fbf5111b8e54bf8d85928722737652ca pmc_9956974.pdf a84157bbe43624dd49e154ef7055541a725c5d0d pmc_9956974.pdf 34dd35e191facd795c40ce7950c6967e7d36084e0d13f187a686ce72020ff803 pmc_9956974.pdf Title: COVID-19 Pandemic Has Changed the Psychiatric Profile of Adolescents Attempting Suicide: A Cross-Sectional Comparison Subject: The COVID-19 pandemic is having a major impact on the mental health of adolescents, leading to suicidal behaviors. However, it remains to be clarified whether the COVID-19 pandemic has changed the psychiatric profile of adolescent suicide attempters. Methods: a retrospective observational analytical study was conducted to assess age, gender and clinical characteristics of adolescents attempting suicide during the year before and the year after the global lockdown. Results: ninety adolescents (12–17 y.o.) were recruited consecutively from February 2019 to March 2021 at the emergency ward for having attempted suicide. Fifty-two (57.8%) attended before the lockdown (pre-pandemic group) and thirty-eight (42.2%) the year after (pandemic group). There were significant differences in diagnostic categories between the periods (p = 0.003). Adjustment and conduct disorders were more frequent in the pre-pandemic group, while anxiety and depressive disorders were more prevalent during the pandemic. Although the severity of suicide attempts did not show significant differences between the two study periods (0.7), the generalized linear model showed that the suicide attempt severity was significantly associated with current diagnosis (p = 0.01). Conclusions: the psychiatric profile of adolescents attempting suicide was different before and during the COVID-19 pandemic. During the pandemic, the proportion of adolescents with a prior psychiatric history was lower, and most of them were diagnosed with depressive and anxiety disorders. These diagnoses were also associated with a greater severity in the intentionality of suicide attempt, regardless of the study period. Keywords: adolescent suicide; COVID-19; mental health; suicide attempt Author: Rebeca Gracia-Liso, Maria J. Portella, Joaquim Puntí-Vidal, Elena Pujals-Altés, Jordi Torralbas-Ortega, Marta Llorens, Montserrat Pamias, Marc Fradera-Jiménez, Itziar Montalvo-Aguirrezabala and Diego J. Palao Creator: LaTeX with hyperref Producer: pdfTeX-1.40.21 CreationDate: Wed Feb 8 09:39:31 2023 CET ModDate: Wed Feb 8 10:10:03 2023 CET Tagged: no UserProperties: no Suspects: no Form: none JavaScript: no Pages: 11 Encrypted: no Page size: 595.276 x 841.89 pts (A4) Page rot: 0 File size: 665628 bytes Optimized: no PDF version: 1.7 name type encoding emb sub uni object ID ------------------------------------ ----------------- ---------------- --- --- --- --------- PNYNCM+VnURWPalladioL Type 1 Custom yes yes no 10 0 IERSML+URWPalladioL-Bold Type 1 Custom yes yes no 15 0 AHPITN+URWPalladioL-Roma Type 1 Custom yes yes no 20 0 SHWSLL+URWPalladioL-Ital Type 1 Custom yes yes no 24 0 YSPQJI+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 JYUNWZ+CMSY10 Type 1 Builtin yes yes no 77 0 QLBIEB+URWPalladioL-BoldItal Type 1 Custom yes yes no 81 0 JLZORU+EURM10 Type 1 Builtin yes yes no 88 0 HFPCLF+PalatinoLinotype,Bold TrueType WinAnsi yes yes no 112 0 HFPCLG+PalatinoLinotype CID TrueType Identity-H yes yes yes 115 0 HFPCMH+PalatinoLinotype TrueType WinAnsi yes yes no 121 0 HFPCMJ+PalatinoLinotype,Italic TrueType WinAnsi yes yes no 124 0 HFPFLK+PalatinoLinotype,BoldItalic TrueType WinAnsi yes yes no 127 0 Jhove (Rel. 1.22.1, 2019-04-17) Date: 2023-07-08 02:36:11 CEST RepresentationInformation: pmc_9956974.pdf ReportingModule: PDF-hul, Rel. 1.12.1 (2019-04-17) LastModified: 2023-03-09 02:14:18 CET Size: 665628 Format: PDF Version: 1.7 Status: Well-Formed and valid SignatureMatches: PDF-hul MIMEtype: application/pdf PDFMetadata: Objects: 303 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: Participants and Procedure Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@46daef40 Item: Title: Ethical Considerations Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@12f41634 Item: Title: Instruments Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@13c27452 Item: Title: Data Analyses Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@262b2c86 Item: Title: Results Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@371a67ec Item: Title: Discussion Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@5ed828d Item: Title: Conclusions Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@50d0686 Item: Title: References Destination: edu.harvard.hul.ois.jhove.module.pdf.PdfSimpleObject@7a3d45bd Info: Title: COVID-19 Pandemic Has Changed the Psychiatric Profile of Adolescents Attempting Suicide: A Cross-Sectional Comparison Author: Rebeca Gracia-Liso, Maria J. Portella, Joaquim Puntí-Vidal, Elena Pujals-Altés, Jordi Torralbas-Ortega, Marta Llorens, Montserrat Pamias, Marc Fradera-Jiménez, Itziar Montalvo-Aguirrezabala and Diego J. Palao Subject: The COVID-19 pandemic is having a major impact on the mental health of adolescents, leading to suicidal behaviors. However, it remains to be clarified whether the COVID-19 pandemic has changed the psychiatric profile of adolescent suicide attempters. Methods: a retrospective observational analytical study was conducted to assess age, gender and clinical characteristics of adolescents attempting suicide during the year before and the year after the global lockdown. Results: ninety adolescents (12 17 y.o.) were recruited consecutively from February 2019 to March 2021 at the emergency ward for having attempted suicide. Fifty-two (57.8%) attended before the lockdown (pre-pandemic group) and thirty-eight (42.2%) the year after (pandemic group). There were significant differences in diagnostic categories between the periods (p = 0.003). Adjustment and conduct disorders were more frequent in the pre-pandemic group, while anxiety and depressive disorders were more prevalent during the pandemic. Although the severity of suicide attempts did not show significant differences between the two study periods (0.7), the generalized linear model showed that the suicide attempt severity was significantly associated with current diagnosis (p = 0.01). Conclusions: the psychiatric profile of adolescents attempting suicide was different before and during the COVID-19 pandemic. During the pandemic, the proportion of adolescents with a prior psychiatric history was lower, and most of them were diagnosed with depressive and anxiety disorders. These diagnoses were also associated with a greater severity in the intentionality of suicide attempt, regardless of the study period. 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