Evidence map›Paper›PMID 35786770›Full record

ArticleEuropean archives of psychiatry and clinical neuroscience2023

Changes in the pattern of suicides and suicide attempt admissions in relation to the COVID-19 pandemic.

Christine Reif-Leonhard, Dorothea Lemke, Franziska Holz, Kira F Ahrens, Christoph Fehr, Markus Steffens, Michael Grube, Christine M Freitag, Sarah C Kölzer, Sabine Schlitt and 13 more

Open access · hybridAbstract read
In one paragraph

Article in European archives of psychiatry and clinical neuroscience, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 10% of its field
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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Suicide before and during the COVID-19 Pandemic: A Systematic Review with Meta-Analysis.International journal of environmental research and public health · 2023
    Pooled it
  2. Effectiveness of a communal, multilevel, interdisciplinary suicide prevention program.European psychiatry : the journal of the Association of European Psychiatrists · 2025
    Article
  3. Injury patterns of suicide attempts in the head and neck area-a retrospective analysis over 15 years.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2025
    Article
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  9. Insight into the long-term psychological impacts of the COVID-19 pandemic.European archives of psychiatry and clinical neuroscience · 2023
    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

23 authors at 6 institutions in 1 country.

Christine Reif-LeonhardDepartment of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt-Goethe University Frankfurt, Heinrich-Hoffmann-Str. 10, 60528, Frankfurt am Main, Germany. christine.reif-leonhard@kgu.de.
Dorothea LemkeInstitute of General Practice, Goethe University Frankfurt, Frankfurt am Main, Germany.
Franziska HolzInstitute of Legal Medicine, University Hospital Frankfurt-Goethe University Frankfurt, Frankfurt am Main, Germany.
Kira F AhrensDepartment of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt-Goethe University Frankfurt, Heinrich-Hoffmann-Str. 10, 60528, Frankfurt am Main, Germany.
Christoph FehrVitos Klinik für Psychiatrie und Psychotherapie Hadamar, Hadamar, Germany.
Markus SteffensKlinik Hohe Mark, Frankfurt am Main, Germany.
Michael GrubeDepartment of Psychiatry, Städtisches Klinikum Frankfurt-Hoechst, Frankfurt am Main, Germany.
Christine M FreitagDepartment of Child and Adolescent Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt-Goethe University Frankfurt, Frankfurt am Main, Germany.
Sarah C KölzerInstitute of Legal Medicine, University Hospital Frankfurt-Goethe University Frankfurt, Frankfurt am Main, Germany.
Sabine SchlittDepartment of Child and Adolescent Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt-Goethe University Frankfurt, Frankfurt am Main, Germany.
Rebekka GebhardtDepartment of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt-Goethe University Frankfurt, Heinrich-Hoffmann-Str. 10, 60528, Frankfurt am Main, Germany.
Theresa GädekeKlinik Hohe Mark, Frankfurt am Main, Germany.
Helga SchmidtDepartment of Psychiatry, Städtisches Klinikum Frankfurt-Hoechst, Frankfurt am Main, Germany.
Ferdinand M GerlachInstitute of General Practice, Goethe University Frankfurt, Frankfurt am Main, Germany.
Kira WolffDepartment of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt-Goethe University Frankfurt, Heinrich-Hoffmann-Str. 10, 60528, Frankfurt am Main, Germany.
Michael StäbleinDepartment of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt-Goethe University Frankfurt, Heinrich-Hoffmann-Str. 10, 60528, Frankfurt am Main, Germany.
Nora HauschildGesundheitsamt Frankfurt Am Main, Frankfurt am Main, Germany.
Inga BeigGesundheitsamt Frankfurt Am Main, Frankfurt am Main, Germany.
Louisa WagnerDepartment of Psychiatry, Agaplesion Markus Krankenhaus, Frankfurt am Main, Germany.
Juliane MüllerDepartment of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt-Goethe University Frankfurt, Heinrich-Hoffmann-Str. 10, 60528, Frankfurt am Main, Germany.
Marcel A VerhoffInstitute of Legal Medicine, University Hospital Frankfurt-Goethe University Frankfurt, Frankfurt am Main, Germany.
Christiane SchlangDepartment of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt-Goethe University Frankfurt, Heinrich-Hoffmann-Str. 10, 60528, Frankfurt am Main, Germany.
Andreas ReifDepartment of Psychiatry, Psychosomatic Medicine and Psychotherapy, University Hospital Frankfurt-Goethe University Frankfurt, Heinrich-Hoffmann-Str. 10, 60528, Frankfurt am Main, Germany.
Goethe University Frankfurt · DEUniversity Hospital Frankfurt · DEGesundheitsamt · DEAgaplesion Markus Hospital · DECatholic University of Applied Sciences · DEKlinikum Frankfurt Höchst · DE

Funding

Bundesministerium für Gesundheit ZMVI1-2517FSB136
6 · The paper itself

Abstract

The consequences of the current COVID-19 pandemic for mental health remain unclear, especially regarding the effects on suicidal behaviors. To assess changes in the pattern of suicide attempt (SA) admissions and completed suicides (CS) in association with the COVID-19 pandemic. As part of a longitudinal study, SA admissions and CS are systematically documented and analyzed in all psychiatric hospitals in Frankfurt/Main (765.000 inhabitants). Number, sociodemographic factors, diagnoses and methods of SA and CS were compared between the periods of March-December 2019 and March-December 2020. The number of CS did not change, while the number of SA significantly decreased. Age, sex, occupational status, and psychiatric diagnoses did not change in SA, whereas the percentage of patients living alone while attempting suicide increased. The rate and number of intoxications as a SA method increased and more people attempted suicide in their own home, which was not observed in CS. Such a shift from public places to home is supported by the weekday of SA, as the rate of SA on weekends was significantly lower during the pandemic, likely because of lockdown measures. Only admissions to psychiatric hospitals were recorded, but not to other institutions. As it seems unlikely that the number of SA decreased while the number of CS remained unchanged, it is conceivable that the number of unreported SA cases increased during the pandemic. Our data suggest that a higher number of SA remained unnoticed during the pandemic because of their location and the use of methods associated with lower lethality.

Indexed as

COVID-19Suicide, AttemptedCommunicable Disease ControlHumansLongitudinal StudiesPandemicsCompleted suicideCOVID-19PandemicSARS-CoV2Suicide attempt

Identifiers

PMID35786770
PMCPMC9252546
OpenAlexW4283811866

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.