Comparing frequencies of adolescent suicide attempters pre- and during COVID-19 pandemic school terms

Background The COVID-19 pandemic had and still have a major impact on adolescent mental health and consequently on suicidal behavior. However, few studies have investigated whether the pandemic has changed the patterns and the triggers of suicidality peaks in adolescents, e.g., seasonal patterns or...

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Autores: Gracia-Liso, R, Portella, MJ, Pujals-Altes, E, Punti-Vidal, J, Llorens, M, Pamias, M, Jimenez, MF, Aguirrezabala, IM, Palao, DJ
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:España
Institución:Institut d'Investigació i Innovació Parc Taulí (I3PT)
Repositorio:r-I3PT. Repositorio Institucional Producción Científica del Institut d'Investigació i Innovació Parc Taulí
OAI Identifier:oai:i3pt.fundanetsuite.com:p4964
Acceso en línea:https://i3pt.portalinvestigacion.com/publicaciones/4964
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85193506092&doi=10.1186%2fs12888-024-05823-y&partnerID=40&md5=896e3e1ca042551ac983401df4ecf849
Access Level:acceso abierto
Palabra clave:Adolescent suicide
COVID-19
Suicide attempt
Seasonality of suicide
Triggers of suicide
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spelling Comparing frequencies of adolescent suicide attempters pre- and during COVID-19 pandemic school termsGracia-Liso, RPortella, MJPujals-Altes, EPunti-Vidal, JLlorens, MPamias, MJimenez, MFAguirrezabala, IMPalao, DJAdolescent suicideCOVID-19Suicide attemptSeasonality of suicideTriggers of suicideBackground The COVID-19 pandemic had and still have a major impact on adolescent mental health and consequently on suicidal behavior. However, few studies have investigated whether the pandemic has changed the patterns and the triggers of suicidality peaks in adolescents, e.g., seasonal patterns or family conflicts. We hypothesized that the pandemic modified suicidality rates: an increment of suicide attempts would be observed in the first semester of the academic year during COVID-19 pandemic compared to the same period of previous academic year; and the precipitating factors would be more related to social stressors during the pandemic school year.Methods A retrospective cross-sectional study was conducted to assess the precipitating factors, also including school-related factors and cognitive skills, of adolescent suicide attempters occurred in the first and second semesters of the year before the pandemic lockdown (study periods 1 and 2) and the year after (study periods 3 and 4).Results The sample consisted of 85 adolescents aged between 12 and 17 recruited consecutively from March 2019 to March 2021 at emergency ward because of suicide attempt. Forty-eight adolescents (55.3% of the sample) were attended before the lockdown (pre-pandemic group) and 38 (44.7%) the year after. The results showed a higher proportion of female suicide attempters in period 4 (Sept 2020-Feb 2021) respect to period 3 (Mar 2020-Aug 2020), i.e., pandemic semesters compared with the increment observed between period 2 and 1 (prepandemic semesters; Fisher's exact test = 4.73; p = 0.026). The multinomial regression models showed a significant effect in the frequency of adolescents who attempted suicide (ratio chi 2 = 15.19, p = 0.019), accounted by the differences between period 4 (Sept 2020-Feb 2021) and period 1 (Mar 2019-Aug 2019), with depressive symptoms being a significant contributing factor (Exp(b) = 0.93; p = 0.04). Additionally, social triggers and age were found to be significant risk factors for suicide attempts in the first semester of the pandemic academic year (period 4) compared to the same semester of the pre-pandemic year (period 2; Exp(b) = 0.16, p = 0.01, and Exp(b) = 1.88, p = 0.006, respectively).Conclusions During the pandemic, the decrement between first and second semester of the number of females attempting suicide was more pronounced than in the prepandemic school year -though this findings lacked statistical power due to very limited sample size-. Change in the frequency of adolescent attempting suicide in the different school periods was associated with greater severity of depressive symptoms. Social relations in back-to-school after the lockdown were also associated with the number of adolescents attempting suicide.BMC2024info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://i3pt.portalinvestigacion.com/publicaciones/4964https://www.scopus.com/inward/record.uri?eid=2-s2.0-85193506092&doi=10.1186%2fs12888-024-05823-y&partnerID=40&md5=896e3e1ca042551ac983401df4ecf849BMC PsychiatryISSN: 1471244Xreponame:r-I3PT. Repositorio Institucional Producción Científica del Institut d'Investigació i Innovació Parc Taulíinstname:Institut d'Investigació i Innovació Parc Taulí (I3PT)Inglésinfo:eu-repo/semantics/openAccessoai:i3pt.fundanetsuite.com:p49642026-06-21T15:30:37Z
dc.title.none.fl_str_mv Comparing frequencies of adolescent suicide attempters pre- and during COVID-19 pandemic school terms
title Comparing frequencies of adolescent suicide attempters pre- and during COVID-19 pandemic school terms
spellingShingle Comparing frequencies of adolescent suicide attempters pre- and during COVID-19 pandemic school terms
Gracia-Liso, R
Adolescent suicide
COVID-19
Suicide attempt
Seasonality of suicide
Triggers of suicide
title_short Comparing frequencies of adolescent suicide attempters pre- and during COVID-19 pandemic school terms
title_full Comparing frequencies of adolescent suicide attempters pre- and during COVID-19 pandemic school terms
title_fullStr Comparing frequencies of adolescent suicide attempters pre- and during COVID-19 pandemic school terms
title_full_unstemmed Comparing frequencies of adolescent suicide attempters pre- and during COVID-19 pandemic school terms
title_sort Comparing frequencies of adolescent suicide attempters pre- and during COVID-19 pandemic school terms
dc.creator.none.fl_str_mv Gracia-Liso, R
Portella, MJ
Pujals-Altes, E
Punti-Vidal, J
Llorens, M
Pamias, M
Jimenez, MF
Aguirrezabala, IM
Palao, DJ
author Gracia-Liso, R
author_facet Gracia-Liso, R
Portella, MJ
Pujals-Altes, E
Punti-Vidal, J
Llorens, M
Pamias, M
Jimenez, MF
Aguirrezabala, IM
Palao, DJ
author_role author
author2 Portella, MJ
Pujals-Altes, E
Punti-Vidal, J
Llorens, M
Pamias, M
Jimenez, MF
Aguirrezabala, IM
Palao, DJ
author2_role author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Adolescent suicide
COVID-19
Suicide attempt
Seasonality of suicide
Triggers of suicide
topic Adolescent suicide
COVID-19
Suicide attempt
Seasonality of suicide
Triggers of suicide
description Background The COVID-19 pandemic had and still have a major impact on adolescent mental health and consequently on suicidal behavior. However, few studies have investigated whether the pandemic has changed the patterns and the triggers of suicidality peaks in adolescents, e.g., seasonal patterns or family conflicts. We hypothesized that the pandemic modified suicidality rates: an increment of suicide attempts would be observed in the first semester of the academic year during COVID-19 pandemic compared to the same period of previous academic year; and the precipitating factors would be more related to social stressors during the pandemic school year.Methods A retrospective cross-sectional study was conducted to assess the precipitating factors, also including school-related factors and cognitive skills, of adolescent suicide attempters occurred in the first and second semesters of the year before the pandemic lockdown (study periods 1 and 2) and the year after (study periods 3 and 4).Results The sample consisted of 85 adolescents aged between 12 and 17 recruited consecutively from March 2019 to March 2021 at emergency ward because of suicide attempt. Forty-eight adolescents (55.3% of the sample) were attended before the lockdown (pre-pandemic group) and 38 (44.7%) the year after. The results showed a higher proportion of female suicide attempters in period 4 (Sept 2020-Feb 2021) respect to period 3 (Mar 2020-Aug 2020), i.e., pandemic semesters compared with the increment observed between period 2 and 1 (prepandemic semesters; Fisher's exact test = 4.73; p = 0.026). The multinomial regression models showed a significant effect in the frequency of adolescents who attempted suicide (ratio chi 2 = 15.19, p = 0.019), accounted by the differences between period 4 (Sept 2020-Feb 2021) and period 1 (Mar 2019-Aug 2019), with depressive symptoms being a significant contributing factor (Exp(b) = 0.93; p = 0.04). Additionally, social triggers and age were found to be significant risk factors for suicide attempts in the first semester of the pandemic academic year (period 4) compared to the same semester of the pre-pandemic year (period 2; Exp(b) = 0.16, p = 0.01, and Exp(b) = 1.88, p = 0.006, respectively).Conclusions During the pandemic, the decrement between first and second semester of the number of females attempting suicide was more pronounced than in the prepandemic school year -though this findings lacked statistical power due to very limited sample size-. Change in the frequency of adolescent attempting suicide in the different school periods was associated with greater severity of depressive symptoms. Social relations in back-to-school after the lockdown were also associated with the number of adolescents attempting suicide.
publishDate 2024
dc.date.none.fl_str_mv 2024
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://i3pt.portalinvestigacion.com/publicaciones/4964
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85193506092&doi=10.1186%2fs12888-024-05823-y&partnerID=40&md5=896e3e1ca042551ac983401df4ecf849
url https://i3pt.portalinvestigacion.com/publicaciones/4964
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85193506092&doi=10.1186%2fs12888-024-05823-y&partnerID=40&md5=896e3e1ca042551ac983401df4ecf849
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv BMC
publisher.none.fl_str_mv BMC
dc.source.none.fl_str_mv BMC Psychiatry
ISSN: 1471244X
reponame:r-I3PT. Repositorio Institucional Producción Científica del Institut d'Investigació i Innovació Parc Taulí
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