Prolonged impact of the COVID-19 pandemic on self-harm hospitalizations in France: A nationwide retrospective observational study
Abstract Background The first wave of the COVID-19 pandemic in France was associated with a reduced number of hospitalizations for self-harm, with the exception of older people. The on-going pandemic may have both sustained and delayed effects. Methods Data were extracted from the French nationa...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2022-01-01
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| Series: | European Psychiatry |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933822000268/type/journal_article |
| _version_ | 1811156314640875520 |
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| author | F. Jollant A. Roussot E. Corruble J. C. Chauvet-Gelinier B. Falissard Y. Mikaeloff C. Quantin |
| author_facet | F. Jollant A. Roussot E. Corruble J. C. Chauvet-Gelinier B. Falissard Y. Mikaeloff C. Quantin |
| author_sort | F. Jollant |
| collection | DOAJ |
| description |
Abstract
Background
The first wave of the COVID-19 pandemic in France was associated with a reduced number of hospitalizations for self-harm, with the exception of older people. The on-going pandemic may have both sustained and delayed effects.
Methods
Data were extracted from the French national hospital database (PMSI), a nationwide exhaustive database. The number of self-harm hospitalizations (ICD-10 codes X60–84) between September 1, 2020 and August 31, 2021 (N = 85,679) was compared to 2019 (N = 88,782) using Poisson regression models.
Results
There was a decrease in the total number of self-harm hospitalizations during the studied period versus 2019 (−3.5%; Relative Risk [RR] [95% Confidence Intervals] = 0.97 [0.96–0.97]; p < 0.0001). However, sex and age effects were identified. While adults aged 30–59-years-old showed a decrease (monthly decreases: −12.6 to −15.0%), we found an increase in adolescent girls (+27.7%, RR = 1.28 [1.25–1.31]; p < 0.0001), notably since January 2021. Moreover, the numbers were similar to 2019 in adolescent boys, in youths aged 20–29 years, and in people aged 70 and more. Hospitalizations in intensive care units decreased (−6.7%, RR = 0.93 [0.91–0.96]; p < 0.0001) and deaths at hospital following self-harm remained stable (+0.6%, Hazard Ratio = 0.99 [0.91–1.08], p = 0.79).
Conclusions
During this second stage, the number of self-harm hospitalizations remained at a lower level than in the prepandemic period. However, significant variations over time, age, and sex were observed. Young people (notably adolescent girls) appear to have particularly suffered from the persistence of the pandemic, while older people did not show any decrease since the beginning. Vigilance and continuing prevention are warranted.
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| first_indexed | 2024-04-10T04:49:30Z |
| format | Article |
| id | doaj.art-8ff5c24a167b45b887a8302f02cec542 |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-04-10T04:49:30Z |
| publishDate | 2022-01-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-8ff5c24a167b45b887a8302f02cec5422023-03-09T12:33:56ZengCambridge University PressEuropean Psychiatry0924-93381778-35852022-01-016510.1192/j.eurpsy.2022.26Prolonged impact of the COVID-19 pandemic on self-harm hospitalizations in France: A nationwide retrospective observational studyF. Jollant0https://orcid.org/0000-0001-5809-4503A. Roussot1E. Corruble2J. C. Chauvet-Gelinier3B. Falissard4Y. Mikaeloff5https://orcid.org/0000-0002-6346-9039C. Quantin6Department of Psychiatry and Psychotherapy, Jena University Hospital, Jena, Germany Department of psychiatry, CHU Nîmes, Nîmes, France Faculty of Medicine, Department of psychiatry, Université Paris Cité, Paris, France GHU Paris Psychiatrie et Neurosciences, Hôpital Sainte-Anne, CMME, Paris, France McGill Group for Suicide Studies, Department of psychiatry, McGill University, Montréal, Quebec, Canada Moods Research Team, INSERM UMR-1178, CESP, Le Kremlin-Bicêtre, FranceDepartment of Biostatistics and Bioinformatics (DIM), CHU Dijon, France Department of biostatistics, Université de Bourgogne Franche-Comté, Dijon, FranceMoods Research Team, INSERM UMR-1178, CESP, Le Kremlin-Bicêtre, France Department of Psychiatry, CHU Bicêtre, GHU Paris-Saclay, APHP, Université Paris-Saclay, Paris, FranceService de Psychiatrie et d’Addictologie, Centre Hospitalier Universitaire, Dijon, France Laboratoire de Psychopathologie et Psychologie Médicale, EA 4452, IFR Santé STIC 100, Université de Bourgogne-Franche-Comté, Dijon, FranceUniversité Paris-Saclay, UVSQ, Inserm, Developmental Psychiatry, CESP, Villejuif, FrancePediatrics Department, GHU Paris-Saclay, Université Paris-Saclay, UVSQ, Inserm, Developmental Psychiatry, CESP, Villejuif, FranceDepartment of Biostatistics and Bioinformatics (DIM), CHU Dijon, France Department of biostatistics, Université de Bourgogne Franche-Comté, Dijon, France Inserm, CIC 1432, Dijon, France Clinical Epidemiology/Clinical Trials Unit, Dijon University Hospital, Clinical Investigation Center, Dijon, France High-Dimensional Biostatistics for Drug Safety and Genomics, CESP, Université Paris-Saclay, UVSQ, Univ. Paris-Sud, Inserm, Villejuif, France Abstract Background The first wave of the COVID-19 pandemic in France was associated with a reduced number of hospitalizations for self-harm, with the exception of older people. The on-going pandemic may have both sustained and delayed effects. Methods Data were extracted from the French national hospital database (PMSI), a nationwide exhaustive database. The number of self-harm hospitalizations (ICD-10 codes X60–84) between September 1, 2020 and August 31, 2021 (N = 85,679) was compared to 2019 (N = 88,782) using Poisson regression models. Results There was a decrease in the total number of self-harm hospitalizations during the studied period versus 2019 (−3.5%; Relative Risk [RR] [95% Confidence Intervals] = 0.97 [0.96–0.97]; p < 0.0001). However, sex and age effects were identified. While adults aged 30–59-years-old showed a decrease (monthly decreases: −12.6 to −15.0%), we found an increase in adolescent girls (+27.7%, RR = 1.28 [1.25–1.31]; p < 0.0001), notably since January 2021. Moreover, the numbers were similar to 2019 in adolescent boys, in youths aged 20–29 years, and in people aged 70 and more. Hospitalizations in intensive care units decreased (−6.7%, RR = 0.93 [0.91–0.96]; p < 0.0001) and deaths at hospital following self-harm remained stable (+0.6%, Hazard Ratio = 0.99 [0.91–1.08], p = 0.79). Conclusions During this second stage, the number of self-harm hospitalizations remained at a lower level than in the prepandemic period. However, significant variations over time, age, and sex were observed. Young people (notably adolescent girls) appear to have particularly suffered from the persistence of the pandemic, while older people did not show any decrease since the beginning. Vigilance and continuing prevention are warranted. https://www.cambridge.org/core/product/identifier/S0924933822000268/type/journal_articleAdolescentselderlypandemicself-harm |
| spellingShingle | F. Jollant A. Roussot E. Corruble J. C. Chauvet-Gelinier B. Falissard Y. Mikaeloff C. Quantin Prolonged impact of the COVID-19 pandemic on self-harm hospitalizations in France: A nationwide retrospective observational study European Psychiatry Adolescents elderly pandemic self-harm |
| title | Prolonged impact of the COVID-19 pandemic on self-harm hospitalizations in France: A nationwide retrospective observational study |
| title_full | Prolonged impact of the COVID-19 pandemic on self-harm hospitalizations in France: A nationwide retrospective observational study |
| title_fullStr | Prolonged impact of the COVID-19 pandemic on self-harm hospitalizations in France: A nationwide retrospective observational study |
| title_full_unstemmed | Prolonged impact of the COVID-19 pandemic on self-harm hospitalizations in France: A nationwide retrospective observational study |
| title_short | Prolonged impact of the COVID-19 pandemic on self-harm hospitalizations in France: A nationwide retrospective observational study |
| title_sort | prolonged impact of the covid 19 pandemic on self harm hospitalizations in france a nationwide retrospective observational study |
| topic | Adolescents elderly pandemic self-harm |
| url | https://www.cambridge.org/core/product/identifier/S0924933822000268/type/journal_article |
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