1 IncrementalUpdates: 0 DocumentCatalog: PageLayout: SinglePage PageMode: UseNone Outlines: Item: Title: Introduction Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@44c8afef Item: Title: Materials and Methods Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@7b69c6ba Children: Item: Title: Study Design and Setting Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@46daef40 Item: Title: Ethical Conduct of the Study Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@12f41634 Item: Title: Variables and Data Sources Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@13c27452 Item: Title: Analysis Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@262b2c86 Item: Title: Results Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@371a67ec Children: Item: Title: Incidence of Suicidal Behavior Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@5ed828d Item: Title: Risk Factors and Characteristics of Suicidal Behaviors Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@50d0686 Item: Title: Discussion Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@7a3d45bd Item: Title: Conclusions Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@1e7c7811 Item: Title: References Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@77ec78b9 Info: Title: Impact of the COVID-19 Pandemic on the Incidence of Suicidal Behaviors: A Retrospective Analysis of Integrated Electronic Health Records in a Population of 7.5 Million Author: Damià Valero-Bover, Marc Fradera, Gerard Carot-Sans, Isabel Parra, Jordi Piera-Jiménez, Caridad Pontes and Diego Palao Subject: The COVID-19 pandemic has caused remarkable psychological overwhelming and an increase in stressors that may trigger suicidal behaviors. However, its impact on the rate of suicidal behaviors has been poorly reported. We conducted a population-based retrospective analysis of all suicidal behaviors attended in healthcare centers of Catalonia (northeast Spain; 7.5 million inhabitants) between January 2017 and June 2022 (secondary use of data routinely reported to central suicide and diagnosis registries). We retrieved data from this period, including an assessment of suicide risk and individuals’ socioeconomic as well as clinical characteristics. Data were summarized yearly and for the periods before and after the onset of the COVID-19 pandemic in Spain in March 2020. The analysis included 26,458 episodes of suicidal behavior (21,920 individuals); of these, 16,414 (62.0%) were suicide attempts. The monthly moving average ranged between 300 and 400 episodes until July 2020, and progressively increased to over 600 episodes monthly. In the postpandemic period, suicidal ideation increased at the expense of suicidal attempts. Cases showed a lower suicide risk; the percentage of females and younger individuals increased, whereas the prevalence of classical risk factors, such as living alone, lacking a family network, and a history of psychiatric diagnosis, decreased. In summary, suicidal behaviors have increased during the COVID-19 pandemic, with more episodes of suicidal ideation without attempts in addition to younger and lower risk profiles. 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