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Increased rates of suicide ideation and attempts in rural dwellers following the SARS-CoV-2 pandemic.
Salt, Elizabeth; Wiggins, Amanda T; Cerel, Julie; Hall, Claire-Marie; Ellis, Misty; Cooper, Gena L; Adkins, Brian W; Rayens, Mary Kay.
Afiliación
  • Salt E; College of Nursing, University of Kentucky, Lexington, Kentucky, USA.
  • Wiggins AT; College of Nursing, University of Kentucky, Lexington, Kentucky, USA.
  • Cerel J; College of Social Work, University of Kentucky, Lexington, Kentucky, USA.
  • Hall CM; College of Nursing, University of Kentucky, Lexington, Kentucky, USA.
  • Ellis M; College of Nursing, University of Kentucky, Lexington, Kentucky, USA.
  • Cooper GL; College of Medicine, University of Kentucky, Lexington, USA.
  • Adkins BW; College of Medicine, University of Kentucky, Lexington, USA.
  • Rayens MK; College of Nursing, University of Kentucky, Lexington, Kentucky, USA.
J Rural Health ; 39(1): 30-38, 2023 01.
Article en En | MEDLINE | ID: mdl-35708462
PURPOSE: Those factors identified to increase the risk of suicide in rural dwellers were exacerbated by the SARS-CoV-2 pandemic, specifically economic factors, substance use, access to health care, and access to lethal weapons. Because the effects of SARS-CoV-2 on suicide ideation and attempts in rural populations have not been fully characterized in published literature, this study compares: (1) the rates of suicide ideation and attempts between the 6 months affected by SARS-CoV-2 to same months of the preceding year (3/18/2020-9/18/20; 3/18/2019-9/18/19), (2) demographics (ie, age, sex, residence, race, and ethnicity), and (3) the locations in which the encounters were billed (inpatient, outpatient, and emergency department). METHODS: Deidentified claims data associated with patient encounters billed for Suicide Ideation and Suicide Attempt were grouped based on time period and analyzed using descriptive statistics, incidence rate ratio (IRR), 2-sample t-test, chi-square test of association, or Fisher's exact test. FINDINGS: Suicidal ideation encounters increased in the 6 months post-SARS-CoV-2 when compared to the 6 months of the prior year (IRR = 1.19; P < .001). Males (IRR = 1.27, P < .001), those residing rural areas (IRR = 1.22, P = .01), and Black, non-Hispanic (IRR = 1.24, P = .024) were found to have increased rates of suicide ideation post-SARS-Cov-2. In adults, White, non-Hispanics (IRR = 1.16; P < .001) had increased rates of post-SARS-CoV-2. In the pediatric subset, those who were aged 14-17 (IRR = 1.50; P < .001), resided in rural areas (IRR = 1.61, P = .009), and idenitifed as Hispanic (IRR = 1.89; P = .037) or Black, non-Hispanic (IRR = 1.61, P = .009) had increased rates post-SARS-CoV-2. CONCLUSIONS: Our study identified rural dwellers to be at increased risk for suicide ideation.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Ideación Suicida / COVID-19 Tipo de estudio: Prognostic_studies Límite: Adult / Child / Humans / Male Idioma: En Revista: J Rural Health Asunto de la revista: ENFERMAGEM / SAUDE PUBLICA Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Ideación Suicida / COVID-19 Tipo de estudio: Prognostic_studies Límite: Adult / Child / Humans / Male Idioma: En Revista: J Rural Health Asunto de la revista: ENFERMAGEM / SAUDE PUBLICA Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido