Thirty-day suicidal thoughts and behaviours in the Spanish adult general population during the first wave of the Spain COVID-19 pandemic
Mortier, Philippe (Institut Hospital del Mar d'Investigacions Mèdiques)
Vilagut, G. (Institut Hospital del Mar d'Investigacions Mèdiques)
Ferrer, M. (Universitat Autònoma de Barcelona)
Alayo, Itxaso (Institut Hospital del Mar d'Investigacions Mèdiques)
Bruffaerts, Ronny (Universitair Psychiatrisch Centrum)
del Cura-González, Isabel (Universidad Rey Juan Carlos)
Domènech-Abella, Joan (Centro de Investigación Biomédica en Red de Salud Mental)
Felez-Nobrega, M. (Centro de Investigación Biomédica en Red de Salud Mental)
Olaya, Beatriz (Centro de Investigación Biomédica en Red de Salud Mental)
Pijoan, J. I. (Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública)
Vieta, E. (Institut d'Investigacions Biomèdiques August Pi i Sunyer)
Pérez Solà, Víctor (Universitat Autònoma de Barcelona)
Kessler, R. C. (Harvard Medical School)
Haro Abad, Josep Maria (Universitat de Barcelona)
Alonso, Jordi (Universitat Pompeu Fabra)

Data:	2021
Resum:	To investigate the prevalence of suicidal thoughts and behaviours (STB; i. e. suicidal ideation, plans or attempts) in the Spanish adult general population during the first wave of the Spain coronavirus disease 2019 (COVID-19) pandemic (March−July, 2020), and to investigate the individual- and population-level impact of relevant distal and proximal STB risk factor domains. Cross-sectional study design using data from the baseline assessment of an observational cohort study (MIND/COVID project). A nationally representative sample of 3500 non-institutionalised Spanish adults (51. 5% female; mean age = 49. 6 [ = 17. 0]) was taken using dual-frame random digit dialing, stratified for age, sex and geographical area. Professional interviewers carried out computer-assisted telephone interviews (1-30 June 2020). Thirty-day STB was assessed using modified items from the Columbia Suicide Severity Rating Scale. Distal (i. e. pre-pandemic) risk factors included sociodemographic variables, number of physical health conditions and pre-pandemic lifetime mental disorders; proximal (i. e. pandemic) risk factors included current mental disorders and a range of adverse events-experiences related to the pandemic. Logistic regression was used to investigate individual-level associations (odds ratios [OR]) and population-level associations (population attributable risk proportions [PARP]) between risk factors and 30-day STB. All data were weighted using post-stratification survey weights. Estimated prevalence of 30-day STB was 4. 5% (1. 8% active suicidal ideation; n = 5 [0. 1%] suicide attempts). STB was 9. 7% among the 34. 3% of respondents with pre-pandemic lifetime mental disorders, and 1. 8% among the 65. 7% without any pre-pandemic lifetime mental disorder. Factors significantly associated with STB were pre-pandemic lifetime mental disorders (total PARP = 49. 1%) and current mental disorders (total PARP = 58. 4%), i. e. major depressive disorder (OR = 6. 0; PARP = 39. 2%), generalised anxiety disorder (OR = 5. 6; PARP = 36. 3%), post-traumatic stress disorder (OR = 4. 6; PARP = 26. 6%), panic attacks (OR = 6. 7; PARP = 36. 6%) and alcohol/substance use disorder (OR = 3. 3; PARP = 5. 9%). Pandemic-related adverse events-experiences associated with STB were lack of social support, interpersonal stress, stress about personal health and about the health of loved ones (PARPs 32. 7-42. 6%%), and having loved ones infected with COVID-19 (OR = 1. 7; PARP = 18. 8%). Up to 74. 1% of STB is potentially attributable to the joint effects of mental disorders and adverse events−experiences related to the pandemic. STB at the end of the first wave of the Spain COVID-19 pandemic was high, and large proportions of STB are potentially attributable to mental disorders and adverse events−experiences related to the pandemic, including health-related stress, lack of social support and interpersonal stress. There is an urgent need to allocate resources to increase access to adequate mental healthcare, even in times of healthcare system overload. NCT04556565.
Ajuts:	Generalitat de Catalunya 2017SGR45 Ministerio de Economía y Competitividad COV20/0071 Instituto de Salud Carlos III CD18/00049 Instituto de Salud Carlos III FI18/00012 Instituto de Salud Carlos III PI19/00236 Ministerio de Ciencia, Innovación y Universidades PU15/05728
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Suicide ; COVID-19 ; Pandemic ; Epidemiology ; Risk factors ; Spain
Publicat a:	Epidemiology and Psychiatric Sciences, Vol. 30 (february 2021) , ISSN 2045-7979

DOI: 10.1017/S2045796021000093
PMID: 34187614

11 p, 216.9 KB

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