Suicide mortality in Spain during the COVID-19 pandemic: Longitudinal analysis of sociodemographic factors.

Journal: European neuropsychopharmacology : the journal of the European College of Neuropsychopharmacology

Volume: 82

Issue: 

Year of Publication: 

Affiliated Institutions:  Department of Legal Medicine, Psychiatry and Pathology, School of Medicine, Universidad Complutense de Madrid, Spain; Centre for Biomedical Research in Mental Health (CIBERSAM), Spain. Electronic address: af.delatorre@ucm.es. Centre for Biomedical Research in Mental Health (CIBERSAM), Spain; Department of Psychiatry. Universidad Autonoma de Madrid, Spain. Department of Personality, Assessment and Clinical Psychology. Universidad Complutense de Madrid, Spain. Centre for Biomedical Research in Mental Health (CIBERSAM), Spain; CAUSALab, Harvard TH Chan School of Public Health, Boston, MA, USA; La Paz Research Institute (IdiPAZ), Madrid, Spain. Instituto Nacional de Psiquiatria Ramon de la Fuente Muñiz, Mexico. Centre for Biomedical Research in Mental Health (CIBERSAM), Spain; Institut de Salut Mental, Parc de Salut Mar, Spain.

Abstract summary 

The COVID-19 pandemic has compromised public health response across the globe. Several countries reported increasing number of suicides during the pandemic. This study aimed to analyze the suicide mortality series in Spain (2000-2021), with a particular interest in depicting longitudinal trends during the COVID-19 pandemic. Moreover, it intended to identify sociodemographic groups with a higher increase in suicide victims during the pandemic. To do so, suicide cases from the National death index data were used. Weighted annual mortality rate was compared between pre-pandemic and pandemic years. Poisson time series models were used to analyze the trend in suicide mortality, considering sociodemographic variables (sex, age, migration status, marital status, and urbanicity). As a result, weighted mortality rate for 2020 was 8.92 (CI = [8.29, 9.57]) and 9.21 for 2021 (CI = [8.56, 9.88]). Annual mortality from the pandemic years was significantly higher than mortality from the prepandemic ones (p < .01). Poisson regression revealed a significant increase of cases during the pandemic months, RR = 1.05 (CI = [1.02, 1.08]); being significant for both sexes, and migration groups (RR > 1.02, across series). A significantly increased number of suicides was also observed for mid-age adults, large urban areas, and single people (RR > 1.05, across series). To sum up, our study supports an increasing number of suicide victims in Spain during the pandemic. We show that the COVID-19 influence on suicide risk factors (e.g., lack of social support networks) plays a critical role in the increasing trend of specific sociodemographic groups.

Authors & Co-authors:  de la Torre-Luque Perez-Diez Pemau Martinez-Ales Borges Perez-Sola Ayuso-Mateos

Study Outcome 

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Statistics
Citations : 
Authors :  7
Identifiers
Doi : 10.1016/j.euroneuro.2024.02.006
SSN : 1873-7862
Study Population
Male,Female
Mesh Terms
Other Terms
COVID-19 pandemic;Mortality;Social support;Spain;Suicide
Study Design
Study Approach
Country of Study
Publication Country
Netherlands