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Hospital-treated intentional self-poisoning events and in-hospital mortality in Tehran before and during the COVID-19 pandemic.
Hadeiy, Seyed Kaveh; Gholami, Narges; McDonald, Rebecca; Rezaei, Omidvar; Kolahi, Ali-Asghar; Zamani, Nasim; Shamsi-Lahijani, Alireza; Noghrehchi, Firouzeh; Carter, Gregory; Hassanian-Moghaddam, Hossein.
  • Hadeiy SK; School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
  • Gholami N; Department of Pediatrics, Loghman Hakim Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
  • McDonald R; SERAF, Norwegian Centre for Addiction Research, University of Oslo, Oslo, Norway.
  • Rezaei O; Department of Neurosurgery, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, South Karegar Street, Tehran, Iran.
  • Kolahi AA; Social Determinants of Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
  • Zamani N; Social Determinants of Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
  • Shamsi-Lahijani A; Department of Clinical Toxicology, Loghman Hakim Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
  • Noghrehchi F; School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
  • Carter G; Translational Australian Clinical Toxicology Research Group, Discipline of Biomedical Informatics & Digital Health, Sydney Medical School, University of Sydney, Sydney, NSW Australia.
  • Hassanian-Moghaddam H; Centre for Brain and Mental Health Research, University of Newcastle, Newcastle, NSW Australia.
Curr Psychol ; : 1-8, 2022 May 26.
Article in English | MEDLINE | ID: covidwho-1943158
ABSTRACT
Hospital-treated intentional self-poisoning is common. The possibility of changed (increased) suicidal behaviors during the COVID-19 pandemic has been raised. To compare frequencies in self-poisoning events (SPEs) and the proportions with in-hospital mortality, in the year prior to and following the official onset of the COVID-19 pandemic, in a population of hospital-treated self-poisoning patients in Iran. All self-poisoned patients admitted to Loghman-Hakim Hospital, a clinical toxicology specialty hospital in Tehran, were included. The frequency of SPEs was compared between the one-year periods immediately before and after the onset of COVID-19 pandemic using Poisson regression. Differences in proportions of in-hospital mortality were also compared using logistic regression. A total of 14,478 patients with 15,391 SPEs (8,863 [61.2%] females) were evaluated in the study. There was no difference in the overall frequency of SPEs (relative risk [RR] of 0.99 [CI95% 0.96-1.03]), but a small increase in males (RR 1.07; 1.02-1.13) and a minor decrease in females (RR 0.95; 0.91-0.99). In total, 330 patients died (2.3% of all SPEs). There was no difference in overall in-hospital mortality odds ratio (OR 0.98 [0.79-1.22]), in females (OR = 1.14 [0.80-1.60]) or males (OR = 0.92 [0.69-1.23]). There was no change in the frequency of SPEs and no difference in the in-hospital mortality proportions, suggesting that the COVID-19 pandemic had little or no effect on these aspects of suicidal behavior in Iran. Supplementary Information The online version contains supplementary material available at 10.1007/s12144-022-03248-y.
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Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Prognostic study Language: English Journal: Curr Psychol Year: 2022 Document Type: Article Affiliation country: S12144-022-03248-y

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Prognostic study Language: English Journal: Curr Psychol Year: 2022 Document Type: Article Affiliation country: S12144-022-03248-y