Dataset Information

Police-reported suicides during the first 16 months of the COVID-19 pandemic in Ecuador: A time-series analysis of trends and risk factors until June 2021.

ABSTRACT:

Background

There are widespread concerns that the COVID-19 pandemic may increase suicides. Few studies have analysed effects beyond the pandemic's early months or examined changes in known suicide risk factors.

Methods

Using time series models fit with Poisson regression, we analysed monthly police-reported suicides in Ecuador from January 2015 to June 2021. Treating March 2020 as the start of the pandemic, we calculated rate ratios (RRs) comparing the observed to the expected number of suicides for the total population and by age and sex groups. We investigated changes in risk factors, precipitants, geographic distribution, and suicide methods.

Findings

There was no evidence that suicide rates were higher than expected during the pandemic (RR 0·97 [95% CI 0·92-1·02]). There was some evidence of fewer than expected male suicides (RR 0·95 [95% CI 0·90-1·00]). The proportion of suicides occurring in urban and coastal areas increased but decreased amongst indigenous and other minorities. The proportions of suicides with evidence of alcohol consumption, disability, and amongst married and cohabiting individuals decreased, whereas suicides where mental health problems were considered contributory increased. There were relative increases in the proportion of suicides by hanging but decreases in self-poisoning and other suicide methods.

Interpretation

The pandemic did not appear to adversely impact overall suicide numbers nationwide during the first 16 months of the pandemic. Reduced alcohol consumption may have contributed to the decline in male suicides.

Funding

None.

SUBMITTER: Gerstner RM

PROVIDER: S-EPMC9310552 | biostudies-literature | 2022 Oct

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Police-reported suicides during the first 16 months of the COVID-19 pandemic in Ecuador: A time-series analysis of trends and risk factors until June 2021.

Gerstner Rebekka M RM Narváez Freddy F Leske Stuart S Troya M Isabela MI Analuisa-Aguilar Pablo P Spittal Matthew J MJ Gunnell David D

Lancet regional health. Americas 20220725

<h4>Background</h4>There are widespread concerns that the COVID-19 pandemic may increase suicides. Few studies have analysed effects beyond the pandemic's early months or examined changes in known suicide risk factors.<h4>Methods</h4>Using time series models fit with Poisson regression, we analysed monthly police-reported suicides in Ecuador from January 2015 to June 2021. Treating March 2020 as the start of the pandemic, we calculated rate ratios (RRs) comparing the observed to the expected num ...[more]

PMID: 35912285

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Project description:BackgroundTo promote the prevention of mother-to-child transmission (PMTCT) of HIV/AIDS male partners play a significant role, especially in developing country were men's are a decision maker in domestic activity. When men are involved in PMTCT it would boost the service utilization and uptake of ART drugs. Thus this systematic review and Meta analysis aims to assess importance of male partner involvement in prevention of mother to child transmission of HIV/AIDS in Ethiopia.MethodsStudies were accessed through an electronic web-based search mechanism from PubMed, Advanced Google Scholar, WHO databases and journals (African Health Monitor, Pan African Journal of Public Health), using independent and combinations of key terms together with a reference list of included studies. Two reviewers independently screened and assessed the quality of studies based on pre-specified criteria. When a disagreement between the two reviewers happened; the third reviewer was invited and resolve it based on the stated objectives and inclusion criteria. Measures of effects were pooled and random effect meta analysis was conducted.ResultsTen studies met the inclusion criteria. The pooled prevalence of male involvement in PMTCT was 31.8% (95% CI; 22.3-41.3 I2 = 98.4%, p = 0.00). being urban residence(AOR = 2.43 95%CI;1.42-4.18), partner knowledge (AOR = 2.84 95%CI;1.90-4.22), knowledge on Antenatal care(AOR = 3.5 95%CI;1.80-6.76), partners who had no negative perception towards for PMTCT (AOR = 3.21 95%CI;2.18-4.72), government employee(AOR = 2.57 95%CI;1.76-3.75), partners informed of need to go for PMTCT(AOR = 3.83 95%CI;1.88-7.79), health institution related barriers(AOR = 2.6 95%CI;1.882-3.622), primary (AOR = 2.21 95%CI;1.29-3.80), and secondary education(AOR = 2.67 95%CI;1.69-4.19) were significant factors related with male partner involvement in prevention of mother to child transmission of HIV/AIDS.ConclusionThe proportion of male involvement in the Prevention of mother-to-child transmission of HIV in Ethiopia was low. Interventions aimed at improving male participation in the Prevention of mother-to-child transmission should consider the factors related to it. Healthcare services may need to be inclusive and could help men active engagement in PMTCT programs.

Dataset Information

Police-reported suicides during the first 16 months of the COVID-19 pandemic in Ecuador: A time-series analysis of trends and risk factors until June 2021.

Background

Methods

Findings

Interpretation

Funding

Publications

Police-reported suicides during the first 16 months of the COVID-19 pandemic in Ecuador: A time-series analysis of trends and risk factors until June 2021.

Similar Datasets

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