Journal of Medicine, Surgery, and Public Health最新文献

{"title":"Intergenerational transmission of incarceration among Black men and boys: A vicious cycle caused by structural racism","authors":"Shervin Assari","doi":"10.1016/j.glmedi.2024.100100","DOIUrl":"https://doi.org/10.1016/j.glmedi.2024.100100","url":null,"abstract":"<div><h3>Introduction</h3><p>The widespread incarceration of Black men and boys in the US is a stark manifestation of structural and institutional racism, significantly impacting health and economic disparities within this community. While there is substantial research on the immediate effects of Black men's imprisonment, there remains a scarcity of longitudinal studies exploring the enduring impact of a father's incarceration on his children's health and well-being, particularly over decades. This study aims to explore the extensive intergenerational consequences of incarceration among Black fathers, focusing specifically on its impact on the educational achievements, likelihood of imprisonment, and mental health of their children 22 years later.</p></div><div><h3>Methods</h3><p>We analyzed data from the Future of Families and Child Wellbeing Study (FFCWS), formerly known as the Fragile Families and Child Wellbeing Study. Our sample included a cohort of births where the fathers were Black. These children were followed over a period of 22 years to assess the long-term effects of their fathers' incarceration.</p></div><div><h3>Results</h3><p>Overall, 1264 families were followed in our analysis. From this number, outcomes were available for 689 sons 22 years later. Our findings indicate that incarceration was more prevalent among Black fathers who were younger and had lower educational attainment. Additionally, a father's incarceration was linked to lower educational levels and younger maternal age. Crucially, we found associations between a father's incarceration and mental health issues (such as anxiety and depression) in their children by the age of 22.</p></div><div><h3>Conclusion</h3><p>The significantly higher risk of incarceration faced by Black men not only poses a direct health risk to themselves but also has profound intergenerational consequences for their children. The impacts extend across various domains, including the risk of incarceration, educational attainment, and mental health of their sons. These insights underscore the urgency for policy interventions aimed at dismantling the systemic barriers that perpetuate the cycle of incarceration and its long-lasting effects on the Black community.</p></div>","PeriodicalId":100804,"journal":{"name":"Journal of Medicine, Surgery, and Public Health","volume":"3 ","pages":"Article 100100"},"PeriodicalIF":0.0,"publicationDate":"2024-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949916X24000537/pdfft?md5=c28ee920793998920cec3027e123e8e4&pid=1-s2.0-S2949916X24000537-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140605823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Artificial intelligence in healthcare delivery: Prospects and pitfalls","authors":"David B. Olawade ,&nbsp;Aanuoluwapo C. David-Olawade ,&nbsp;Ojima Z. Wada ,&nbsp;Akinsola J. Asaolu ,&nbsp;Temitope Adereni ,&nbsp;Jonathan Ling","doi":"10.1016/j.glmedi.2024.100108","DOIUrl":"https://doi.org/10.1016/j.glmedi.2024.100108","url":null,"abstract":"<div><p>This review provides a comprehensive examination of the integration of Artificial Intelligence (AI) into healthcare, focusing on its transformative implications and challenges. Utilising a systematic search strategy across electronic databases such as PubMed, Scopus, Embase, and ScienceDirect, relevant peer-reviewed articles published in English between January 2010 till date were identified. Findings reveal AI's significant impact on healthcare delivery, including its role in enhancing diagnostic precision, enabling treatment personalisation, facilitating predictive analytics, automating tasks, and driving robotics. AI algorithms demonstrate high accuracy in analysing medical images for disease diagnosis and enable the creation of tailored treatment plans based on patient data analysis. Predictive analytics identify high-risk patients for proactive interventions, while AI-powered tools streamline workflows, improving efficiency and patient experience. Additionally, AI-driven robotics automate tasks and enhance care delivery, particularly in rehabilitation and surgery. However, challenges such as data quality, interpretability, bias, and regulatory frameworks must be addressed for responsible AI implementation. Recommendations emphasise the need for robust ethical and legal frameworks, human-AI collaboration, safety validation, education, and comprehensive regulation to ensure the ethical and effective integration of AI in healthcare. This review provides valuable insights into AI's transformative potential in healthcare while advocating for responsible implementation to ensure patient safety and efficacy.</p></div>","PeriodicalId":100804,"journal":{"name":"Journal of Medicine, Surgery, and Public Health","volume":"3 ","pages":"Article 100108"},"PeriodicalIF":0.0,"publicationDate":"2024-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949916X24000616/pdfft?md5=94c3adc7322ca033e4cb547c2e08e874&pid=1-s2.0-S2949916X24000616-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140633181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Atypical case of hepatoma recurrence two years post-transplant","authors":"Syed Muhammad Sinaan Ali ,&nbsp;Abdul Haseeb ,&nbsp;Muhammad Ashir Shafique ,&nbsp;Muhammad Saqlain Mustafa ,&nbsp;Naeemullah Arbani ,&nbsp;Syeda Zainab Fatima","doi":"10.1016/j.glmedi.2024.100101","DOIUrl":"https://doi.org/10.1016/j.glmedi.2024.100101","url":null,"abstract":"<div><p>Hepatocellular carcinoma ranks third most common cancer worldwide. Chronic hepatitis B and C are most common cause of HCC. Liver transplantation is only curative treatment for HCC. However, recurrence post transplantation is most dreadful complication. In this case report, we presented the case of a 48-year-old South Asian patient with a history of chronic hepatitis C infection and subsequent hepatocellular carcinoma (HCC) leading to liver cirrhosis and liver failure signs and symptoms. The patient underwent liver transplantation with a right lobe graft with middle hepatic vein in 2020 which significantly improved in his condition. Two years’ post-transplant, he presented with complaints of abdominal pain radiating and shortness of breath. Radiological investigations including triphasic CT scan and ultrasonography revealed an exophytic growth from the liver and an enhancing lesion in the pre and para-vertebral area, consistent with HCC recurrence and hematoma development. The patient was managed with transarterial chemoembolization (TACE), resulting in a favorable outcome.</p></div>","PeriodicalId":100804,"journal":{"name":"Journal of Medicine, Surgery, and Public Health","volume":"3 ","pages":"Article 100101"},"PeriodicalIF":0.0,"publicationDate":"2024-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949916X24000549/pdfft?md5=e81d1d7171aead638b0674d600baadf4&pid=1-s2.0-S2949916X24000549-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140618834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding mortality patterns and survival outcomes in small intestine cancer: Insights from a retrospective analysis of the SEER database","authors":"Ramez M. Odat ,&nbsp;Ismail A. Ibrahim ,&nbsp;Rana Jaffal ,&nbsp;Malak Aloqaily ,&nbsp;Saba Alshurman ,&nbsp;Yusuf Ja’afer Al Tarawneh ,&nbsp;Abdulqadir J. Nashwan","doi":"10.1016/j.glmedi.2024.100095","DOIUrl":"https://doi.org/10.1016/j.glmedi.2024.100095","url":null,"abstract":"<div><p>Small intestine cancer, a rare malignancy originating in the small intestine, has seen an increased incidence in developed regions over the last five decades. This study explores how demographic variables, treatment modalities, tumor size, and grade impact survival in patients with small intestine cancer and compares their influence relative to other causes of death. We examined data from 38,894 patients diagnosed with small intestine cancer between 2000 and 2020, sourced from the Surveillance, Epidemiology, and End Result (SEER) database. Patients were categorized into three distinct subgroups to investigate the impact of these factors on patient outcomes: (I) Patients A live During the Study Period (II) Patients Deceased Due to Small Intestinal Cancer (III) Patients Deceased Due to Other Causes. Kaplan-Meier curves and a Cox proportional hazards model were used to assess the relationships between these factors and survival outcomes. Results indicate that 13.01% of patients succumbed to small intestine cancer with most being white (approximately 71%) and aged 65–69 years. Males had a higher likelihood of survival than females with median survival time of 37 months. Also, the tumor characteristics played a pivotal role in determining the prognosis. Small tumors (&lt;3 cm) and low-grade malignancies showed a better prognosis compared to larger tumors (&gt;3 cm) and higher-grade cancers. While, Surgery had a significant positive impact on survival (p &lt; 0.05), the efficacy of radiotherapy and chemotherapy was limited. This study reveals the complex interplay of factors affecting survival in small intestine cancer patients over two decades.</p></div>","PeriodicalId":100804,"journal":{"name":"Journal of Medicine, Surgery, and Public Health","volume":"3 ","pages":"Article 100095"},"PeriodicalIF":0.0,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949916X24000483/pdfft?md5=a67ca1a9aaaa684c03779df33778dcf0&pid=1-s2.0-S2949916X24000483-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140350150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health care workers’ risk behaviors and health status: Hidden realities or new paradigms?","authors":"Jagdish Khubchandani ,&nbsp;Kavita Batra ,&nbsp;Robert A. Yockey ,&nbsp;Fern J. Webb ,&nbsp;Srikanta Banerjee","doi":"10.1016/j.glmedi.2024.100097","DOIUrl":"https://doi.org/10.1016/j.glmedi.2024.100097","url":null,"abstract":"<div><p>Healthcare workers (HCWs) and health systems comprise one of the most critical, diverse, and largest industries globally. Healthcare and public health research is often focused on population disease prevention and management, health and disease risks among the public, patient treatment and outcomes, drug and device innovations, healthcare costs, quality, and utilization. Not much is written about the health of HCWs despite the fact that their health is an indirect and major determinant of population health and health system functioning. This editorial proposes focus categories to examine and understand the determinants of the health of HCWs. We are also calling for more research on this topic and submissions to this journal on the extent and nature of health risk and protective factors among HCWs, the determinants of various health problems among HCWs, and interventions or initiatives as real-world examples of what works in improving various dimensions of the health of HCWs.</p></div>","PeriodicalId":100804,"journal":{"name":"Journal of Medicine, Surgery, and Public Health","volume":"2 ","pages":"Article 100097"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949916X24000501/pdfft?md5=8f41131b8b7b88a916f2bd19538dbca7&pid=1-s2.0-S2949916X24000501-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140550978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and determinants of malnutrition among women of reproductive age in Bangladesh","authors":"Sanjoy Dey ,&nbsp;Mohammad Salim Zahangir ,&nbsp;Mohammad Omar Faruk ,&nbsp;Sorif Hossain ,&nbsp;Md. Rasel Hossain","doi":"10.1016/j.glmedi.2024.100096","DOIUrl":"https://doi.org/10.1016/j.glmedi.2024.100096","url":null,"abstract":"<div><h3>Background</h3><p>Malnutrition among women of reproductive age is an important public health issue with significant implications for maternal and child health. A complex interplay of socioeconomic, cultural, and environmental factors influences the prevalence and determinants of malnutrition in this demographic status.This study aims to determine the socioeconomic, cultural, and demographic factors that significantly impact the nutritional status of women of reproductive age in Bangladesh.</p></div><div><h3>Methods</h3><p>This study considered 19798 women who underwent nutritional status assessment from the Bangladesh Demographic and Health Survey 2017–18 (BDHS 2017–18). A chi-square test of association and multinomial logistic regression analysis were performed to identify the factors that substantially influenced nutritional status.</p></div><div><h3>Results</h3><p>Odds ratios (OR) and 95% confidence intervals (CI) were used to evaluate the risk factors associated with body mass index (BMI). This study revealed that the average body mass index of ever-married women in Bangladesh was 23.32 ±4.24 kg/m². The odds ratio of being overweight and obese was higher among women who lived in urban areas (OR=1.094 and 1.254, p&lt;0.05) and those who lived in the Chattogram division (OR=4.249 and 6.341, p&lt;0.05). In addition, those exposed to mass media (OR=1.247 and 1.882) and involved in business (OR=1.644 and 2.162, p&lt;0.05) were found to be overweight compared to their complementary group.</p></div><div><h3>Conclusion</h3><p>Effective prevention and control programs should be implemented to target women with a higher risk of developing the disease to reduce the prevalence of malnutrition.</p></div>","PeriodicalId":100804,"journal":{"name":"Journal of Medicine, Surgery, and Public Health","volume":"2 ","pages":"Article 100096"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949916X24000495/pdfft?md5=964252e67b0ae7daa23301017746a646&pid=1-s2.0-S2949916X24000495-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140536761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Real-world effectiveness of disease-modifying therapies in older adults with multiple sclerosis","authors":"Oisín Butler ,&nbsp;Bianca Weinstock-Guttman ,&nbsp;Dejan Jakimovski ,&nbsp;Svetlana Eckert ,&nbsp;Kiliana Suzart-Woischnik ,&nbsp;Simone Heeg ,&nbsp;Markus Schürks","doi":"10.1016/j.glmedi.2024.100094","DOIUrl":"10.1016/j.glmedi.2024.100094","url":null,"abstract":"<div><h3>Background</h3><p>Disease-modifying therapies (DMTs) can alter multiple sclerosis (MS) disease course.</p><p>Peak prevalence age for people with MS (pwMS) has increased, but little is known about MS clinical course or DMT response in older pwMS.</p><p>The objective of this retrospective analysis of a US administrative claims database to was to evaluate MS disease course, DMT use, healthcare utilisation, and time to relapse during follow-up, in pwMS ≥50 years with active disease.</p></div><div><h3>Methods</h3><p>Inclusion criteria were ≥3 years’ continuous enrolment, ≥1 MS relapse (index event), and age ≥50 years. Baseline period was 1 year prior to index event. Follow-up was 2 years.</p><p>Two patient categories were considered: (i) not under DMT treatment at index date (untreated group) and (ii) under DMT treatment at index date (treated group).</p></div><div><h3>Results</h3><p>Following propensity score matching there were 3,869 patients in the treated and 3,869 patients in the untreated groups.</p><p>The untreated group numerically spent more days in hospital than the treated group (9.4 vs 7.8 days) and had more emergency room (ER)/urgent care visits (1.3 vs 1.0 visits).</p><p>There were no observed differences in time to relapse between groups.</p><p>At index relapse, pwMS were treated with glatiramer acetate (29%), interferons (27%), oral DMTs (29%), or intravenous DMTs (15%). During follow-up, 32% of the untreated group were treated with a DMT, mostly intravenous and oral DMTs. DMT treatment remained largely unchanged in the treated group.</p></div><div><h3>Conclusion</h3><p>DMTs may provide shorter hospital stays and less frequent ER visits in older pwMS with active MS. Treatment inertia after relapse was high.</p></div>","PeriodicalId":100804,"journal":{"name":"Journal of Medicine, Surgery, and Public Health","volume":"3 ","pages":"Article 100094"},"PeriodicalIF":0.0,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949916X24000471/pdfft?md5=c6cd02d11428d68a783b3ba06bb2132e&pid=1-s2.0-S2949916X24000471-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140407554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rickettsial infection causing non-aneurysmal subarachnoid hemorrhage with transient corpus callosum lesion","authors":"Zahraa Noureddine El Moussaoui ,&nbsp;Zahraa Saker ,&nbsp;Hasan Rahhal ,&nbsp;Ali Nasserdine ,&nbsp;Mahmoud Younes","doi":"10.1016/j.glmedi.2024.100093","DOIUrl":"10.1016/j.glmedi.2024.100093","url":null,"abstract":"<div><p>Rickettsial infection is caused by intracellular gram-negative bacilli, rickettsiae, which are transmitted via arthropod vectors. These stealthy bacteria have evolved sophisticated mechanisms to invade host cells, where they exploit cellular mechanisms for their replication and survival. Rickettsial infection represents a significant public health concern due to the ability of rickettsiae to infect a wide range of organs, including the central nervous system. In this case report, a 23-year-old male presented with a severe headache and flu-like symptoms. The discovery of hemorrhagic cerebrospinal fluid retrieved from a lumbar puncture raised concerns about its potential neurological involvement. Subsequent magnetic resonance imaging for the brain revealed a transient lesion in the splenium of the corpus callosum, a rare finding that can be associated with various brain etiologies, including infection. Given the clinical presentation and imaging findings, serological testing, including highly positive Weil- Felix titers, provided strong evidence supporting the diagnosis of rickettsial infection. The prompt initiation of doxycycline therapy, a first-line treatment for rickettsial infections, led to a remarkable improvement within 48 hours. This rapid response to appropriate antimicrobial medication further supported the suspected diagnosis. It is important to consider rickettsial infection in the differential diagnosis of non-aneurysmal subarachnoid hemorrhage. In conclusion, this case underscores the diverse clinical manifestations of rickettsial infection, including the potential to affect the central nervous system and mimic other neurological conditions. Early diagnosis and treatment can prevent further complications and facilitate a full recovery.</p></div>","PeriodicalId":100804,"journal":{"name":"Journal of Medicine, Surgery, and Public Health","volume":"2 ","pages":"Article 100093"},"PeriodicalIF":0.0,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949916X2400046X/pdfft?md5=8780ab034a651b8420c9ae180819cbbc&pid=1-s2.0-S2949916X2400046X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140273198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceptions towards cervical cancer and readiness for HPV vaccination among women in India","authors":"Soumik Ghosh,&nbsp;Monalisha Sahu,&nbsp;Lina Bandyopadhyay,&nbsp;Bobby Paul,&nbsp;Sujith Surendran,&nbsp;Sayantika Barman","doi":"10.1016/j.glmedi.2024.100090","DOIUrl":"10.1016/j.glmedi.2024.100090","url":null,"abstract":"<div><p>Globally, cervical cancer is the fourth most common malignancy among women. However, it is preventable to the extent of 90%. The acceptability of HPV vaccination is very low in the rural settings. The Health Belief Model can effectively address problem behaviours that evoke health concerns. The study was done to find out the factors that shape the perceptions towards cervical cancer and readiness for HPV vaccination among reproductive age group women. A cross-sectional study was conducted for 3 months in a rural area of Hooghly district. A total of 119 study participants were selected using two-stage Sampling and their knowledge and perceptions regarding cervical cancer and HPV vaccination were assessed using a validated interview schedule based on the constructs of Health Belief Model. The factors that drive the perceptions were determined using Multiple Logistic Regression analysis. The collected data was analysed using descriptive and inferential statistics using SPSS 16 version. The results showed that the median age of the study participants was 30 years and 15.1% had family history of cancer. Majority of them (71.4%) had unsatisfactory knowledge about cervical cancer and HPV vaccination. Among the HBM constructs, perceived susceptibility and self- efficacy had 26.9% and 18.5% unsatisfactory responses respectively. Age (AOR=8.29, 95% CI=1.01–68.25), Education (AOR=4.30, 95% CI=1.22–15.17) and knowledge (AOR=3.06, 95% CI=1.63–10.60) were significant predictors of satisfactory perceptions. Education, adequate knowledge and younger age were the factors that shaped the perceptions and readiness for HPV vaccination. The HBM can be used to devise robust interventions to improve readiness.</p></div>","PeriodicalId":100804,"journal":{"name":"Journal of Medicine, Surgery, and Public Health","volume":"2 ","pages":"Article 100090"},"PeriodicalIF":0.0,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949916X24000434/pdfft?md5=799efe1d92d9aee0ed01c32f6af958d0&pid=1-s2.0-S2949916X24000434-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140283042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of the Covid-19 pandemic on Suicidal Behaviour in Copenhagen","authors":"Hannah Lichter ,&nbsp;Stig Nikolaj Fasmer Blomberg ,&nbsp;Helle Collatz Christensen","doi":"10.1016/j.glmedi.2024.100089","DOIUrl":"https://doi.org/10.1016/j.glmedi.2024.100089","url":null,"abstract":"<div><h3>Introduction</h3><p>During the Covid-19 pandemic, multiple concerns were expressed about the inadequacy and unavailability of mental health services. This study aims to assess the impact of the Covid-19 pandemic on the prevalence of suicidal behaviour in Copenhagen.</p></div><div><h3>Methods</h3><p>This exploratory retrospective quantitative study was conducted based on annual register-based electronic health records of the Emergency Medical Services Copenhagen from 2015 to 2021. It focused on calls related to suicidal behaviour entering the Emergency Medical Dispatch Centre 112 and the medical helpline 1813. The calls were identified based on the search of the Danish and English words for suicide in the medical records. The primary outcome focused on the number of suicidal calls registered in the EMS records prior to the Covid-19 outbreak as compared to numbers during the pandemic.</p></div><div><h3>Results</h3><p>The study analysed 8026 recorded suicide-related calls from March 2015 to December 2021. The number of suicidal behaviours increased by 9%. During the Covid-19 years, there was a decrease of 11% in suicidal behaviour. This pattern could be observed in all age groups. However, suicidal behaviour increased by 4% from 104 (2019) to 119 and 118 (2020 and 2021, respectively) among adolescents aged 11–18 years. The prevalence of suicidal behaviour was constantly higher among females compared to males.</p></div><div><h3>Conclusion</h3><p>While suicidal behaviour increased, the Covid-19 pandemic has been linked to a decline in suicidal behaviour. Adolescents and females seem to be more prone to suicidal behaviour during times of crisis compared to other age groups and males.</p></div>","PeriodicalId":100804,"journal":{"name":"Journal of Medicine, Surgery, and Public Health","volume":"3 ","pages":"Article 100089"},"PeriodicalIF":0.0,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949916X24000422/pdfft?md5=0c3640424f0825eae4f8a8b27147ff64&pid=1-s2.0-S2949916X24000422-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140191905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}