Community Assessment for Mental and Physical Health Effects After Hurricane Irma — Florida Keys, May 2019

Torres-Mendoza, Yaritbel; Kerr, Alison; Schnall, Amy H.; Blackmore, Carina; Hartley, Summer D

doi:10.15585/mmwr.mm7026a1

Cited by 10 publications

(9 citation statements)

References 6 publications

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“…This dramatic increase likely reflects a vulnerable population of people experiencing extreme hardship as a direct result of storm damage. In 2018, the county suicide rate of Monroe County Florida (site of Hurricane Irma in 2017) increased from a 5-year average (2013–2017) of 25.2 to 34.9 suicide deaths per 100 000 population 28. Predictors of post-Hurricane suicidal ideation have been identified as pre-Hurricane suicidal ideation, low socioeconomic status, high stress scores and low family support 29.…”

Section: Discussionmentioning

confidence: 99%

Hurricane Florence and suicide mortality in North Carolina: a controlled interrupted time-series analysis

et al. 2022

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BackgroundNatural disasters are associated with increased mental health disorders and suicidal ideation; however, associations with suicide deaths are not well understood. We explored how Hurricane Florence, which made landfall in September 2018, may have impacted suicide deaths in North Carolina (NC).MethodsWe used publicly available NC death records data to estimate associations between Hurricane Florence and monthly suicide death rates using a controlled, interrupted time series analysis. Hurricane exposure was determined by using county-level support designations from the Federal Emergency Management Agency. We examined effect modification by sex, age group, and race/ethnicity.Results8363 suicide deaths occurred between January 2014 and December 2019. The overall suicide death rate in NC between 2014 and 2019 was 15.53 per 100 000 person-years (95% CI 15.20 to 15.87). Post-Hurricane, there was a small, immediate increase in the suicide death rate among exposed counties (0.89/100 000 PY; 95% CI −2.69 to 4.48). Comparing exposed and unexposed counties, there was no sustained post-Hurricane Florence change in suicide death rate trends (0.02/100 000 PY per month; 95% CI −0.33 to 0.38). Relative to 2018, NC experienced a statewide decline in suicides in 2019. An immediate increase in suicide deaths in Hurricane-affected counties versus Hurricane-unaffected counties was observed among women, people under age 65 and non-Hispanic black individuals, but there was no sustained change in the months after Hurricane Florence.ConclusionsAlthough results did not indicate a strong post-Hurricane Florence impact on suicide rates, subgroup analysis suggests differential impacts of Hurricane Florence on several groups, warranting future follow-up.

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Section: Discussionmentioning

confidence: 99%

Hurricane Florence and suicide mortality in North Carolina: a controlled interrupted time-series analysis

et al. 2022

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“…Two cross-sectional studies analysed the association between suicidal ideation and cyclones in Bangladesh (Cyclone Amphan; Hossain et al, 2021) and India (Cyclone Fani; (Kar et al, 2021).Two further cross-sectional studies investigated "suicidality" (suicidal behaviour and ideation) following hurricanes in the USA (Pietrzak et al, 2012;Torres-Mendoza et al, 2021).…”

Section: Suicide Attempts and Suicidal Ideationmentioning

confidence: 99%

Natural disasters and suicidal behaviour: an updated systematic review

Zortea,

Kõlves,

Russell

et al. 2024

Preprint

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Background: This systematic review aims to update and extend the findings of an earlier review on the suicidogenic impact of natural disasters.Methods: A systematic search of research published in 17 bibliographic databases was conducted (PROSPERO CRD42020216722). The review following PRISMA checklist identified 64 primary studies, published between 2012 and 2022, investigating the association between natural disasters and suicidal behaviour and ideation.Results: The majority of studies related to natural disasters in Japan, China, USA, India and Australia. Over half the studies (n=39) investigated the impact of earthquakes. Other disasters included hurricanes, floods, tsunamis, droughts, wildfires, tornadoes and multiple disasters. Concerning suicide mortality (the most studied suicide-related outcome), there was variability in the suicidogenic impact of earthquakes depending on location, age, sex and time elapsed since the event. While there appeared to be an increase in suicide mortality following drought, investigations of hurricanes/tornadoes and floods found no evidence of suicidogenic impact. Findings relating to other suicide-related outcomes are more consistent, suggesting that exposure to droughts, hurricanes, tsunamis, floods, and other natural disasters is associated with increased risk of suicidal ideation and non-fatal suicidal behaviour. Limitations: Publications in languages other than English, French, Spanish, Italian and Portuguese may have been missed.Conclusions: The considerable inconsistency in the findings reported across these studies, particularly relating to suicide mortality, is noteworthy. This may reflect substantive (‘real’) differences in the impact of natural disasters on suicidal behaviour linked to the type of disaster, the socioeconomic and sociocultural context, the type of suicidal behaviour, or other explanatory factors.

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“…Después de grandes huracanes, se ha reportado una mayor necesidad de servicios de salud mental y de medicamentos psiquiátricos, así como de mayores tasas de ansiedad, (KM 23.1). Por ejemplo, una de cada seis madres con bajos ingresos experimentó síntomas continuos de estrés postraumático 12 años después del huracán Katrina 121,122,123,124 . Muchos sobrevivientes del incendio forestal más mortífero de California, el Camp Fire de 2018, experimentaron estrés postraumático, depresión y ansiedad 42 relacionados con la pérdida del hogar y la alteración de la comunidad.…”

Section: Salud Mental Y Espiritualunclassified

Cap. 15. Salud humana. En: La Quinta Evaluación Nacional del Clima.

2023

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Community Assessment for Mental and Physical Health Effects After Hurricane Irma — Florida Keys, May 2019

Cited by 10 publications

References 6 publications

Hurricane Florence and suicide mortality in North Carolina: a controlled interrupted time-series analysis

Hurricane Florence and suicide mortality in North Carolina: a controlled interrupted time-series analysis

Natural disasters and suicidal behaviour: an updated systematic review

Cap. 15. Salud humana. En: La Quinta Evaluación Nacional del Clima.

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