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Suicide and self-harm in low- and middle- income countries during the Covid-19 pandemic

A systematic review

Bibliographic Data

ID19594088
AuthorsDuleeka Knipe (0000-0002-1040-7635), Ann John (0000-0002-5657-6995), Prianka Padmanathan (0000-0003-1292-6575), Emily Eyles (0000-0002-2695-7172), Dana Dekel (0000-0003-0137-5149), Julian P T Higgins (0000-0002-8323-2514), Jason Bantjes (0000-0002-3626-9883), Rakhi Dandona (0000-0003-0926-788X), Catherine Ia Macleod-Hall (0000-0002-0487-0674), Luke A McGuinness (0000-0001-8730-9761), Lena Schmidt (0000-0003-0709-8226), Roger T Webb (0000-0001-8532-2647), David Gunnell (0000-0002-0829-6470)
EditorsAhmed Waqas (0000-0002-3772-194X)
Year2022
Volume2
Issue6
Pagese0000282
Publication date2022-06-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenuePLOS Global Public Health (JOURNAL)
Journal identifiersISSN: 2767-3375 • E-ISSN: 2767-3375
PublisherPublic Library of Science (PLoS) (PUBLISHER)
DOI10.1371/journal.pgph.0000282
LanguageEN
Citations received7
References cited27

There is widespread concern over the potential impact of the COVID-19 pandemic on suicide and self-harm globally, particularly in low- and middle-income countries (LMIC) where the burden of these behaviours is greatest. We synthesised the evidence from the published literature on the impact of the pandemic on suicide and self-harm in LMIC. This review is nested within a living systematic review (PROSPERO ID CRD42020183326 ) that continuously identifies published evidence (all languages) through a comprehensive automated search of multiple databases (PubMed; Scopus; medRxiv, PsyArXiv; SocArXiv; bioRxiv; the WHO COVID-19 database; and the COVID-19 Open Research Dataset by Semantic Scholar (up to 11/2020), including data from Microsoft Academic, Elsevier, arXiv and PubMed Central.) All articles identified by the 4th August 2021 were screened. Papers reporting on data from a LMIC and presenting evidence on the impact of the pandemic on suicide or self-harm were included. Methodological quality was assessed using an appropriate tool, and a narrative synthesis presented. A total of 22 studies from LMIC were identified representing data from 12 countries. There was an absence of data from Africa, the Pacific, and the Caribbean. The reviewed studies mostly report on the early months of COVID-19 and were generally methodologically poor. Few studies directly assessed the impact of the pandemic. The most robust evidence, from time-series studies, indicate either a reduction or no change in suicide and self-harm behaviour. As LMIC continue to experience repeated waves of the virus and increased associated mortality, against a backdrop of vaccine inaccessibility and limited welfare support, continued efforts are needed to track the indirect impact of the pandemic on suicide and self-harm in these countries

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    Open Access•Frank J Elgar, Timo‐kolja Pförtner et al.•Health & Place•2024

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    Open Access•A W Kim•American Journal of Human Biology•2024

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    Open Access•David Gunnell, Louis Appleby et al.•The Lancet Psychiatry•2020

  • Self-harm

    Open Access•Keren Skegg•The Lancet•2005

  • Suicide trends in the early months of the Covid-19 pandemic

    Open Access•Jane Pirkis, Ann John et al.•The Lancet Psychiatry•2021

  • Has Covid-19 subverted global health?

    Open Access•Richard Cash, Richard A Cash et al.•The Lancet•2020

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Unique citing works7
Citations per year2,33
Citation span2023 - 2025 (3)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 7
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