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Prevalence of suicidality in clinically stable patients with major depressive disorder during the COVID-19 pandemic
Zhang, Ling1; Cai, Hong2,3,4; Bai, Wei2,3,4; Zou, Si Yun5; Feng, Ke Xin6; Li, Yu Chen7; Liu, Huan Zhong8,9; Du, Xiangdong5; Zeng, Zhen Tao1; Lu, Chang Mou1; Zhang, Lan10; Mi, Wen Fang10; Ding, Yan Hong10; Yang, Juan Juan8,9; Jackson, Todd11; Cheung, Teris12; Su, Zhaohui13; An, Feng Rong14; Xiang, Yu Tao1,2,3
2022-06-15
Source PublicationJournal of Affective Disorders
ISSN0165-0327
Volume307Pages:142-148
Abstract

Background: The COVID-19 pandemic is associated with an increased risk of mental health problems including suicide in many subpopulations, but its influence on stable patients with major depressive disorder (MDD) has been studied fleetingly. This study examined the one-year prevalence of suicidality including suicidal ideation (SI), suicide plans (SP), and suicide attempts (SA) as well as their correlates in clinically stable MDD patients during the COVID-19 pandemic. Methods: A cross-sectional, observational study was conducted between October 1, 2020, and October 15, 2021, in six tertiary psychiatric hospitals. Socio-demographic information, clinical data and one-year prevalence of suicidality were recorded. Results: Altogether, 1718 participants who met the eligibility criteria were included. The overall one-year prevalence of suicidality during the COVID-19 pandemic was 68.04% (95% confidence intervals (CI) =65.84–70.25%), with one-year SI prevalence of 66.4% (95%CI = 64.18–68.65%), SP prevalence of 36.26% (95%CI = 33.99–38.54%), and SA prevalence of 39.35% (95%CI = 37.04–41.66%). Binary logistic regression analyses revealed male gender, married marital status, college education level and above and age were negatively associated with risk of suicidality. Urban residence, unemployed work status, experiences of cyberbullying, a history of suicide among family members or friends, and more severe fatigue, physical pain, and residual depressive symptoms were positively associated with risk of suicidality. Conclusions: Suicidality is common among clinically stable MDD patients during the COVID-19 pandemic. Regular suicide screening and preventive measures should be provided to clinically stable MDD patients during the pandemic.

KeywordCovid-19 Pandemic Major Depressive Disorder Suicidality
DOI10.1016/j.jad.2022.03.042
URLView the original
Indexed BySCIE ; SSCI
Language英語English
WOS Research AreaNeurosciences & Neurology ; Psychiatry
WOS SubjectClinical Neurology ; Psychiatry
WOS IDWOS:000806191000017
Scopus ID2-s2.0-85127499615
Fulltext Access
Citation statistics
Cited Times [WOS]:1   [WOS Record]     [Related Records in WOS]
Document TypeJournal article
CollectionDEPARTMENT OF PSYCHOLOGY
Faculty of Health Sciences
Corresponding AuthorAn, Feng Rong; Xiang, Yu Tao
Affiliation1.Nanning Fifth People's Hospital, Guangxi province, China
2.Unit of Psychiatry, Department of Public Health and Medicinal Administration, Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao SAR, China
3.Centre for Cognitive and Brain Sciences, University of Macau, Macao SAR, China
4.Institute of Advanced Studies in Humanities and Social Sciences, University of Macau, Macao SAR, China
5.Suzhou Guangji Hospital, The Affiliated Guangji Hospital of Soochow University, Suzhou, Jiangsu province, China
6.School of Public Health, Lanzhou University, Gansu province, China
7.Department of Psychiatry, Xiamen Xianyue Hospital, Xiamen, China
8.Department of Psychiatry, Chaohu Hospital, Anhui Medical University, Hefei, China
9.School of Mental Health and Psychological Sciences, Anhui Medical University, Hefei, China
10.Department of Psychiatry, Lanzhou University Second Hospital, Gansu province, China
11.Department of Psychology, University of Macau, Macao, Macao SAR, China
12.School of Nursing, Hong Kong Polytechnic University, Hong Kong SAR, China
13.Center on Smart and Connected Health Technologies, Mays Cancer Center, School of Nursing, UT Health San Antonio, San Antonio, United States
14.The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders Beijing Anding Hospital & the Advanced Innovation Center for Human Brain Protection, Capital Medical University, School of Mental Health, Beijing, China
Corresponding Author AffilicationFaculty of Health Sciences;  University of Macau
Recommended Citation
GB/T 7714
Zhang, Ling,Cai, Hong,Bai, Wei,et al. Prevalence of suicidality in clinically stable patients with major depressive disorder during the COVID-19 pandemic[J]. Journal of Affective Disorders,2022,307:142-148.
APA Zhang, Ling,Cai, Hong,Bai, Wei,Zou, Si Yun,Feng, Ke Xin,Li, Yu Chen,Liu, Huan Zhong,Du, Xiangdong,Zeng, Zhen Tao,Lu, Chang Mou,Zhang, Lan,Mi, Wen Fang,Ding, Yan Hong,Yang, Juan Juan,Jackson, Todd,Cheung, Teris,Su, Zhaohui,An, Feng Rong,&Xiang, Yu Tao.(2022).Prevalence of suicidality in clinically stable patients with major depressive disorder during the COVID-19 pandemic.Journal of Affective Disorders,307,142-148.
MLA Zhang, Ling,et al."Prevalence of suicidality in clinically stable patients with major depressive disorder during the COVID-19 pandemic".Journal of Affective Disorders 307(2022):142-148.
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