Impact of Covid-19 physical distancing policies on incidence of intentional self-harm in Western Sydney

Page, Andrew; Bandara, Piumee; Hammond, Trent Ernest; Stevens, Garry

doi:10.1177/10398562211010808

Cited by 4 publications

(2 citation statements)

References 2 publications

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“…Whilst rates of suicide have appeared to have dropped in many countries around the world, 17 the rate of suicide has increased in marginalised communities. 18 , 19 This is against a backdrop of the recognition that suicide deaths are less likely to classified as suicide deaths in ethnic minority groups. 20 …”

Section: Introductionmentioning

confidence: 99%

Suicide rates amongst individuals from ethnic minority backgrounds: A systematic review and meta-analysis

et al. 2022

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Section: Introductionmentioning

confidence: 99%

Suicide rates amongst individuals from ethnic minority backgrounds: A systematic review and meta-analysis

et al. 2022

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“…There have been few studies to date in the Australian context examining trends in hospital-treated self-harm and mental health service use in the period following the onset of the COVID-19 pandemic (Jacob et al, 2020; Page et al, 2021). Most evidence has related to changes in self-reported indicators of mental health in the early months of the pandemic (Fisher et al, 2020; Newby et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

The impact of the COVID-19 pandemic on hospital-treated self-harm in Sydney (Australia)

Sperandei

Page

Bandara

et al. 2022

Aust N Z J Psychiatry

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Objectives: This study investigated trends in hospital-treated self-harm and hospital presenting suicidal ideation in the period before and after COVID-19 public health responses by key socio-demographic groups among those presenting to hospitals in the Western Sydney (Australia) population catchment. Methods: Emergency department presentations for the period January 2016 to June 2021 were used to specify a series of interrupted time-series models to compare the observed and expected event rates of (1) hospital-treated self-harm and (2) hospital presenting suicidal ideation in the period following the onset of COVID-19 public health measures in March 2020. Rate differences between observed and expected rates in the post-implementation period were also estimated in models stratified by sex, age group, country of birth and socio-economic status. Results: There was no significant increase in hospital-treated self-harm in the period post-implementation of public health orders (March 2020) compared to the previous period, although there were lower than expected rates of emergency department presentations among non-Australian-born males, males aged 0–14 years and 25–44 years, and females aged 45–64 years. In contrast, there was a significant increase in hospital presenting suicidal ideation, particularly among women (rate difference per 100,000 = 3.91, 95% confidence interval = [1.35, 6.48]) and those aged 15–24 years (both males and females, rate differences ranging from 8.91 to 19.04), and among those residing in lower socio-economic status areas (both males and females, rate differences ranging from 0.90 to 2.33). Conclusion: There was no increase in hospital-treated self-harm rates in the 15 months post-implementation of COVID-19 public health orders in Western Sydney; however, there was a significant increase in hospital presenting suicidal ideation. The limited change in suicidal behaviour may reflect the success of social and economic supports during this period, the benefits of which may have been different for young people, and those of lower socio-economic status.

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A Rapid Systematic Review of the Prevalence of Suicide and Self-Harm Behaviors in Adolescents During the COVID-19 Pandemic

Sahoo

Patra

2023

Crisis

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Background: COVID-19 has caused psychological, social, and physical isolation in adolescents resulting in varying rates of suicidal behavior and self-harm. Aims: We investigated the pandemic's impact on adolescent suicidal behavior and self-harm by reviewing the existing literature. Methods: We searched PubMed using keywords: adolescent, suicide, suicidal behavior, self-harm, prevalence, and COVID-19 and included studies reporting primary data only. Results: Of the 551 studies identified, we included 39 studies in the final analysis. Two of the six high-quality population-based suicide registry studies reported increased suicide rates during the pandemic. Seven of fifteen emergency department–based studies out of which four were of high quality and three high-quality population-based health registry studies reported increased self-harm. A few school and community-based surveys and national helpline data also reported an increase in suicidal behavior or self-harm. Limitations: Methodological heterogeneity of the included studies. Conclusions: There is wide variation in study methodology, population, settings, and age groups in the included studies. Suicidal behavior and self-harm were increased in specific study settings and adolescent populations during the pandemic. More methodologically rigorous research is needed to evaluate the impact of COVID-19 on adolescent suicidal behavior and self-harm.

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Impact of Covid-19 physical distancing policies on incidence of intentional self-harm in Western Sydney

Cited by 4 publications

References 2 publications

Suicide rates amongst individuals from ethnic minority backgrounds: A systematic review and meta-analysis

Suicide rates amongst individuals from ethnic minority backgrounds: A systematic review and meta-analysis

The impact of the COVID-19 pandemic on hospital-treated self-harm in Sydney (Australia)

A Rapid Systematic Review of the Prevalence of Suicide and Self-Harm Behaviors in Adolescents During the COVID-19 Pandemic

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