Evidence map›Paper›PMID 34557811›Full record

ArticleThe Lancet regional health. Europe2021

Prevalence of mental disorders, suicidal ideation and suicides in the general population before and during the COVID-19 pandemic in Norway: A population-based repeated cross-sectional analysis.

Ann Kristin Skrindo Knudsen, Kim Stene-Larsen, Kristin Gustavson, Matthew Hotopf, Ronald C Kessler, Steinar Krokstad, Jens Christoffer Skogen, Simon Øverland, Anne Reneflot

Abstract read
In one paragraph

Article in The Lancet regional health. Europe, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 8 pooled it
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

64 citing papers in PubMed, 8 syntheses or guidelines pooled it.

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  5. Suicide before and during the COVID-19 Pandemic: A Systematic Review with Meta-Analysis.International journal of environmental research and public health · 2023
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  13. Age- and sex-patterns of suicide trends in Europe: 1990-2022 comparative analysis of official WHO mortality data.European psychiatry : the journal of the Association of European Psychiatrists · 2025
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4 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Ann Kristin Skrindo KnudsenCentre for Disease Burden, Norwegian Institute of Public Health, Zander Kaaes Gate 7, PO Box 973 Sentrum, 5-5808, 5015 Bergen, Norway.
Kim Stene-LarsenDepartment of Mental Health and Suicide, Norwegian Institute of Public Health, Marcus Thranes Gate 6, 0473 Oslo, Norway.
Kristin GustavsonPROMENTA Research Center, Department of Psychology, University of Oslo, Blindern, 0317 Oslo, Norway.
Matthew HotopfDepartment of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, 16 De Crespigny Park, Camberwell, London SE5 8 AF, United Kingdom.
Ronald C KesslerDepartment of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, MA 02115 United States.
Steinar KrokstadHUNT Research Centre, Department of Public Health and Nursing, Norwegian University of Science and Technology, Forskningsvegen 2, 7600 Levanger, Norway.
Jens Christoffer SkogenDepartment of Health Promotion, Norwegian Institute of Public Health, Zander Kaaes gate 7, 5015 Bergen, Norway.
Simon ØverlandCentre for Disease Burden, Norwegian Institute of Public Health, Zander Kaaes Gate 7, PO Box 973 Sentrum, 5-5808, 5015 Bergen, Norway.
Anne ReneflotDepartment of Mental Health and Suicide, Norwegian Institute of Public Health, Marcus Thranes Gate 6, 0473 Oslo, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSelf-report data on mental distress indicate a deterioration of population mental health in many countries during the COVID-19 pandemic. A Norwegian epidemiological diagnostic psychiatric interview survey was conducted from January to September 2020, allowing for comparison of mental disorder and suicidal ideation prevalence from before through different pandemic periods. Prevalence of suicide deaths were compared between 2020 and 2014-2018.

methodsParticipants from the Trøndelag Health Study (HUNT) in Trondheim were recruited through repeated probability sampling. Using the Composite International Diagnostic Interview (CIDI 5.0) (

findingsPrevalence of current mental disorders decreased significantly from the pre-pandemic period (January 28th to March 11th 2020; 15•3% (95% CI 12•4-18•8)) to the first pandemic period (March 12th - May 31st; 8•7% (6•8-11•0)). Prevalences were similar between the pre-pandemic period and the interim (June 1st July 31st; 14•2% (11•4-17•5)) and second periods (August 1st-September 18th; 11•9% (9•0-15•6)). No significant differences were observed in suicidal ideation or in suicide deaths.

interpretationExcept for a decrease in mental disorders in the first pandemic period, the findings suggest stable levels of mental disorders, suicidal ideation and suicide deaths during the first six months of the COVID-19 pandemic compared to pre-pandemic levels. Potential methodological and contextual explanations of these findings compared with findings from other studies are discussed.

fundingNone.

Indexed as

COVID-19Diagnostic interviewEpidemiological surveyGeneral populationMental disordersPrevalenceSuicidalitySuicides

Identifiers

PMID34557811
PMCPMC8454837

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.