Characteristics of patients treated for suicidal behavior during the pandemic in a psychiatric emergency department in a Spanish province

Irigoyen-Otiñano, María; Llorca-Bofí, Vicent; González‐Pinto, Ana; Adrados-Pérez, Marina; Buil-Reiné, Esther; Ibarra-Pertusa, Lucía; Nicolau-Subires, Eugènia; Albert-Porcar, Carla; Arenas-Pijoan, Laura; Sánchez-Cazalilla, Marta; Torterolo, Giovanni; Puigdevall-Ruestes, Margarita

doi:10.1016/j.rpsm.2022.03.004

Cited by 12 publications

(9 citation statements)

References 30 publications

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“…The COVID-19 pandemic has had a global impact on society, affecting public health, economic and social aspects. Thus, it seems confirmed that the rate of suicidal ideation during the COVID pandemic is higher than that reported in studies on the general 1 population before the pandemic and may result in higher suicide rates in the future. Beyond the deaths by suicide, we must also consider the existence of other victims who are not always treated but who are widely recognized in the literature as survivors.…”

supporting

confidence: 65%

Suicide survivors. A population at risk

Irigoyen-Otiñano

Albert-Porcar

Borrás³

et al. 2023

The European Journal of Psychiatry

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supporting

confidence: 65%

Suicide survivors. A population at risk

Irigoyen-Otiñano

Albert-Porcar

Borrás³

et al. 2023

The European Journal of Psychiatry

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“…There were 37 studies with 55 samples (30 non-clinical and 25 clinical samples, respectively) included for the analysis of suicidal ideation. Specifically, several studies contributed more than one sample due to multiple peri-pandemic data collection [ 9 , 65 , 70 , 75 , 106 , 108 ] or subsets of participants [ 75 , 103 , 111 ]. With an average risk of bias score of 7.5 (range = 4–9), the majority of included studies had adequate size and information for their sample, and they employed appropriate sampling and statistical methods.…”

Section: Resultsmentioning

confidence: 99%

“… Forest plot for suicide attempt of studies [ 16 , 65 , 67 , 69 , 70 , 71 , 73 , 92 , 94 , 95 , 96 , 101 , 103 , 104 , 105 , 106 , 107 , 109 , 110 , 111 ] conducted in the clinical setting (Prismatic colored as red refers to the pooled estimate). …”

Section: Figurementioning

confidence: 99%

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Suicide before and during the COVID-19 Pandemic: A Systematic Review with Meta-Analysis

Yan

Hou

et al. 2023

IJERPH

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Synthesizing evidence to examine changes in suicide-related outcomes before and during the pandemic can inform suicide management during the COVID-19 crisis. We searched 13 databases as of December 2022 for studies reporting both the pre- and peri-pandemic prevalence of suicidal ideation, suicide attempts, or rate of death by suicide. A random-effects model was used to pool the ratio of peri- and pre-pandemic prevalence of suicidal ideation and attempt (Prevalence Ratio—PR) and rate of death by suicide (Rate Ratio; RR). We identified 51, 55, and 25 samples for suicidal ideation, attempt, and death by suicide. The prevalence of suicidal ideation increased significantly among non-clinical (PR = 1.142; 95% CI: 1.018–1.282; p = 0.024; k = 28) and clinical (PR = 1.134; 95% CI: 1.048–1.227; p = 0.002; k = 23) samples, and pooled estimates differed by population and study design. Suicide attempts were more prevalent during the pandemic among non-clinical (PR = 1.14; 95% CI: 1.053–1.233; p = 0.001; k = 30) and clinical (PR = 1.32; 95% CI: 1.17–1.489; p = 0.000; k = 25) participants. The pooled RR for death by suicide was 0.923 (95% CI: 0.84–1.01; p = 0.092; k = 25), indicating a nonsignificant downward trend. An upward trend of suicidal ideation and suicide attempts was observed during the COVID-19 pandemic, despite suicide rate remaining stable. Our findings suggest that timely prevention and intervention programs are highly needed for non-clinical adult population and clinical patients. Monitoring the real-time and long-run suicide risk as the pandemic evolves is warranted.

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“…Los datos de este estudio se obtuvieron mediante revisión retrospectiva de las historias clínicas digitales, que registran los datos sociodemográficos de los pacientes, su diagnóstico, motivos de consulta e ingresos hospitalarios. Los periodos de observación fueron: 1) Antes del confinamiento, desde el 13 de enero de 2020, hasta el 14 de marzo de 2020 y 2) Durante el confinamiento por primer estado de alarma, desde el inicio del estado de alarma en España (15 de marzo de 2020) hasta su conclusión (20 de junio de 2020) y el durante segundo estado de alarma en España (desde el 25 de octubre de 2020 hasta el 9 de mayo de 2021) (BOE, 2020) (Irigoyen-Otiñano et al, 2022).…”

Section: Muestra Y Procedimientounclassified

Atenciones urgentes realizadas durante la pandemia por consumo de tóxicos en una provincia española

Irigoyen-Otiñano¹,

Ibarra-Pertusa²,

Nicolau-Subires³

et al. 2023

Adicciones

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During periods of isolation, people with substance use disorders may reduce tension, stress, uncertainty and possible distress by increasing the use of substances or practices that they have abused. The objective of this study was to evaluate the impact of the pandemic on emergency care and continuity of care for patients with substance use disorders. Method: Study carried out in the only psychiatric emergency service in the province at the Hospital Universitario Santa María de Lérida, which cares for 431,183 people. Sociodemographic, clinical and evolutionary variables were collected from all the patients treated during a period prior to lockdown (January 13, 2020, until March 14, 2020) and during the first (March 15, 2020 until June 20, 2020) and second states of emergency (from October 25, 2020 to May 9, 2021). Results: 908 patients attended with substance use disorder, representing 23.8% of all visits. During the first state of emergency, visits increased (p < 0.001) with a decrease in the average age (p = 0.0023). During the second state of emergency, there was an increase in the use of alcohol with respect to the rest of toxic substances (p < 0.001) and an increase in the visits of patients without prior followup (p = 0.005). Conclusions: Substance use disorder consultations increased in the first state of emergency, with patients being younger and attending for reasons related to outpatient discontinuity, while in the second state of emergency, alcohol use increased in people without prior follow-up and with small social networks. Admissions in the first state of emergency were shorter, with no subsequent link to other detoxification treatment centers and with an earlier return to the emergency room, especially in female users.

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Characteristics of patients treated for suicidal behavior during the pandemic in a psychiatric emergency department in a Spanish province

Cited by 12 publications

References 30 publications

Suicide survivors. A population at risk

Suicide survivors. A population at risk

Suicide before and during the COVID-19 Pandemic: A Systematic Review with Meta-Analysis

Atenciones urgentes realizadas durante la pandemia por consumo de tóxicos en una provincia española

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