Thirty-day suicidal thoughts and behaviours in the Spanish adult general population during the first wave of the Spain COVID-19 pandemic

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• dc.contributor.author Mortier, Philippe
• dc.contributor.author Vilagut Saiz, Gemma, 1975-
• dc.contributor.author Ferrer Forés, Maria Montserrat
• dc.contributor.author Alayo, Itxaso
• dc.contributor.author Bruffaerts, Ronny
• dc.contributor.author Cristóbal Narváez, Paula
• dc.contributor.author Del Cura, Maria Isabel
• dc.contributor.author Domènech-Abella, Joan
• dc.contributor.author Félez-Nobrega, Mireia
• dc.contributor.author Olaya, Beatriz
• dc.contributor.author Pijoán, José Ignacio
• dc.contributor.author Vieta, Eduard
• dc.contributor.author Pérez Solá, Victor
• dc.contributor.author Kessler, Ronald C.
• dc.contributor.author Haro Abad, Josep Maria
• dc.contributor.author Alonso Caballero, Jordi
• dc.contributor.author MINDCOVID Working group
• dc.date.accessioned 2022-02-07T08:01:39Z
• dc.date.available 2022-02-07T08:01:39Z
• dc.date.issued 2021
• dc.description.abstract 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.
• dc.format.mimetype application/pdf
• dc.identifier.citation Mortier P, Vilagut G, Ferrer M, Alayo I, Bruffaerts R, Cristóbal-Narváez P, Del Cura-González I, Domènech-Abella J, Felez-Nobrega M, Olaya B, Pijoan JI, Vieta E, Pérez-Solà V, Kessler RC, Haro JM, Alonso J; MINDCOVID Working group; MINDCOVID Working group. Thirty-day suicidal thoughts and behaviours in the Spanish adult general population during the first wave of the Spain COVID-19 pandemic. Epidemiol Psychiatr Sci. 2021;30:e19. DOI: 10.1017/S2045796021000093
• dc.identifier.doi http://dx.doi.org/10.1017/S2045796021000093
• dc.identifier.issn 2045-7960
• dc.identifier.uri http://hdl.handle.net/10230/52423
• dc.language.iso eng
• dc.publisher Cambridge University Press
• dc.relation.ispartof Epidemiol Psychiatr Sci. 2021;30:e19
• dc.rights © The Author(s), 2021. Published by Cambridge University Press. This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.rights.uri http://creativecommons.org/licenses/by/4.0/
• dc.subject.keyword COVID-19
• dc.subject.keyword Spain
• dc.subject.keyword Epidemiology
• dc.subject.keyword Pandemic
• dc.subject.keyword Risk factors
• dc.subject.keyword Suicide
• dc.title Thirty-day suicidal thoughts and behaviours in the Spanish adult general population during the first wave of the Spain COVID-19 pandemic
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/publishedVersion