Suicide behaviors during the COVID-19 pandemic: A meta-analysis of 54 studies

https://doi.org/10.1016/j.psychres.2021.113998Get rights and content

Highlights

  • Meta-analyzed research on suicide behaviors during the COVID-19 pandemic.

  • Identified 54 relevant studies involving 308,596 participants.

  • Rates were high for suicide ideation (10.81%), attempts (4.68%), and self-harm (9.63%).

  • Age, sex, and geopolitics moderated the pandemic's impact on suicide behavior.

  • A concerning escalation in suicide behaviors is occurring during the COVID-19 pandemic.

Abstract

COVID-19, and efforts to mitigate its spread, are creating extensive mental health problems. Experts have speculated the mental, economic, behavioral, and psychosocial problems linked to the COVID-19 pandemic may lead to a rise in suicide behavior. However, a quantitative synthesis is needed to reach an overall conclusion regarding the pandemic-suicide link. In the most comprehensive test of the COVID-19—suicidality link to date, we meta-analyzed data from 308,596 participants across 54 studies. Our results suggested increased event rates for suicide ideation (10.81%), suicide attempts (4.68%), and self-harm (9.63%) during the COVID-19 pandemic when considered against event rates from pre-pandemic studies. Moderation analysis indicated younger people, women, and individuals from democratic countries are most susceptible to suicide ideation during the COVID-19 pandemic. Policymakers and helping professionals are advised that suicide behaviors are alarmingly common during the COVID-19 pandemic and vary based upon age, gender, and geopolitics. Strong protections from governments (e.g., implementing best practices in suicide prevention) are urgently needed to reduce suicide behaviors during the COVID-19 pandemic.

Keywords

Suicide ideation
Suicide attempts
Self-harm
Suicide prevention

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