Suicidal thoughts and behavior of adolescents with depression in Reunion Island - evolution before and after the initial Covid-19 lockdown.

IF 1.2 4区 医学 Q4 NEUROSCIENCES
Josee Aoun, Coline Copin, Miléna Portelette, Massimiliano Orri, Michel Spodenkiewicz
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引用次数: 0

Abstract

Background: The number of patients consulting with suicidal thoughts and behavior in the health care centers have increased since the Covid-19 pandemic. This increase has been particularly important among adolescents. Most often these patients are diagnosed with anxiety or depressive symptoms. We only have a limited amount of information on depression and STB in adolescents since epidemiological monitoring in health care institutions is based on computerized coding derived from ICD-10. This coding system is very specific for the different forms of depression yet fails to provide accurate coding for suicidal thoughts and behavior. The objectives of this study were to compare the numbers of adolescents with depression who were admitted with suicidal thoughts and behavior before and after the initial Covid-19 lockdown and to highlight possible gender disparities.

Methods: Patients' medical charts for this retrospective research were obtained from the Department of Adolescent Psychiatry at the University Hospital Centre of Reunion Island, manually screened, and then analyzed. We included all adolescents diagnosed with depression who had had their first consultation between January 1, 2019 and July 31, 2021. The number of patients presenting suicidal thoughts, self-harm and suicide attempts were compared before and after the initial Covid-19 lockdown.

Results: Three hundred and sixty-one adolescents diagnosed with depression participated in the study (33.5% males, 66.5% females). Their average age was 16 (SD=1.7). The number of admitted patients increased from 9 to 16 new adolescents with depression and STB each month between the period before and after the first lockdown, with a large proportion of female patients (increase of 74.1%).

Conclusion: This study showed an increase in the number of adolescents consulting for suicidal thoughts or behavior in an adolescent psychiatry department in Reunion Island after the initial Covid-19 lockdown. They were mainly female. This increase has strained an already overburdened mental health system by doubling the number of adolescents that each health care provider has had to help which increases the risk of inadequate care by rapidly increasing the workload but with constant resources.

留尼汪岛抑郁症青少年的自杀想法和行为--Covid-19 封锁行动前后的演变。
背景:自 Covid-19 大流行以来,到医疗中心咨询有自杀想法和行为的患者人数有所增加。这一增长在青少年中尤为明显。这些患者通常被诊断为焦虑或抑郁症状。由于医疗机构的流行病学监测是基于 ICD-10 的计算机编码,因此我们仅掌握了青少年抑郁症和 STB 的有限信息。这种编码系统对不同形式的抑郁症有很强的针对性,但却无法对自杀想法和行为进行准确编码。本研究的目的是比较在最初的 Covid-19 封闭治疗前后,因有自杀想法和行为而入院的抑郁症青少年人数,并强调可能存在的性别差异:这项回顾性研究从留尼汪岛大学医院中心的青少年精神病学系获得了患者的病历,经过人工筛选后进行了分析。我们纳入了2019年1月1日至2021年7月31日期间首次就诊的所有被诊断患有抑郁症的青少年。结果显示,有自杀念头、自残和自杀企图的患者人数在最初的Covid-19封锁前后进行了比较:361名被诊断患有抑郁症的青少年参与了研究(33.5%为男性,66.5%为女性)。他们的平均年龄为 16 岁(SD=1.7)。在第一次封锁前后,每月新入院的抑郁症和 STB 青少年患者人数从 9 人增加到 16 人,其中女性患者占很大比例(增加了 74.1%):这项研究表明,在 Covid-19 封锁初期之后,因有自杀念头或行为而到留尼汪岛青少年精神科就诊的青少年人数有所增加。他们主要是女性。这一增长给本已不堪重负的心理健康系统带来了压力,因为每个医疗服务提供者必须帮助的青少年人数增加了一倍,这增加了在资源不变的情况下迅速增加工作量从而导致护理不足的风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.60
自引率
7.40%
发文量
162
审稿时长
6-12 weeks
期刊介绍: Une revue française de renommée internationale. - Un comite de rédaction représentant tous les aspects de la prise en charge psychiatrique du patient. - Une sélection rigoureuse d''articles faisant l''objet de plusieurs expertises. - Des travaux d''auteurs et de chercheurs de renommée internationale. - Des indexations dans les grandes bases de données (Current Contents, Excerpta Medica, etc.). - Un facteur d''impact qui témoigne de la grande notoriété de la revue. La tribune des publications originales de haut niveau. - Une très grande diversité des sujets traités, rigoureusement sélectionnés à travers des sommaires dynamiques : - des éditoriaux de médecins référents, - une revue de presse sur les actualités internationales, - des articles originaux pour approfondir vos connaissances, - des mises au point et des cas cliniques pour engager votre réflexion sur les indications et choix possibles au travers de mises en situation clinique, - des dossiers thématiques pour faire le tour d''une question. - L''actualité de l''AFPB : L''Encéphale publie régulièrement des comptes rendus de l''Association française de psychiatrie clinique.
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