Impact of SARS-CoV2 pandemic in teenagers mental health. Suicide ideation and attempts

Published

2023-05-24

How to Cite

de Miguel Cáceres, C., Gómez Domínguez, C., Bueno Barriocanal, M., Gónzalez Bertolín, I., Ortíz Vázquez, A., & Molina Gutiérrez, M. A. (2023). Impact of SARS-CoV2 pandemic in teenagers mental health. Suicide ideation and attempts. Revista De Psiquiatría Infanto-Juvenil, 40(2), 2–10. https://doi.org/10.31766/revpsij.v40n2a2

Issue

Section

Orginial article

Authors

DOI:

https://doi.org/10.31766/revpsij.v40n2a2

Keywords:

COVID-19, pandemic, epidemic, mental health, adolescents

Abstract

Introduction: One of the major concerns since the start of the COVID-19 pandemic has been the possible consequences on mental health. Objective: The aim of this study is to compare the incidence and characteristics of cases attending to the Paediatric Emergency Department (PED) of a tertiary hospital for self-harm ideation/attempt in the year prior to the SARS-COV2 pandemic (2019) with those seen during the pandemic (2020-2021). Material and method: Retrospective observational study including patients <18 years seen in the ED for suicidal ideation/attempt from January 2019 to December 2021. Results: During the study period, 54 consultations for suicidal ideation/attempt were attended. The annual incidence was almost identical in 2019 and 2020 [11 (0.02% of total EDs) and 12 cases (0.03%) respectively], rising to 31 episodes (0.15%) in 2021 with two peaks of incidence: at the beginning of the year (January-February) and at the beginning of the school year (September-October). 85.1% of cases were female, 72.2% of Caucasian/European ethnicity. The mean age was 14.2 years (SD: 1.3). 37% had a history of self-harm, 81.4% had psychiatric/psychological pathology and 42.5% had family dysfunction. Suicide attempts accounted for 83.3% of the episodes. Toxic/medication overeating was the most frequent method (62.2%), mainly by psychotropic drugs. Conclusions: In the second year since the start of the pandemic, a striking increase in psychiatric emergencies for suicidal ideation/attempts was observed, which could be evidence of the impact of the pandemic on the mental health of children and adolescents.

Downloads

Download data is not yet available.

References

Gunnell D, Appleby L, Arensman E, Hawton K, John A, Kapur N, et al. Suicide risk and prevention during the COVID-19 pandemic. Lancet Psychiatry. 2020;7(6): 468-71. https://doi.org/10.1016/S2215-0366(20)30171-1 DOI: https://doi.org/10.1016/S2215-0366(20)30171-1

Reger MA, Stanley IH, Joiner TE. Suicide Mortality and Coronavirus Disease 2019—A Perfect Storm? JAMA Psychiatry. 2020;77(11): 1093. https://doi.org/10.1001/jamapsiquiatría.2020.1060 DOI: https://doi.org/10.1001/jamapsychiatry.2020.1060

Leske S, Kõlves K, Crompton D, Arensman E, de Leo D. Real-time suicide mortality data from police reports in Queensland, Australia, during the COVID-19 pandemic: an interrupted time-series analysis. Lancet Psychiatry. 2021;8(1): 58-63. https://doi.org/10.1016/S2215-0366(20)30435-1 DOI: https://doi.org/10.1016/S2215-0366(20)30435-1

Nichter B, Hill ML, Na PJ, Kline AC, Norman SB, Krystal JH, et al. Prevalence and Trends in Suicidal Behavior Among US Military Veterans During the COVID-19 Pandemic. JAMA Psychiatry. 2021;78(11): 1218. https://doi.org/10.1001/jamapsiquiatría.2021.2332 DOI: https://doi.org/10.1001/jamapsychiatry.2021.2332

Radeloff D, Papsdorf R, Uhlig K, Vasilache A, Putnam K, von Klitzing K. Trends in suicide rates during the COVID-19 pandemic restrictions in a major German city. Epidemiol Psychiatr Sci. 2021;30: e16. https://doi.org/10.1017/S2045796021000019 DOI: https://doi.org/10.1017/S2045796021000019

Mitchell TO, Li L. State-Level Data on Suicide Mortality During COVID-19 Quarantine: Early Evidence of a Disproportionate Impact on Racial Minorities. Psychiatry Res. 2021;295: 113629. https://doi.org/10.1016/j.psychres.2020.113629 DOI: https://doi.org/10.1016/j.psychres.2020.113629

Jerónimo MÁ, Piñar S, Samos P, González AM, Bellsolà M, Sabaté A, et al. Intentos e ideas de suicidio durante la pandemia por COVID-19 en comparación con los años previos. Rev Psiquiatr Salud Ment. 2021;S1888989121001269. https://doi.org/10.1016/j.rpsm.2021.11.004 DOI: https://doi.org/10.1016/j.rpsm.2021.11.004

Pirkis J, John A, Shin S, DelPozo-Banos M, Arya V, Analuisa-Aguilar P, et al. Suicide trends in the early months of the COVID-19 pandemic: an interrupted time-series analysis of preliminary data from 21 countries. Lancet Psychiatry. 2021;8(7): 579-88. https://doi.org/10.1016/S2215-0366(21)00091-2 DOI: https://doi.org/10.1016/S2215-0366(21)00091-2

Ueda M, Nordström R, Matsubayashi T. Suicide and mental health during the COVID-19 pandemic in Japan. J Public Health Oxf Engl. 2022;44(3): 541-8. https://doi.org/10.1093/publicado/fdab113 DOI: https://doi.org/10.1093/pubmed/fdab113

Fundación ANAR - Ayuda a Niños y Adolescentes en Riesgo [Internet]. Fundación ANAR. Disponible en: https://www.anar.org/

Observatorio del Suicidio en España 2021 [Internet]. Prevención del suicidio. Disponible en: http://www.fsme.es/observatorio-del-suicidio-2021/

Brooks SK, Smith LE, Webster RK, Weston D, Woodland L, Hall I, etal. The impact of unplanned school closure on children’s social contact: rapid evidence review. Euro Surveill Bull Eur Sur Mal Transm Eur Commun Dis Bull. 2020;25(13). https://doi.org/10.2807/1560-7917.ES.2020.25.13.2000188 DOI: https://doi.org/10.2807/1560-7917.ES.2020.25.13.2000188

Gracia R, Pamias M, Mortier P, Alonso J, Pérez V, Palao D. Is the COVID-19 pandemic a risk factor for suicide attempts in adolescent girls? J Affect Disord. 2021;292: 139-41. https://doi.org/10.1016/j.jad.2021.05.044 DOI: https://doi.org/10.1016/j.jad.2021.05.044

Vázquez López P, Armero Pedreira P, Martínez-Sánchez L, García Cruz JM, Bonet de Luna C, Notario Herrero F, et al. Autolesiones y conducta suicida en niños y adolescentes. Lo que la pandemia nos ha desvelado. An Pediatría [Internet]. Disponible en: http://www.analesdepediatria.org/es-autolesiones-conducta-suicida-ninos-adolescentes--avance-S1695403322002958

Yard E, Radhakrishnan L, Ballesteros MF, Sheppard M, Gates A, Stein Z, et al. Emergency Department Visits for Suspected Suicide Attempts Among Persons Aged 12-25 Years Before and During the COVID-19 Pandemic - United States, January 2019-May 2021. MMWR Morb Mortal Wkly Rep. 2021;70(24):888-94. https://doi.org/10.15585/mmwr.mm7024e1 DOI: https://doi.org/10.15585/mmwr.mm7024e1

Dubé JP, Smith MM, Sherry SB, Hewitt PL, Stewart SH. Suicide behaviors during the COVID-19 pandemic: A meta-analysis of 54 studies. Psychiatry Res. 2021;301: 113998. https://doi.org/10.1016/j.psychres.2021.113998 DOI: https://doi.org/10.1016/j.psychres.2021.113998

Lee J. Mental health effects of school closures during COVID-19. Lancet Child Adolesc Health. 2020;4(6): 421. https://doi.org/10.1016/S2352-4642(20)30109-7 DOI: https://doi.org/10.1016/S2352-4642(20)30109-7

Smetana JG, Campione-Barr N, Metzger A. Adolescent Development in Interpersonal and Societal Contexts. Annu Rev Psychol. 2006;57(1): 255-84. https://doi.org/10.1146/annurev.psych.57.102904.190124 DOI: https://doi.org/10.1146/annurev.psych.57.102904.190124

Listernick ZI, Badawy SM. Mental Health Implications of the COVID-19 Pandemic Among Children and Adolescents: What Do We Know So Far? Pediatr Health Med Ther. 2021;12: 543-9. https://doi.org/10.2147/PHMT.S315887 DOI: https://doi.org/10.2147/PHMT.S315887

Singh S, Roy D, Sinha K, Parveen S, Sharma G, Joshi G. Impact of COVID-19 and lockdown on mental health of children and adolescents: A narrative review with recommendations. Psychiatry Res. 2020;293: 113429. https://doi.org/10.1016/j.psychres.2020.113429 DOI: https://doi.org/10.1016/j.psychres.2020.113429

Posicionamiento sobre el aumento de autolesiones y suicidio en niños y adolescentes [Internet]. Disponible en: https://www.aeped.es/noticias/posicionamiento-sobre-aumento-autolesiones-y-suicidio-en-ninos-y-adolescentes

Most read articles by the same author(s)