Evidence map›Paper›PMID 34781918›Full record

Observational studyBMC psychiatry2021

Changes in the pattern of suicide attempters visiting the emergency room after COVID-19 pandemic: an observational cross sectional study.

Ji-Hun Kang, Si-Won Lee, Jae-Gu Ji, Jae-Kwang Yu, Yun-Deok Jang, Seong-Ju Kim, Yang-Weon Kim

Abstract readObservational Study
In one paragraph

Observational study in BMC psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
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

14 citing papers in PubMed.

  1. Article
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  10. Suicide and COVID-19: a rapid scoping review.Annals of general psychiatry · 2023
    Article
  11. Article
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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

7 authors.

Ji-Hun KangDepartment of Emergency Medicine, Inje University Busan Paik Hospital, 75 Bokji-ro, Busanjin-gu, Busan, 47392, South Korea.
Si-Won LeeDepartment of Emergency Medicine, Inje University Busan Paik Hospital, 75 Bokji-ro, Busanjin-gu, Busan, 47392, South Korea. siwonara@naver.com.
Jae-Gu JiDepartment of Emergency Medicine, Inje University Busan Paik Hospital, 75 Bokji-ro, Busanjin-gu, Busan, 47392, South Korea.
Jae-Kwang YuDepartment of Emergency Medicine, Inje University Busan Paik Hospital, 75 Bokji-ro, Busanjin-gu, Busan, 47392, South Korea.
Yun-Deok JangDepartment of Emergency Medicine, Inje University Busan Paik Hospital, 75 Bokji-ro, Busanjin-gu, Busan, 47392, South Korea.
Seong-Ju KimDepartment of Emergency Medical Technician, Dong Ju College. 16, Sari-ro 55beon-gil, Saha-gu, Busan, Republic of South Korea.
Yang-Weon KimDepartment of Emergency Medicine, Inje University Busan Paik Hospital, 75 Bokji-ro, Busanjin-gu, Busan, 47392, South Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to find out the change in the rate and pattern of suicide attempts during severe acute respiratory syndrome COVID-19 pandemic period.

methodsThis study was a retrospective analysis of data collected as a part of an emergency room-based post-suicide management program. The data were collected through interviews and from medical records of suicide attempts, maintained in the emergency room, from January 19 to October 31, 2020, during the "COVID-19 period," and those who attempted suicide from January 19 to October 31, 2019 "pre-COVID-19 period." We extracted educational background, marital status, occupation, presence of domestic partner, history of mental illness, alcohol consumption, history of previous suicide attempts; suicide attempt method and location (i.e., at home or a place other than home) at the time of attempt, and whether the attempt was a mass suicide. In addition, we compared patient severity between "COVID-19 period" and "pre-COVID-19 period" using the initial KTAS (South Korean triage and acuity scale) level, consciousness level, and systolic blood pressure. In 2012, KTAS was developed through the Ministry of Health and Welfare's research project to establish triage system in South Korea.

resultsThe analysis of the number of suicide attempts during "pre-COVID-19 period" and " COVID-19 period" showed that the number of suicide attempts during "COVID-19 period" (n = 440) increased compared to the "pre-COVID-19 period" (n = 400). Moreover, the method of suicide attempts during "COVID-19 period" included overdose of drugs such as hypnotics, antipsychotics, and pesticides that were already possessed by the patient increased compared to the "pre-COVID-19 period" (P < 0.05). At the time of the visit to the emergency room, high KTAS level, low level of consciousness, and low systolic blood pressure, were observed, which were significantly different between "COVID-19 period" and "pre-COVID-19 period" (P < 0.05).

conclusionWith the worldwide COVID-19 virus spread, suicide rate and suicide attempts at home have significantly increased. In addition, patient severity was higher in the "COVID-19 period" than that in the "pre-COVID-19 period." The increasing suicide attempt rate should be controlled by cooperation between the emergency room and regional organizations.

Indexed as

COVID-19Suicide, AttemptedCross-Sectional StudiesEmergency Service, HospitalHumansPandemicsRetrospective StudiesSARS-CoV-2Attempted suicideCOVID-19Emergency roomSuicide

Identifiers

PMID34781918
PMCPMC8591586

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.