Thirty-day suicidal thoughts and behaviours in the Spanish adult general population during the first wave of the Spain COVID-19 pandemic

Aims: 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...

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Autores: Mortier, Philippe, Vilagut Saiz, Gemma, 1975-, Ferrer Forés, Maria Montserrat, Alayo, Itxaso, Bruffaerts, Ronny, Cristóbal Narváez, Paula, Del Cura, Maria Isabel, Domènech-Abella, Joan, Félez-Nobrega, Mireia, Olaya, Beatriz, Pijoán, José Ignacio, Vieta, Eduard, Pérez Solà, Víctor, Kessler, Ronald C., Haro Abad, Josep Maria, Alonso Caballero, Jordi, MINDCOVID Working group
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2021
País:España
Institución:Universitat Pompeu Fabra
Repositorio:Repositorio Digital de la UPF
OAI Identifier:oai:repositori.upf.edu:10230/52423
Acceso en línea:http://hdl.handle.net/10230/52423
http://dx.doi.org/10.1017/S2045796021000093
Access Level:acceso abierto
Palabra clave:COVID-19
Spain
Epidemiology
Pandemic
Risk factors
Suicide
id ES_f42e3bbc0dd349b0df3ada5d8f0db9fa
oai_identifier_str oai:repositori.upf.edu:10230/52423
network_acronym_str ES
network_name_str España
repository_id_str
dc.title.none.fl_str_mv Thirty-day suicidal thoughts and behaviours in the Spanish adult general population during the first wave of the Spain COVID-19 pandemic
title Thirty-day suicidal thoughts and behaviours in the Spanish adult general population during the first wave of the Spain COVID-19 pandemic
spellingShingle Thirty-day suicidal thoughts and behaviours in the Spanish adult general population during the first wave of the Spain COVID-19 pandemic
Mortier, Philippe
COVID-19
Spain
Epidemiology
Pandemic
Risk factors
Suicide
title_short Thirty-day suicidal thoughts and behaviours in the Spanish adult general population during the first wave of the Spain COVID-19 pandemic
title_full Thirty-day suicidal thoughts and behaviours in the Spanish adult general population during the first wave of the Spain COVID-19 pandemic
title_fullStr Thirty-day suicidal thoughts and behaviours in the Spanish adult general population during the first wave of the Spain COVID-19 pandemic
title_full_unstemmed Thirty-day suicidal thoughts and behaviours in the Spanish adult general population during the first wave of the Spain COVID-19 pandemic
title_sort Thirty-day suicidal thoughts and behaviours in the Spanish adult general population during the first wave of the Spain COVID-19 pandemic
dc.creator.none.fl_str_mv Mortier, Philippe
Vilagut Saiz, Gemma, 1975-
Ferrer Forés, Maria Montserrat
Alayo, Itxaso
Bruffaerts, Ronny
Cristóbal Narváez, Paula
Del Cura, Maria Isabel
Domènech-Abella, Joan
Félez-Nobrega, Mireia
Olaya, Beatriz
Pijoán, José Ignacio
Vieta, Eduard
Pérez Solà, Víctor
Kessler, Ronald C.
Haro Abad, Josep Maria
Alonso Caballero, Jordi
MINDCOVID Working group
author Mortier, Philippe
author_facet Mortier, Philippe
Vilagut Saiz, Gemma, 1975-
Ferrer Forés, Maria Montserrat
Alayo, Itxaso
Bruffaerts, Ronny
Cristóbal Narváez, Paula
Del Cura, Maria Isabel
Domènech-Abella, Joan
Félez-Nobrega, Mireia
Olaya, Beatriz
Pijoán, José Ignacio
Vieta, Eduard
Pérez Solà, Víctor
Kessler, Ronald C.
Haro Abad, Josep Maria
Alonso Caballero, Jordi
MINDCOVID Working group
author_role author
author2 Vilagut Saiz, Gemma, 1975-
Ferrer Forés, Maria Montserrat
Alayo, Itxaso
Bruffaerts, Ronny
Cristóbal Narváez, Paula
Del Cura, Maria Isabel
Domènech-Abella, Joan
Félez-Nobrega, Mireia
Olaya, Beatriz
Pijoán, José Ignacio
Vieta, Eduard
Pérez Solà, Víctor
Kessler, Ronald C.
Haro Abad, Josep Maria
Alonso Caballero, Jordi
MINDCOVID Working group
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv COVID-19
Spain
Epidemiology
Pandemic
Risk factors
Suicide
topic COVID-19
Spain
Epidemiology
Pandemic
Risk factors
Suicide
description Aims: 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. Methods: 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 [s.d. = 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. Results: 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. Conclusions: 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.
publishDate 2021
dc.date.none.fl_str_mv 2021
2022
2022
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 http://hdl.handle.net/10230/52423
http://dx.doi.org/10.1017/S2045796021000093
url http://hdl.handle.net/10230/52423
http://dx.doi.org/10.1017/S2045796021000093
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Epidemiol Psychiatr Sci. 2021;30:e19
dc.rights.none.fl_str_mv http://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Cambridge University Press
publisher.none.fl_str_mv Cambridge University Press
dc.source.none.fl_str_mv reponame:Repositorio Digital de la UPF
instname:Universitat Pompeu Fabra
instname_str Universitat Pompeu Fabra
reponame_str Repositorio Digital de la UPF
collection Repositorio Digital de la UPF
repository.name.fl_str_mv
repository.mail.fl_str_mv
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spelling Thirty-day suicidal thoughts and behaviours in the Spanish adult general population during the first wave of the Spain COVID-19 pandemicMortier, PhilippeVilagut Saiz, Gemma, 1975-Ferrer Forés, Maria MontserratAlayo, ItxasoBruffaerts, RonnyCristóbal Narváez, PaulaDel Cura, Maria IsabelDomènech-Abella, JoanFélez-Nobrega, MireiaOlaya, BeatrizPijoán, José IgnacioVieta, EduardPérez Solà, VíctorKessler, Ronald C.Haro Abad, Josep MariaAlonso Caballero, JordiMINDCOVID Working groupCOVID-19SpainEpidemiologyPandemicRisk factorsSuicideAims: 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. Methods: 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 [s.d. = 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. Results: 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. Conclusions: 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.Cambridge University Press202220222021info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttp://hdl.handle.net/10230/52423http://dx.doi.org/10.1017/S2045796021000093reponame:Repositorio Digital de la UPFinstname:Universitat Pompeu FabraInglésEpidemiol Psychiatr Sci. 2021;30:e19© The Author(s), 2021. Published by Cambridge University Press. This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.http://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:repositori.upf.edu:10230/524232026-06-12T07:21:37Z
score 15,812455

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