Titre : | The impact of the COVID-19 pandemic on presentations to health services following self-harm: systematic review |
Auteurs : | Sarah Steeg, Aut. ; Ann John, Aut. ; David Gunnell, Aut. ; Nav Kapur, Aut. ; Dana Dekel, Aut. ; Lena Schmidt, Aut. ; Duleeka Knipe, Aut. ; Ella Arensman, Aut. ; Keith Hawton, Aut. ; Julian Higgins, Aut. ; Emily Eyles, Aut. ; Catherine Macleod-Hall, Aut. ; Luke A. McGuiness, Aut. ; Roger T. Webb, Aut. |
Dans : | BRITISH JOURNAL OF PSYCHIATRY + Suppl. (221(4), 2022) |
Pagination : | 603-612 |
Langues: | Anglais |
Mots-clés : |
Noms propres COVID-19SANTEPSY ADOLESCENT ; EPIDEMIOLOGIE ; FILLE ; SOIN PREVENTIF ; SUICIDE ; TENTATIVE DE SUICIDE ; URGENCE MEDICALE |
Résumé : |
Background : Evidence on the impact of the pandemic on healthcare presentations for self-harm has accumulated rapidly. However, existing reviews do not include studies published beyond 2020.
Aims : To systematically review evidence on presentations to health services following self-harm during the COVID-19 pandemic. Method : A comprehensive search of databases (WHO COVID-19 database; Medline; medRxiv; Scopus; PsyRxiv; SocArXiv; bioRxiv; COVID-19 Open Research Dataset, PubMed) was conducted. Studies published from 1 January 2020 to 7 September 2021 were included. Study quality was assessed with a critical appraisal tool. Results : Fifty-one studies were included: 57% (29/51) were rated as ‘low’ quality, 31% (16/51) as ‘moderate’ and 12% (6/51) as ‘high-moderate’. Most evidence (84%, 43/51) was from high-income countries. A total of 47% (24/51) of studies reported reductions in presentation frequency, including all six rated as high-moderate quality, which reported reductions of 17–56%. Settings treating higher lethality self-harm were overrepresented among studies reporting increased demand. Two of the three higher-quality studies including study observation months from 2021 reported reductions in self-harm presentations. Evidence from 2021 suggests increased numbers of presentations among adolescents, particularly girls. Conclusions : Sustained reductions in numbers of self-harm presentations were seen into the first half of 2021, although this evidence is based on a relatively small number of higher-quality studies. Evidence from low- and middle-income countries is lacking. Increased numbers of presentations among adolescents, particularly girls, into 2021 is concerning. Findings may reflect changes in thresholds for help-seeking, use of alternative sources of support and variable effects of the pandemic across groups. |
En ligne : | https://go.openathens.net/redirector/ghu-paris.fr?url=https://www.cambridge.org/core/journals/the-british-journal-of-psychiatry/article/impact-of-the-covid19-pandemic-on-presentations-to-health-services-following-selfharm-systematic-review/DE39F96D7FD96F88508C6097398E806D |
Exemplaires (1)
Localisation | Cote | Emplacement | Support | Section | Disponibilité |
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Bibliothèque Henri Ey | s.c. | Bâtiment 46 - 1er étage | Périodique | Indéterminé | Exclu du prêt |