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Suicide and self-harm in low- and middle- income countries during the COVID-19 pandemic: A systematic review

Duleeka Knipe Orcid Logo, Ann John Orcid Logo, Prianka Padmanathan, Emily Eyles, Dana Dekel Orcid Logo, Julian P. T. Higgins, Jason Bantjes Orcid Logo, Rakhi Dandona Orcid Logo, Catherine Macleod-Hall Orcid Logo, Luke A. McGuinness, Lena Schmidt Orcid Logo, Roger T. Webb, David Gunnell Orcid Logo

PLOS Global Public Health, Volume: 2, Issue: 6, Start page: e0000282

Swansea University Authors: Ann John Orcid Logo, Dana Dekel Orcid Logo

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DOI (Published version): 10.1371/journal.pgph.0000282

Abstract

There is widespread concern over the potential impact of the COVID-19 pandemic on suicide and self-harm globally, particularly in low- and middle-income countries (LMIC) where the burden of these behaviours is greatest. We synthesised the evidence from the published literature on the impact of the p...

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Published in: PLOS Global Public Health
ISSN: 2767-3375
Published: Public Library of Science (PLoS) 2022
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We synthesised the evidence from the published literature on the impact of the pandemic on suicide and self-harm in LMIC.This review is nested within a living systematic review that continuously identifies published evidence (all languages) through a comprehensive automated search of multiple databases (PubMed; Scopus; medRxiv, PsyArXiv; SocArXiv; bioRxiv; the WHO COVID-19 database; and the COVID-19 Open Research Dataset by Semantic Scholar (up to 11/2020), including data from Microsoft Academic, Elsevier, arXiv and PubMed Central.) All articles identified by the 4th August 2021 were screened. Papers reporting on data from a LMIC and presenting evidence on the impact of the pandemic on suicide or self-harm were included.A total of 22 studies from LMIC were identified representing data from 12 countries. There was an absence of data from Africa. The reviewed studies mostly report on the early months of COVID-19 and were generally methodologically poor. 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The most robust evidence, from time-series studies, indicate either a reduction or no change in suicide and self-harm behaviour.As LMIC continue to experience repeated waves of the virus and increased associated mortality, against a backdrop of vaccine inaccessibility and limited welfare support, continued efforts are needed to track the indirect impact of the pandemic on suicide and self-harm in these countries.</abstract><type>Journal Article</type><journal>PLOS Global Public Health</journal><volume>2</volume><journalNumber>6</journalNumber><paginationStart>e0000282</paginationStart><paginationEnd/><publisher>Public Library of Science (PLoS)</publisher><placeOfPublication/><isbnPrint/><isbnElectronic/><issnPrint/><issnElectronic>2767-3375</issnElectronic><keywords/><publishedDay>1</publishedDay><publishedMonth>6</publishedMonth><publishedYear>2022</publishedYear><publishedDate>2022-06-01</publishedDate><doi>10.1371/journal.pgph.0000282</doi><url/><notes/><college>COLLEGE NANME</college><department>Medical School</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>MEDS</DepartmentCode><institution>Swansea University</institution><apcterm>Another institution paid the OA fee</apcterm><funders>DK was supported by the Wellcome Trust through an Institutional Strategic Support Fund Award to the University of Bristol [204813] and the Elizabeth Blackwell Institute for Health Research, University of Bristol. 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spelling v2 59741 2022-03-30 Suicide and self-harm in low- and middle- income countries during the COVID-19 pandemic: A systematic review ed8a9c37bd7b7235b762d941ef18ee55 0000-0002-5657-6995 Ann John Ann John true false 7904c581b4da2217c348434c9f04f165 0000-0003-0137-5149 Dana Dekel Dana Dekel true false 2022-03-30 MEDS There is widespread concern over the potential impact of the COVID-19 pandemic on suicide and self-harm globally, particularly in low- and middle-income countries (LMIC) where the burden of these behaviours is greatest. We synthesised the evidence from the published literature on the impact of the pandemic on suicide and self-harm in LMIC.This review is nested within a living systematic review that continuously identifies published evidence (all languages) through a comprehensive automated search of multiple databases (PubMed; Scopus; medRxiv, PsyArXiv; SocArXiv; bioRxiv; the WHO COVID-19 database; and the COVID-19 Open Research Dataset by Semantic Scholar (up to 11/2020), including data from Microsoft Academic, Elsevier, arXiv and PubMed Central.) All articles identified by the 4th August 2021 were screened. Papers reporting on data from a LMIC and presenting evidence on the impact of the pandemic on suicide or self-harm were included.A total of 22 studies from LMIC were identified representing data from 12 countries. There was an absence of data from Africa. The reviewed studies mostly report on the early months of COVID-19 and were generally methodologically poor. Few studies directly assessed the impact of the pandemic. The most robust evidence, from time-series studies, indicate either a reduction or no change in suicide and self-harm behaviour.As LMIC continue to experience repeated waves of the virus and increased associated mortality, against a backdrop of vaccine inaccessibility and limited welfare support, continued efforts are needed to track the indirect impact of the pandemic on suicide and self-harm in these countries. Journal Article PLOS Global Public Health 2 6 e0000282 Public Library of Science (PLoS) 2767-3375 1 6 2022 2022-06-01 10.1371/journal.pgph.0000282 COLLEGE NANME Medical School COLLEGE CODE MEDS Swansea University Another institution paid the OA fee DK was supported by the Wellcome Trust through an Institutional Strategic Support Fund Award to the University of Bristol [204813] and the Elizabeth Blackwell Institute for Health Research, University of Bristol. DG and JPTH are supported by the NIHR Biomedical Research Centre at University Hospitals Bristol and Weston NHS Foundation Trust and the University of Bristol. JPTH is supported by NIHR Applied Research Collaboration West at University Hospitals Bristol and Weston NHS Foundation Trust. JPTH is a National Institute for Health Research (NIHR) Senior Investigator (NF-SI-0617-10145). LAM is supported by an NIHR Doctoral Research Fellowship (DRF-2018–11-ST2-048). 2024-07-25T10:09:27.2356890 2022-03-30T09:19:45.3608253 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Medicine Duleeka Knipe 0000-0002-1040-7635 1 Ann John 0000-0002-5657-6995 2 Prianka Padmanathan 3 Emily Eyles 4 Dana Dekel 0000-0003-0137-5149 5 Julian P. T. Higgins 6 Jason Bantjes 0000-0002-3626-9883 7 Rakhi Dandona 0000-0003-0926-788x 8 Catherine Macleod-Hall 0000-0002-0487-0674 9 Luke A. McGuinness 10 Lena Schmidt 0000-0003-0709-8226 11 Roger T. Webb 12 David Gunnell 0000-0002-0829-6470 13 59741__30969__19725501b5e1452bb72da83530e9fa50.pdf 59741.VoR.pdf 2024-07-25T10:08:19.5858676 Output 1150489 application/pdf Version of Record true © 2022 Knipe et al. This is an open access article distributed under the terms of the Creative Commons Attribution License. true eng http://creativecommons.org/licenses/by/4.0/
title Suicide and self-harm in low- and middle- income countries during the COVID-19 pandemic: A systematic review
spellingShingle Suicide and self-harm in low- and middle- income countries during the COVID-19 pandemic: A systematic review
Ann John
Dana Dekel
title_short Suicide and self-harm in low- and middle- income countries during the COVID-19 pandemic: A systematic review
title_full Suicide and self-harm in low- and middle- income countries during the COVID-19 pandemic: A systematic review
title_fullStr Suicide and self-harm in low- and middle- income countries during the COVID-19 pandemic: A systematic review
title_full_unstemmed Suicide and self-harm in low- and middle- income countries during the COVID-19 pandemic: A systematic review
title_sort Suicide and self-harm in low- and middle- income countries during the COVID-19 pandemic: A systematic review
author_id_str_mv ed8a9c37bd7b7235b762d941ef18ee55
7904c581b4da2217c348434c9f04f165
author_id_fullname_str_mv ed8a9c37bd7b7235b762d941ef18ee55_***_Ann John
7904c581b4da2217c348434c9f04f165_***_Dana Dekel
author Ann John
Dana Dekel
author2 Duleeka Knipe
Ann John
Prianka Padmanathan
Emily Eyles
Dana Dekel
Julian P. T. Higgins
Jason Bantjes
Rakhi Dandona
Catherine Macleod-Hall
Luke A. McGuinness
Lena Schmidt
Roger T. Webb
David Gunnell
format Journal article
container_title PLOS Global Public Health
container_volume 2
container_issue 6
container_start_page e0000282
publishDate 2022
institution Swansea University
issn 2767-3375
doi_str_mv 10.1371/journal.pgph.0000282
publisher Public Library of Science (PLoS)
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Medicine{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Medicine
document_store_str 1
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description There is widespread concern over the potential impact of the COVID-19 pandemic on suicide and self-harm globally, particularly in low- and middle-income countries (LMIC) where the burden of these behaviours is greatest. We synthesised the evidence from the published literature on the impact of the pandemic on suicide and self-harm in LMIC.This review is nested within a living systematic review that continuously identifies published evidence (all languages) through a comprehensive automated search of multiple databases (PubMed; Scopus; medRxiv, PsyArXiv; SocArXiv; bioRxiv; the WHO COVID-19 database; and the COVID-19 Open Research Dataset by Semantic Scholar (up to 11/2020), including data from Microsoft Academic, Elsevier, arXiv and PubMed Central.) All articles identified by the 4th August 2021 were screened. Papers reporting on data from a LMIC and presenting evidence on the impact of the pandemic on suicide or self-harm were included.A total of 22 studies from LMIC were identified representing data from 12 countries. There was an absence of data from Africa. The reviewed studies mostly report on the early months of COVID-19 and were generally methodologically poor. Few studies directly assessed the impact of the pandemic. The most robust evidence, from time-series studies, indicate either a reduction or no change in suicide and self-harm behaviour.As LMIC continue to experience repeated waves of the virus and increased associated mortality, against a backdrop of vaccine inaccessibility and limited welfare support, continued efforts are needed to track the indirect impact of the pandemic on suicide and self-harm in these countries.
published_date 2022-06-01T10:09:27Z
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