Suicide prevented or delayed? Suicide rates during North Carolina's stay-at-home order.

IF 2.5 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Injury Prevention Pub Date : 2025-06-08 DOI:10.1136/ip-2024-045497

Vanessa E Miller, Brian W Pence, Monica E Swilley-Martinez, Kate Vinita Fitch, Andrew L Kavee, Pasangi S Perera, Zoey Song, Ishrat Z Alam, Bradley N Gaynes, Timothy S Carey, David B Goldston, Shabbar I Ranapurwala

{"title":"Suicide prevented or delayed? Suicide rates during North Carolina's stay-at-home order.","authors":"Vanessa E Miller, Brian W Pence, Monica E Swilley-Martinez, Kate Vinita Fitch, Andrew L Kavee, Pasangi S Perera, Zoey Song, Ishrat Z Alam, Bradley N Gaynes, Timothy S Carey, David B Goldston, Shabbar I Ranapurwala","doi":"10.1136/ip-2024-045497","DOIUrl":null,"url":null,"abstract":"Objectives: To assess the impact of the COVID-19-related stay-at-home (SAH) order in North Carolina (NC) on suicide mortality.Methods: We used controlled interrupted time series to examine weekly suicide death rates before, during and after the SAH order compared with 2015-2019 rates.Results: Between 1 January 2020 and 30 March 2020, the suicide death rate in NC was stable. On SAH order implementation, there was an immediate decline in the suicide rate of 2.0 deaths per 100 000 person-years (PYs) (95% CI -7.7, 3.7) during the first SAH week, relative to combined weekly data 2015-2019, followed by a sustained decline of 1.0 death per 100 000 PYs (95% CI -2.0, 0.1) per week over the eight weeks under SAH. On lifting the SAH order, we observed an immediate increase in suicide (3.7 per 100 000 PYs (95% CI -0.7, 8.2)) and from that point through the end of 2020, suicide mortality increased at a rate of 0.7 per 100 000 PYs (95% CI -0.2, 1.6) per week.Conclusions: During the SAH period, suicide mortality declined for 8 weeks but returned to prior rates after the SAH order was lifted. Increased family supervision and decreased access to lethal means may explain the observed reduction in suicide during the SAH order.","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":""},"PeriodicalIF":2.5000,"publicationDate":"2025-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Injury Prevention","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1136/ip-2024-045497","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}

引用次数: 0

Abstract

Objectives: To assess the impact of the COVID-19-related stay-at-home (SAH) order in North Carolina (NC) on suicide mortality.

Methods: We used controlled interrupted time series to examine weekly suicide death rates before, during and after the SAH order compared with 2015-2019 rates.

Results: Between 1 January 2020 and 30 March 2020, the suicide death rate in NC was stable. On SAH order implementation, there was an immediate decline in the suicide rate of 2.0 deaths per 100 000 person-years (PYs) (95% CI -7.7, 3.7) during the first SAH week, relative to combined weekly data 2015-2019, followed by a sustained decline of 1.0 death per 100 000 PYs (95% CI -2.0, 0.1) per week over the eight weeks under SAH. On lifting the SAH order, we observed an immediate increase in suicide (3.7 per 100 000 PYs (95% CI -0.7, 8.2)) and from that point through the end of 2020, suicide mortality increased at a rate of 0.7 per 100 000 PYs (95% CI -0.2, 1.6) per week.

Conclusions: During the SAH period, suicide mortality declined for 8 weeks but returned to prior rates after the SAH order was lifted. Increased family supervision and decreased access to lethal means may explain the observed reduction in suicide during the SAH order.

查看原文本刊更多论文

预防自杀还是推迟自杀？北卡罗来纳州居家令期间的自杀率。

目的：评估北卡罗来纳州新冠肺炎相关居家令（SAH）对自杀死亡率的影响。方法：我们使用控制中断时间序列，比较2015-2019年SAH命令之前、期间和之后的每周自杀死亡率。结果：2020年1月1日至2020年3月30日，北碚区自杀死亡率基本稳定。在实施SAH命令时，与2015-2019年合并的每周数据相比，在SAH的第一周，自杀率立即下降为每10万人年（PYs）死亡2.0例（95% CI -7.7, 3.7），随后在SAH的八周内，每周持续下降为每10万人年死亡1.0例（95% CI -2.0, 0.1）。在解除SAH命令后，我们观察到自杀率立即增加（每10万PYs中有3.7人（95% CI -0.7, 8.2）），从那时到2020年底，自杀死亡率以每周每10万PYs中有0.7人（95% CI -0.2, 1.6）的速度增加。结论：在SAH期间，自杀死亡率下降了8周，但在SAH命令解除后又恢复到原来的水平。增加家庭监督和减少使用致命手段可以解释在SAH命令期间观察到的自杀减少。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Injury Prevention 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.30

自引率

2.70%

发文量

审稿时长

6-12 weeks

期刊介绍： Since its inception in 1995, Injury Prevention has been the pre-eminent repository of original research and compelling commentary relevant to this increasingly important field. An international peer reviewed journal, it offers the best in science, policy, and public health practice to reduce the burden of injury in all age groups around the world. The journal publishes original research, opinion, debate and special features on the prevention of unintentional, occupational and intentional (violence-related) injuries. Injury Prevention is online only.