Global public concern of childhood and adolescence suicide:a new perspective and new strategies for suicide prevention in the post-pandemic era

Soeun Kim ¹Jaeyu Park ²Hyeri Lee ²Hayeon Lee ³Selin Woo ³Rosie Kwon ³Sunyoung Kim ⁴Ai Koyanagi ⁵Lee Smith ⁶Masoud Rahmati ⁷Guillaume Fond ⁸Laurent Boyer ⁸Jiseung Kang ⁹Jun Hyuk Lee ¹⁰Jiyeon Oh ¹¹Dong Keon Yon¹²

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作者信息

1. Center for Digital Health,Medical Science Research Institute,Kyung Hee University College of Medicine,Seoul,South Korea;Department of Precision Medicine,Kyung Hee University College of Medicine,Seoul,South Korea
2. Center for Digital Health,Medical Science Research Institute,Kyung Hee University College of Medicine,Seoul,South Korea;Department of Regulatory Science,Kyung Hee University,Seoul,South Korea
3. Center for Digital Health,Medical Science Research Institute,Kyung Hee University College of Medicine,Seoul,South Korea
4. Department of Family Medicine,Kyung Hee University Medical Center,Kyung Hee University College of Medicine,Seoul,South Korea
5. Research and Development Unit,Parc Sanitari Sant Joan de Deu,Barcelona,Spain
6. Centre for Health,Performance and Wellbeing,Anglia Ruskin University,Cambridge,UK
7. Department of Physical Education and Sport Sciences,Faculty of Literature and Human Sciences,Lorestan University,Khoramabad,Iran;Department of Physical Education and Sport Sciences,Faculty of Literature and Humanities,Vali-e-Asr University of Rafsanjan,Rafsanjan,Iran;CEReSS-Health Service Research and Quality of Life Center,Assistance Publique-Hôpitaux de Marseille,Aix Marseille University,Marseille,France
8. CEReSS-Health Service Research and Quality of Life Center,Assistance Publique-Hôpitaux de Marseille,Aix Marseille University,Marseille,France
9. Department of Anesthesia,Critical Care and Pain Medicine,Massachusetts General Hospital,Boston,MA,USA;Division of Sleep Medicine,Harvard Medical School,Boston,MA,USA
10. Health and Human Science,University of Southern California,Los Angeles,CA,USA
11. Center for Digital Health,Medical Science Research Institute,Kyung Hee University College of Medicine,Seoul,South Korea;Department of Medicine,Kyung Hee University College of Medicine,Seoul,South Korea
12. Center for Digital Health,Medical Science Research Institute,Kyung Hee University College of Medicine,Seoul,South Korea;Department of Precision Medicine,Kyung Hee University College of Medicine,Seoul,South Korea;Department of Regulatory Science,Kyung Hee University,Seoul,South Korea;Department of Medicine,Kyung Hee University College of Medicine,Seoul,South Korea;Department of Pediatrics,Kyung Hee University Medical Center,Kyung Hee University College of Medicine,23 Kyungheedae-ro,Dongdaemun-gu,Seoul 02447,
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Abstract

Background Suicide is the second leading cause of death in young people worldwide and is responsible for about 52,000 deaths annually in children and adolescents aged 5-19 years.Familial,social,psychological,and behavioral factors play important roles in suicide risk.As traumatic events such as the COVID-19 pandemic may contribute to suicidal behaviors in young people,there is a need to understand the current status of suicide in adolescents,including its epidemiology,associ-ated factors,the influence of the pandemic,and management initiatives.Data sources We investigated global and regional suicide mortality rates among children and adolescents aged 5-19 years using data from the Global Burden of Diseases,Injuries,and Risk Factors Study(GBD)2019.The suicide mortality rates from 1990 to 2019 were examined in 204 countries and territories across six World Health Organization(WHO)regions.Additionally,we utilized electronic databases,including PubMed/MEDLINE and Scopus,and employed various combina-tions of terms such as"suicide","adolescents","youth","children","risk factors","COVID-19 pandemic","prevention",and"intervention"to provide a narrative review on suicide within the pediatric population in the post-pandemic era.Results Despite the decreasing trend in the global suicide mortality rate from 1990 to 2019,it remains high.The mortality rates from suicide by firearms or any other specified means were both greater in males.Additionally,Southeast Asia had the highest suicide rate among the six WHO regions.The COVID-19 pandemic seems to contribute to suicide risk in young people;thus,there is still a strong need to revisit appropriate management for suicidal children and adolescents during the pandemic.Conclusions The current narrative review integrates up-to-date knowledge on suicide epidemiology and the effects of the COVID-19 pandemic,risk factors,and intervention strategies.Although numerous studies have characterized trends in suicide among young people during the pre-pandemic era,further studies are required to investigate suicide during the pandemic and new strategies for suicide prevention in the post-pandemic era.It is necessary to identify effective prevention strategies targeting young people,particularly those at high risk,and successful treatment for individuals already manifesting suicidal behaviors.Care for suicidal children and adolescents should be improved with parental,school,community,and clinical involvement.

Key words

COVID-19/Global/Pandemic/Suicide/Children/Adolescents

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基金项目

National Research Foundation of Korea(NRF)grant funded by the Korean government(MSIT)

National Research Foundation of Korea(NRF)grant funded by the Korean government(RS-2023-00248157)

出版年

2024

世界儿科杂志(英文版)

CSTPCD

ISSN：

段落导航