Trend of suicide by self-immolation in a 13-year timeline : was the COVID-19 pandemic a potentially important stressor?
Copyright © 2024 Jeremic, Mihaljevic, Radosavljevic, Jurisic, Suđecki, Stojicic, Jovanović, Pavlovic, Radenovic, Milic, Pavlovic, Milic and Jovic..
Introduction: Self-immolation is an uncommon way of attempting and committing a suicide, with a fatality rate of 80%. The risk factors in self-immolation victims vary depending on demographic characteristics, socio-economic and cultural factors as well as religious beliefs. Whether the COVID-19 pandemic was a potentially important stressor for self-immolation is still unknown, with insufficient studies examining this issue. Therefore, in this study, we aimed to examine the trend of self-immolation in a 13-year timeline, and the potential association of COVID-19 pandemic with the increase in the incidence and severity of self-immolation injuries in Serbia in 2021.
Materials and methods: The study included hospitalized patients due to intentional burns caused by self-immolation in the period from January 1, 2008 to December 31, 2021. Joinpoint regression analysis was used for the analysis of continuous linear trends of self-immolation cases with change points.
Results: While a rising trend was observed in the 2008-2013 time segment, followed by a decline in the upcoming 2013-2016 time segment, a significant increase reached its maximum during COVID-19 pandemic (2021), with annual percent change of 37.1% (p = 0.001). A significant increase in the median number of cases per year was observed during 2021 compared to the previous periods (7.5 vs. 2). Frequency of patients with a psychiatric diagnosis vs. those without a psychiatric diagnosis was significantly higher during than before the COVID-19 period (66.7 vs. 36.1%, p = 0.046).
Conclusion: In our study, a significant increase in the frequency of suicide attempts by self-immolation during COVID-19 pandemic was noticed. There was also an increased frequency of pre-existing psychiatric illness among patients during the pandemic period. With limited high-quality data available, the study adds to a rising body of evidence for assessment of outcomes of the pandemic on mental health and recognition of stressors for self-immolation.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2024 |
|---|---|
| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:12 |
|---|---|
| Enthalten in: |
Frontiers in public health - 12(2024) vom: 22., Seite 1234584 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Jeremic, Jelena V [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
Burns |
|---|
| Anmerkungen: |
Date Completed 08.03.2024 Date Revised 23.04.2024 published: Electronic-eCollection Citation Status MEDLINE |
|---|
| doi: |
10.3389/fpubh.2024.1234584 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM369399072 |
|---|
| LEADER | 01000caa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM369399072 | ||
| 003 | DE-627 | ||
| 005 | 20240423232203.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 240307s2024 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.3389/fpubh.2024.1234584 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1384.xml |
| 035 | |a (DE-627)NLM369399072 | ||
| 035 | |a (NLM)38450141 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Jeremic, Jelena V |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Trend of suicide by self-immolation in a 13-year timeline |b was the COVID-19 pandemic a potentially important stressor? |
| 264 | 1 | |c 2024 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 08.03.2024 | ||
| 500 | |a Date Revised 23.04.2024 | ||
| 500 | |a published: Electronic-eCollection | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2024 Jeremic, Mihaljevic, Radosavljevic, Jurisic, Suđecki, Stojicic, Jovanović, Pavlovic, Radenovic, Milic, Pavlovic, Milic and Jovic. | ||
| 520 | |a Introduction: Self-immolation is an uncommon way of attempting and committing a suicide, with a fatality rate of 80%. The risk factors in self-immolation victims vary depending on demographic characteristics, socio-economic and cultural factors as well as religious beliefs. Whether the COVID-19 pandemic was a potentially important stressor for self-immolation is still unknown, with insufficient studies examining this issue. Therefore, in this study, we aimed to examine the trend of self-immolation in a 13-year timeline, and the potential association of COVID-19 pandemic with the increase in the incidence and severity of self-immolation injuries in Serbia in 2021 | ||
| 520 | |a Materials and methods: The study included hospitalized patients due to intentional burns caused by self-immolation in the period from January 1, 2008 to December 31, 2021. Joinpoint regression analysis was used for the analysis of continuous linear trends of self-immolation cases with change points | ||
| 520 | |a Results: While a rising trend was observed in the 2008-2013 time segment, followed by a decline in the upcoming 2013-2016 time segment, a significant increase reached its maximum during COVID-19 pandemic (2021), with annual percent change of 37.1% (p = 0.001). A significant increase in the median number of cases per year was observed during 2021 compared to the previous periods (7.5 vs. 2). Frequency of patients with a psychiatric diagnosis vs. those without a psychiatric diagnosis was significantly higher during than before the COVID-19 period (66.7 vs. 36.1%, p = 0.046) | ||
| 520 | |a Conclusion: In our study, a significant increase in the frequency of suicide attempts by self-immolation during COVID-19 pandemic was noticed. There was also an increased frequency of pre-existing psychiatric illness among patients during the pandemic period. With limited high-quality data available, the study adds to a rising body of evidence for assessment of outcomes of the pandemic on mental health and recognition of stressors for self-immolation | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a COVID-19 | |
| 650 | 4 | |a burns | |
| 650 | 4 | |a joinpoint regression | |
| 650 | 4 | |a mental health | |
| 650 | 4 | |a self-immolation | |
| 650 | 4 | |a suicide | |
| 700 | 1 | |a Mihaljevic, Jovan M |e verfasserin |4 aut | |
| 700 | 1 | |a Radosavljevic, Ivan L J |e verfasserin |4 aut | |
| 700 | 1 | |a Jurisic, Milana M |e verfasserin |4 aut | |
| 700 | 1 | |a Suđecki, Branko J |e verfasserin |4 aut | |
| 700 | 1 | |a Stojicic, Milan T |e verfasserin |4 aut | |
| 700 | 1 | |a Jovanović, Milan D |e verfasserin |4 aut | |
| 700 | 1 | |a Pavlovic, Zorana |e verfasserin |4 aut | |
| 700 | 1 | |a Radenovic, Kristina G |e verfasserin |4 aut | |
| 700 | 1 | |a Milic, Nikola V |e verfasserin |4 aut | |
| 700 | 1 | |a Pavlovic, Vedrana |e verfasserin |4 aut | |
| 700 | 1 | |a Milic, Natasa M |e verfasserin |4 aut | |
| 700 | 1 | |a Jovic, Marko S |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Frontiers in public health |d 2013 |g 12(2024) vom: 22., Seite 1234584 |w (DE-627)NLM23377548X |x 2296-2565 |7 nnns |
| 773 | 1 | 8 | |g volume:12 |g year:2024 |g day:22 |g pages:1234584 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.3389/fpubh.2024.1234584 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 12 |j 2024 |b 22 |h 1234584 | ||