Trend of suicide by self-immolation in a 13-year timeline
Was the Covid-19 pandemic a potentially important stressor
Dados Bibliográficos
Introduction Self-immolation is an uncommon way of attempting and committing a suicide, with a fatality rate of 80%. The risk factors in self-immolation victims vary depending on demographic characteristics, socio-economic and cultural factors as well as religious beliefs. Whether the COVID-19 pandemic was a potentially important stressor for self-immolation is still unknown, with insufficient studies examining this issue. Therefore, in this study, we aimed to examine the trend of self-immolation in a 13-year timeline, and the potential association of COVID-19 pandemic with the increase in the incidence and severity of self-immolation injuries in Serbia in 2021. Materials and methods The study included hospitalized patients due to intentional burns caused by self-immolation in the period from January 1, 2008 to December 31, 2021. Joinpoint regression analysis was used for the analysis of continuous linear trends of self-immolation cases with change points. Results While a rising trend was observed in the 2008–2013 time segment, followed by a decline in the upcoming 2013–2016 time segment, a significant increase reached its maximum during COVID-19 pandemic (2021), with annual percent change of 37.1% ( p = 0.001). A significant increase in the median number of cases per year was observed during 2021 compared to the previous periods (7.5 vs. 2). Frequency of patients with a psychiatric diagnosis vs. those without a psychiatric diagnosis was significantly higher during than before the COVID-19 period (66.7 vs. 36.1%, p = 0.046). Conclusion In our study, a significant increase in the frequency of suicide attempts by self-immolation during COVID-19 pandemic was noticed. There was also an increased frequency of pre-existing psychiatric illness among patients during the pandemic period. With limited high-quality data available, the study adds to a rising body of evidence for assessment of outcomes of the pandemic on mental health and recognition of stressors for self-immolation
Case fatality rate · Disease · Environmental health · Geography · Injury prevention · Pandemic · Poison control · Population · Psychiatry · Stressor · Suicide prevention · Timeline · Burn Injury Management and Outcomes · COVID-19 and healthcare impacts · Demography · Disaster Response and Management · Medicine · Emergency Medicine · Internal Medicine
Adolescent psychiatric disorders during the Covid-19 pandemic and lockdown
Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed
Suicide Attempt as a Risk Factor for Completed Suicide
Life and death during the Great Depression
Permutation tests for joinpoint regression with applications to cancer rates
The impact of the Covid-19 pandemic on suicide rates
Vital Signs
Mental health outcomes in times of economic recession
Epidemiology of Suicide and the Psychiatric Perspective
Mental health before and during the Covid-19 pandemic
Mental Health, Substance Use, and Suicidal Ideation During the Covid-19 Pandemic — United States, June 24–30, 2020
The psychological impact of quarantine and how to reduce it
The Role of Unemployment, Financial Hardship, and Economic Recession on Suicidal Behaviors and Interventions to Mitigate Their Impact
Sociological autopsy
| Velocidade de citação | historical |
|---|---|
| Altamente citado | Não |