The Impact of Infectious Disease-Related Public Health Emergencies on Suicide, Suicidal Behavior, and Suicidal Thoughts

Author:

Zortea Tiago C.1ORCID,Brenna Connor T. A.2,Joyce Mary3,McClelland Heather1,Tippett Marisa4,Tran Maxwell M.2,Arensman Ella35,Corcoran Paul35,Hatcher Simon6,Heise Marnin J.78,Links Paul9,O'Connor Rory C.1,Edgar Nicole E.6,Cha Yevin7,Guaiana Giuseppe7,Williamson Eileen3,Sinyor Mark10,Platt Stephen11

Affiliation:

1. Suicidal Behaviour Research Laboratory, University of Glasgow, UK

2. Department of Medicine, University of Toronto, ON, Canada

3. National Suicide Research Foundation, Cork, Ireland

4. Western Libraries, University of Western Ontario, London, ON, Canada

5. School of Public Health, University College Cork, Ireland

6. Ottawa Hospital Research Institute, Ottawa, ON, Canada

7. Departments of Psychiatry and of Epidemiology and Biostatistics, Schulich School of Medicine and Dentistry, University of Western Ontario, London, ON, Canada

8. Lawson Health Research Institute, London, ON, Canada

9. Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, ON, Canada

10. Department of Psychiatry, University of Toronto, ON, Canada

11. Usher Institute, University of Edinburgh, UK

Abstract

Abstract. Background: Infectious disease-related public health emergencies (epidemics) may increase suicide risk, and high-quality evidence is needed to guide an international response. Aims: We investigated the potential impacts of epidemics on suicide-related outcomes. Method: We searched MEDLINE, EMBASE, PsycInfo, CINAHL, Scopus, Web of Science, PsyArXiv, medRxiv, and bioRxiv from inception to May 13–16, 2020. Inclusion criteria: primary studies, reviews, and meta-analyses; reporting the impact of epidemics; with a primary outcome of suicide, suicidal behavior, suicidal ideation, and/or self-harm. Exclusion criteria: not concerned with suicide-related outcomes; not suitable for data extraction. PROSPERO registration: #CRD42020187013. Results: Eight primary papers were included, examining the effects of five epidemics on suicide-related outcomes. There was evidence of increased suicide rates among older adults during SARS and in the year following the epidemic (possibly motivated by social disconnectedness, fears of virus infection, and concern about burdening others) and associations between SARS/Ebola exposure and increased suicide attempts. A preprint study reported associations between COVID-19 distress and past-month suicidal ideation. Limitations: Few studies have investigated the topic; these are of relatively low methodological quality. Conclusion: Findings support an association between previous epidemics and increased risk of suicide-related outcomes. Research is needed to investigate the impact of COVID-19 on suicide outcomes.

Publisher

Hogrefe Publishing Group

Subject

Psychiatry and Mental health

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