Thirty-day suicidal thoughts and behaviours in the Spanish adult general population during the first wave of the Spain COVID-19 pandemic
Aims: To investigate the prevalence of suicidal thoughts and behaviours (STB; i.e. suicidal ideation, plans or attempts) in the Spanish adult general population during the first wave of the Spain coronavirus disease 2019 (COVID-19) pandemic (March-July, 2020), and to investigate the individual- and...
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| Format: | Article |
| Status: | Published version |
| Publication date: | 2021 |
| Country: | España |
| Institution: | Universitat Pompeu Fabra |
| Repository: | Repositorio Digital de la UPF |
| OAI Identifier: | oai:repositori.upf.edu:10230/52423 |
| Online Access: | http://hdl.handle.net/10230/52423 http://dx.doi.org/10.1017/S2045796021000093 |
| Access Level: | Open access |
| Keyword: | COVID-19 Spain Epidemiology Pandemic Risk factors Suicide |
| _version_ | 1878742342648725504 |
|---|---|
| author | Mortier, Philippe |
| author2 | Vilagut Saiz, Gemma, 1975- Ferrer Forés, Maria Montserrat Alayo, Itxaso Bruffaerts, Ronny Cristóbal Narváez, Paula Del Cura, Maria Isabel Domènech-Abella, Joan Félez-Nobrega, Mireia Olaya, Beatriz Pijoán, José Ignacio Vieta, Eduard Pérez Solà, Víctor Kessler, Ronald C. Haro Abad, Josep Maria Alonso Caballero, Jordi MINDCOVID Working group |
| author2_role | author author author author author author author author author author author author author author author author |
| author_browse | Alayo, Itxaso Alonso Caballero, Jordi Bruffaerts, Ronny Cristóbal Narváez, Paula Del Cura, Maria Isabel Domènech-Abella, Joan Ferrer Forés, Maria Montserrat Félez-Nobrega, Mireia Haro Abad, Josep Maria Kessler, Ronald C. MINDCOVID Working group Mortier, Philippe Olaya, Beatriz Pijoán, José Ignacio Pérez Solà, Víctor Vieta, Eduard Vilagut Saiz, Gemma, 1975- |
| author_facet | Mortier, Philippe Vilagut Saiz, Gemma, 1975- Ferrer Forés, Maria Montserrat Alayo, Itxaso Bruffaerts, Ronny Cristóbal Narváez, Paula Del Cura, Maria Isabel Domènech-Abella, Joan Félez-Nobrega, Mireia Olaya, Beatriz Pijoán, José Ignacio Vieta, Eduard Pérez Solà, Víctor Kessler, Ronald C. Haro Abad, Josep Maria Alonso Caballero, Jordi MINDCOVID Working group |
| author_role | author |
| collection | Repositorio Digital de la UPF |
| description | Aims: To investigate the prevalence of suicidal thoughts and behaviours (STB; i.e. suicidal ideation, plans or attempts) in the Spanish adult general population during the first wave of the Spain coronavirus disease 2019 (COVID-19) pandemic (March-July, 2020), and to investigate the individual- and population-level impact of relevant distal and proximal STB risk factor domains. Methods: Cross-sectional study design using data from the baseline assessment of an observational cohort study (MIND/COVID project). A nationally representative sample of 3500 non-institutionalised Spanish adults (51.5% female; mean age = 49.6 [s.d. = 17.0]) was taken using dual-frame random digit dialing, stratified for age, sex and geographical area. Professional interviewers carried out computer-assisted telephone interviews (1-30 June 2020). Thirty-day STB was assessed using modified items from the Columbia Suicide Severity Rating Scale. Distal (i.e. pre-pandemic) risk factors included sociodemographic variables, number of physical health conditions and pre-pandemic lifetime mental disorders; proximal (i.e. pandemic) risk factors included current mental disorders and a range of adverse events-experiences related to the pandemic. Logistic regression was used to investigate individual-level associations (odds ratios [OR]) and population-level associations (population attributable risk proportions [PARP]) between risk factors and 30-day STB. All data were weighted using post-stratification survey weights. Results: Estimated prevalence of 30-day STB was 4.5% (1.8% active suicidal ideation; n = 5 [0.1%] suicide attempts). STB was 9.7% among the 34.3% of respondents with pre-pandemic lifetime mental disorders, and 1.8% among the 65.7% without any pre-pandemic lifetime mental disorder. Factors significantly associated with STB were pre-pandemic lifetime mental disorders (total PARP = 49.1%) and current mental disorders (total PARP = 58.4%), i.e. major depressive disorder (OR = 6.0; PARP = 39.2%), generalised anxiety disorder (OR = 5.6; PARP = 36.3%), post-traumatic stress disorder (OR = 4.6; PARP = 26.6%), panic attacks (OR = 6.7; PARP = 36.6%) and alcohol/substance use disorder (OR = 3.3; PARP = 5.9%). Pandemic-related adverse events-experiences associated with STB were lack of social support, interpersonal stress, stress about personal health and about the health of loved ones (PARPs 32.7-42.6%%), and having loved ones infected with COVID-19 (OR = 1.7; PARP = 18.8%). Up to 74.1% of STB is potentially attributable to the joint effects of mental disorders and adverse events-experiences related to the pandemic. Conclusions: STB at the end of the first wave of the Spain COVID-19 pandemic was high, and large proportions of STB are potentially attributable to mental disorders and adverse events-experiences related to the pandemic, including health-related stress, lack of social support and interpersonal stress. There is an urgent need to allocate resources to increase access to adequate mental healthcare, even in times of healthcare system overload. |
| eu_rights_str_mv | openAccess |
| format | article |
| id | ES_f42e3bbc0dd349b0df3ada5d8f0db9fa |
| institution | Universitat Pompeu Fabra |
| instname_str | Universitat Pompeu Fabra |
| network_acronym_str | ES |
| network_name_str | España |
| oai_identifier_str | oai:repositori.upf.edu:10230/52423 |
| publishDate | 2021 |
| publishDateSort | 2021 |
| publisher | Cambridge University Press |
| publisherStr | Cambridge University Press |
| reponame_str | Repositorio Digital de la UPF |
| spelling | Thirty-day suicidal thoughts and behaviours in the Spanish adult general population during the first wave of the Spain COVID-19 pandemic Mortier, Philippe Vilagut Saiz, Gemma, 1975- Ferrer Forés, Maria Montserrat Alayo, Itxaso Bruffaerts, Ronny Cristóbal Narváez, Paula Del Cura, Maria Isabel Domènech-Abella, Joan Félez-Nobrega, Mireia Olaya, Beatriz Pijoán, José Ignacio Vieta, Eduard Pérez Solà, Víctor Kessler, Ronald C. Haro Abad, Josep Maria Alonso Caballero, Jordi MINDCOVID Working group COVID-19 Spain Epidemiology Pandemic Risk factors Suicide Aims: To investigate the prevalence of suicidal thoughts and behaviours (STB; i.e. suicidal ideation, plans or attempts) in the Spanish adult general population during the first wave of the Spain coronavirus disease 2019 (COVID-19) pandemic (March-July, 2020), and to investigate the individual- and population-level impact of relevant distal and proximal STB risk factor domains. Methods: Cross-sectional study design using data from the baseline assessment of an observational cohort study (MIND/COVID project). A nationally representative sample of 3500 non-institutionalised Spanish adults (51.5% female; mean age = 49.6 [s.d. = 17.0]) was taken using dual-frame random digit dialing, stratified for age, sex and geographical area. Professional interviewers carried out computer-assisted telephone interviews (1-30 June 2020). Thirty-day STB was assessed using modified items from the Columbia Suicide Severity Rating Scale. Distal (i.e. pre-pandemic) risk factors included sociodemographic variables, number of physical health conditions and pre-pandemic lifetime mental disorders; proximal (i.e. pandemic) risk factors included current mental disorders and a range of adverse events-experiences related to the pandemic. Logistic regression was used to investigate individual-level associations (odds ratios [OR]) and population-level associations (population attributable risk proportions [PARP]) between risk factors and 30-day STB. All data were weighted using post-stratification survey weights. Results: Estimated prevalence of 30-day STB was 4.5% (1.8% active suicidal ideation; n = 5 [0.1%] suicide attempts). STB was 9.7% among the 34.3% of respondents with pre-pandemic lifetime mental disorders, and 1.8% among the 65.7% without any pre-pandemic lifetime mental disorder. Factors significantly associated with STB were pre-pandemic lifetime mental disorders (total PARP = 49.1%) and current mental disorders (total PARP = 58.4%), i.e. major depressive disorder (OR = 6.0; PARP = 39.2%), generalised anxiety disorder (OR = 5.6; PARP = 36.3%), post-traumatic stress disorder (OR = 4.6; PARP = 26.6%), panic attacks (OR = 6.7; PARP = 36.6%) and alcohol/substance use disorder (OR = 3.3; PARP = 5.9%). Pandemic-related adverse events-experiences associated with STB were lack of social support, interpersonal stress, stress about personal health and about the health of loved ones (PARPs 32.7-42.6%%), and having loved ones infected with COVID-19 (OR = 1.7; PARP = 18.8%). Up to 74.1% of STB is potentially attributable to the joint effects of mental disorders and adverse events-experiences related to the pandemic. Conclusions: STB at the end of the first wave of the Spain COVID-19 pandemic was high, and large proportions of STB are potentially attributable to mental disorders and adverse events-experiences related to the pandemic, including health-related stress, lack of social support and interpersonal stress. There is an urgent need to allocate resources to increase access to adequate mental healthcare, even in times of healthcare system overload. Cambridge University Press http://hdl.handle.net/10230/52423 http://dx.doi.org/10.1017/S2045796021000093 |
| spellingShingle | Thirty-day suicidal thoughts and behaviours in the Spanish adult general population during the first wave of the Spain COVID-19 pandemic Mortier, Philippe COVID-19 Spain Epidemiology Pandemic Risk factors Suicide |
| status_str | publishedVersion |
| title | Thirty-day suicidal thoughts and behaviours in the Spanish adult general population during the first wave of the Spain COVID-19 pandemic |
| title_full | Thirty-day suicidal thoughts and behaviours in the Spanish adult general population during the first wave of the Spain COVID-19 pandemic |
| title_fullStr | Thirty-day suicidal thoughts and behaviours in the Spanish adult general population during the first wave of the Spain COVID-19 pandemic |
| title_full_unstemmed | Thirty-day suicidal thoughts and behaviours in the Spanish adult general population during the first wave of the Spain COVID-19 pandemic |
| title_short | Thirty-day suicidal thoughts and behaviours in the Spanish adult general population during the first wave of the Spain COVID-19 pandemic |
| title_sort | Thirty-day suicidal thoughts and behaviours in the Spanish adult general population during the first wave of the Spain COVID-19 pandemic |
| topic | COVID-19 Spain Epidemiology Pandemic Risk factors Suicide |
| topic_facet | COVID-19 Spain Epidemiology Pandemic Risk factors Suicide |
| url | http://hdl.handle.net/10230/52423 http://dx.doi.org/10.1017/S2045796021000093 |