Children's Mental and Behavioral Health, Schooling, Sociodemographic and Socioeconomic Characteristics During School Closure in France Due To COVID-19: The SAPRIS Project.

Monnier, Maëva; Moulin, Flore; Thierry, Xavier; Vandentorren, Stéphanie; Côté, Sylvana; S, Barbosa; Falissard, Bruno; Charles, Marie‐Aline; Siméon, Thierry; Geay, Bertrand; Marchand, Laëtitia; Ancel, Pierre–Yves; Melchior, M.; Rouquette, Alexandra; Galèra, Cédric; Plancoulaine, Sabine

doi:10.21203/rs.3.rs-568392/v1

Cited by 2 publications

(1 citation statement)

References 36 publications

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“…Both of France's nationwide lockdowns in 2020 and 2021 may have generated contradictory effects depending on the population. More specifically, while adverse psychosocial effects have been widely observed in young people and children (Monnier et al, 2021;Wathelet et al, 2020), possible positive effects were also seen in adults, thanks to a reduction in everyday stress or in stress due to normal social relationships for people with mental health disorders. The increase in suicide mortality observed in the 18-24-year-old and 65-84-years old age groups after the third lockdown until March 2022 could reflect a prolonged impact of the epidemic, also described on self-harm hospitalizations in France (Jollant et al, 2022) and in emergency department's attendances for mental health (Santé Publique France, 2022).…”

Section: Discussionmentioning

confidence: 99%

Reactive surveillance of suicides during the COVID-19 pandemic in France, 2020 to March 2022

Fouillet

Martin

Pontais

et al. 2023

Epidemiol Psychiatr Sci

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Aims Mitigation actions during the COVID-19 pandemic may impact mental health and suicide in general populations. We aimed to analyse the evolution in suicide deaths from 2020 to March 2022 in France. Methods Using free-text medical causes in death certificates, we built an algorithm, which aimed to identify suicide deaths. We measured its retrospective performances by comparing suicide deaths identified using the algorithm with deaths which had either a Tenth revision of the International Classification of Diseases (ICD-10) code for ‘intentional self-harm’ or for ‘external cause of undetermined intent’ as the underlying cause. The number of suicide deaths from January 2020 to March 2022 was then compared with the expected number estimated using a generalized additive model. The difference and the ratio between the observed and expected number of suicide deaths were calculated on the three lockdown periods and for periods between lockdowns and after the third one. The analysis was stratified by age group and gender. Results The free-text algorithm demonstrated high performances. From January 2020 to mid-2021, suicide mortality declined during France’s three lockdowns, particularly in men. During the periods between and after the two first lockdowns, suicide mortality remained comparable to the expected values, except for men over 85 years old and in 65–84 year-old age group, where a small number of excess deaths was observed in the weeks following the end of first lockdown, and for men aged 45–64 years old, where the decline continued after the second lockdown ended. After the third lockdown until March 2022, an increase in suicide mortality was observed in 18–24 year-old age group for both genders and in men aged 65–84 years old, while a decrease was observed in the 25–44 year-old age group. Conclusions This study highlighted the absence of an increase in suicide mortality during France’s COVID-19 pandemic and a substantial decline during lockdown periods, something already observed in other countries. The increase in suicide mortality observed in 18–24 year-old age group and in men aged 65–84 years old from mid-2021 to March 2022 suggests a prolonged impact of COVID-19 on mental health, also described on self-harm hospitalizations and emergency department’s attendances in France. Further studies are required to explain the factors for this change. Reactive monitoring of suicide mortality needs to be continued since mental health consequences and the increase in suicide mortality may be continued in the future with the international context.

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Section: Discussionmentioning

confidence: 99%

Reactive surveillance of suicides during the COVID-19 pandemic in France, 2020 to March 2022

Fouillet

Martin

Pontais

et al. 2023

Epidemiol Psychiatr Sci

View full text Add to dashboard Cite

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Social determinants associated with psychological distress in children and adolescents during and after the first COVID-19-related lockdown in France: results from the CONFEADO study

et al. 2023

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Background This study aimed to analyze the parental socio-demographic characteristics of children and adolescents aged 9 to 18 years old, as well as the living and housing conditions associated with the psychological distress in these two sub-populations during and after France’s first national COVID-19-related lockdown in spring 2020. Methods We used data from the cross-sectional, observational, web-based study CONFEADO, which collected data on children and adolescents’ living and housing conditions and socio-demographic characteristics as well as those of their parents. It also collected data on children’s and adolescents’ health behaviors and psychological distress. We assessed psychological distress using the 10-item Children and Adolescents Psychological Distress Scale (CAPDS-10), and performed a multinomial logistic regression. Results A total of 2882 children and adolescents were included in the present study. Factors associated with moderate psychological distress included being a female, parental financial difficulties, a lack of a private living space at home for the child/adolescent, and the following child health behaviors: no leisure or recreational activities with adults in the household, doing less than one hour of school homework a day, and not going outside during the lockdown. Severe psychological distress was associated with the parent’s occupation (especially essential frontline workers), a lack of a private living space at home for the child/adolescent, and the following child health behaviors: spending over 5 h a day on social media, doing less than one hour of school homework a day, and no leisure or recreational activities with adults in the household. Conclusions This study emphasizes the impact of housing and living conditions, as well as parents’ socio-economic characteristics on children’s health behaviors and psychological needs during the first COVID-19-related lockdown in France. Our results suggest that health policies implemented during future pandemics should consider these structural social determinants to prevent severe psychological distress in children and adolescents.

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Children's Mental and Behavioral Health, Schooling, Sociodemographic and Socioeconomic Characteristics During School Closure in France Due To COVID-19: The SAPRIS Project.

Cited by 2 publications

References 36 publications

Reactive surveillance of suicides during the COVID-19 pandemic in France, 2020 to March 2022

Reactive surveillance of suicides during the COVID-19 pandemic in France, 2020 to March 2022

Social determinants associated with psychological distress in children and adolescents during and after the first COVID-19-related lockdown in France: results from the CONFEADO study

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