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Table 1 Table representing the articles selected fulfilling the inclusion criteria

From: Global trends of suicidal thought, suicidal ideation, and self-harm during COVID-19 pandemic: a systematic review

SL NO

Author

Vulnerable Group

Risk Factors

Period

AIMS

PLACE

Results

Authors suggestions in tackling the risk factors observed in the study

1

Cheung T et al. (Cheung et al. 2021)

Younger age

Anxiety, loss of employment, isolation, and male gender

2020

To examine the prevalence and corelates of suicidal ideation in 10 countries during pandemic, examining individual health belief association with suicidal ideation, and direction for its prevention

Eastern & western countries

Low suicidal ideation in UK & Brazil compared to Macau, more among young married male, with differential health belief. Association of face mask wearing had shown less suicidal ideation

Limitation of study: Cross-sectional study cannot infer any causal relationship between variability and cannot be generalised

Prevention: Joint international collaboration for suicide prevention strategies

Implementing more of online recreational activities, small-scale household production and supply for improving financial crisis

2

Kohls E, Baldofski S et al. (Kohls et al. 2021)

Students

Stress, loneliness, low social support

2021

Mental health status assessment with standardise measures

Germany

Study suggested university students are more prone for depression in Germany. Online intervention promotes the help seeking measures and it targeted on mental health

Limitation: Standardized inferences could not be drawn due to large sample size

Prevention: Online intervention support

Online psychotherapy and recreational activities like video chatting

3

Edith Hermosillo De La torre A et al. (Edith Hermosillo-de-la-Torre et al. 2021)

14–21 years

Young adults and adolescents

Self-harm, intoxication

2021

Association between suicidal behavior with covariables like anxiety, depression, and drug use

Mexico

21% of students showed suicidal behavior, with increased incidence in female population, and those with depression, anxiety, and drug intake

Limitation: Strategies to improve mental health had not been mentioned

Prevention: Vaccine against Infection

Rehabilitation clubs to be made online

4

Silverio murillo A (Silverio-Murillo et al. 2021)

General

population

Insomnia, stress, and anxiety suicides

2021

Internet search including insomnia, anxiety, depression, and suicides

Latin America

There is increase in anxiety and stress during pandemic and no change in depression and suicide

Limitation: Internet search cannot be generalized among population

Prevention: Income support by country

Online YOGA sections and meditations

5

Bruffaerts R (Bruffaerts et al. 2021 Mar)

Health care professional

Suicidal thought, behavior

2021

Cross-sectional survey of assessing association of suicidal thought and behavior among health care professional

Belgium

There were increase in prevalence of death wish, suicidal ideation, and suicide plan but no suicide attempts

Limitation: Study did not assess the generalized suicidal thought and behavior but assessed during COVID-19 pandemic

Prevention: Decrease in suicidal thoughts and behavior among those received social support

Shifts in working, to reduce stress, chatting with professional colleagues

6

D'Hondt F (D’Hondt et al. 2020)

College students

Social isolation

2020

Online survey among university students for assessing self-reported mental health, associated factor, and assess care-seeking during quarantine

France

Increase in the prevalence of mental health issue among students, to underline surveillance prevention and access care

Limitation: Large sample size

Prevention: Access care and prevention

Peer group online quiz, online library, online games

7

Pramukti E (Pramukti et al. 2020)

College students

Anxiety, suicidal thought, infection, and contraction

2020

Social media used to collect information about suicidal thought, anxiety, and ideation among Taiwan, Thailand and Indonesia

Taiwan, Thailand, Indonesia

Increase in suicidal thoughts and suicidal ideation among Taiwan students than Indonesia and Thailand students

Limitation: Social media may not be used by everyone

Prevention: Adequate support mechanism

Social media support to spread awareness, strengthening health care facilities

8

Rahman M (Rahman et al. 2021)

General

population

Depression and anxiety

2021

Online assessment of suicidal behavior and ideation

Bangladesh

Increase in incidence among females, 33% cases showing suicidal risk, increase in incidence among divorced, widow, and low education statues

Limitation: Online survey cannot be generalized

Prevention: Awareness of COVID-19 pandemic, improving mental health status

Social workers to be trained and accessibility even to remote set up to be formulated by government and NGOs

9

Yom-Tov E (Yom-Tov et al. 2021)

Covid 19 Patient

Anosmia, ageusia

2021

Studying increase risk of suicidal ideation among anosmia and ageusia patients

USA

Effect of COVID-19 on senses will have a long-lasting effect and implication on patient well being

Limitation: Self-diagnosis of disease

Prevention: Special precaution during treatment and recovery

Awareness to be spread among public about Dos and Don’ts in Covid-19 pandemic, with the help of media

10

Mamum M (Mamun et al. 2021)

General

Population

Fear of COVID-19, comorbidities, insomnia, suicidal ideation, and depression

2021

Cross-sectional survey about psychological effect by sociodemographic data, fear of COVID-19, insomnia, and comorbidities

Bangladesh

Increase in the prevalence of depression and suicidal ideation among young, females, comorbidities, infection, and cigarette smoking

Limitation: Self-reported scale

Prevention: Psychological support and good mental health services

Newspaper articles and lectures in media by doctors and psychotherapist

11

Daly Z (Daly et al. 2021)

General

population

Suicides and self-harm

2021

Univariate and multivariate analysis of suicidality and self-harm with mental health issues

Canada

Increase incidence of suicide and self-harm among quarantine individual but less incidence among those quarantine after recent travel

Prevention: Public health response to be mitigated to reduce mental health issues and suicidality

Online counseling

12

Staples L (Staples et al. 2020)

General

population

Depression and anxiety

2021

Analysing use of digital mental health services prior COVID-19 and during COVID-19 with a questionnaire-based study

Australia

Increase in the number of users of digital mental health services during first week of COVID-19 and subsequently

Limitation: Large section of society, economy and long run COVID-19 are to be considered

Prevention: Adopting helpful strategies to improve mental health

Training junior doctors and nursing staff, so that counseling is easily available for everyone

13

Every palmar S (Every-Palmer et al. 2020)

Adults

Lockdown

2021

To access psychological wellbeing with lockdown effect, reducing job opportunities, less recreation activities by means of Kessler Psychological Distress Scale (K10), the GAD-7, and the Well-Being Index (WHO-5)

New Zealand

Prevention: Adequate provision of psychosocial support with similar priority to contact tracing, provision of personal protective equipment, and procurement of ventilators

Adequate medical aids

14

Shongwe M (Shongwe and Huang 2021)

Adult

Perceived stressors, prevalence of psychological distress, and suicidal ideation

2021

This study was a cross-sectional, population-based household telephone survey of 993 conveniently sampled adults (18 + years) from all the four administrative regions of Eswatini. COVID-19-related psychological distress was assessed using the Kessler 6-item Psychological Distress Scale (K

Eswatini

Increased risk for moderate/severe psychological distress

Limitation: cannot be generalised as there may be non-telephone users

Prevention: Government health policies to relive psychological distress

 

15

Sahimi H (Sahimi et al. 2021)

Health care workers

Suicidal ideation and depression

2021

To investigate suicidal ideation in terms of the rate and associated factors in a sample of Malaysian healthcare workers during the early-phase of the COVID-19 pandemic

Malaysian

Increase in proportion of health care workers suicidal ideation and clinical depression

Limitation: Small sample size, casualty of suicidal ideation not known, cannot be generalized

Prevention: Identification and treatment of depression, early intervention

Regular meeting with peer group and prevention strategies among health care professionals

16

Maatouk I (Maatouk et al. 2021)

Adults

Job security, increased risk of infection, suicidal ideation, self-harm

2021

This cross-sectional study focuses on the social psychological correlates of self-harm and suicidal ideation during the COVID-19 (coronavirus disease 2019) outbreak in Lebanon, which is a country characterized by political and economic instability

Lebanon

Male and with low income had raised risk of suicidal ideation and self-harm. Political trust, religiosity, high-income and female group had less chances of suicidal ideation and self-harm

Limitation: cannot be generalized

Prevention: Need to ensure adequate access to mental health services to the general population amid the COVID-19 outbreak

Temporary small-scale production setups at house by family to improvise financial status, with government supports