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Preparing for the likely rise in suicides due to COVID-19: A review of the literature

Jordan Pekevski, PhD


Suicide is one of the leading causes of death in the world, and the rates of suicides have been steadily increasing. The COVID-19 pandemic brings a number of potential stressors that may lead to a further increase in the suicide rate. This review paper analyzes the suicide rates of previous similar historic events, including pandemic/epidemic, mass violence events, natural disasters, and economic recessions. The impact of current stressors caused by the pandemic are examined, including economic, quarantine and isolation, media exposure and misinformation, substance use, and mental health. Evidence-based suicide prevention strategies are reviewed.


suicide, COVID-19, mental health, suicide prevention

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World Health Organization: Suicide in the World: Global Health Estimates. World Health Organization, 2019.

CDC: Web-based Injury Statistics Query and Reporting System (WISQARS). National Center for Injury Prevention and Control. Available at Accessed January 1, 2021.

Hedegaard H, Curtin S, Warner M: Increase in Suicide Mortality in the United States, 1999-2018. National Center for Health Statistics, 2020.

Wasserman IM: The impact of epidemic, war, prohibition and media on suicide: United States, 1910-1920. Suicide Life Threat Behav. 1992; 22(2): 240-254.

Chang YH, Chang SS, Hsu CY, et al.: Impact of pandemic on suicide: Excess suicides in Taiwan during the 1918-1920 influenza pandemic. J Clin Psychiatry. 2020; 81(6). DOI:10.4088/JCP.20l13454.

Yip PSF, Cheung YT, Chau PH, et al.: The impact of epidemic outbreak: The case of severe acute respiratory syndrome (SARS) and suicide among older adults in Hong Kong. Crisis. 2010; 31(2): 86-92. DOI:10.1027/0227-5910/a000015.

Cheung YT, Chau PH, Yip PSF: A revisit on older adults suicides and Severe Acute Respiratory Syndrome (SARS) epidemic in Hong Kong. Int J Geriatr Psychiatry. 2008; 23(12): 1231-1238. DOI:10.1002/gps.2056.

Tzeng NS, Chung CH, Chang CC, et al.: What could we learn from SARS when facing the mental health issues related to the COVID-19 outbreak? A nationwide cohort study in Taiwan. Transl Psychiatry. 2020; 10(1): 339. DOI:10.1038/s41398-020-01021-y.

Mak IWC, Chu CM, Pan PC, et al.: Long-term psychiatric morbidities among SARS survivors. Gen Hosp Psychiatry. 2009; 31(4): 318-326. DOI:10.1016/j.genhosppsych.2009.03.001.

Henderson R, Stark C, Humphry RW, et al.: Changes in Scottish suicide rates during the Second World War. BMC Public Health. 2006; 6: 167. DOI:10.1186/1471-2458-6-167.

Bosnar A, Stemberga V, Cuculic D, et al.: Suicide rate after the 1991-1995 War in Southwestern Croatia. Arch Med Res. 2004; 35(4): 344-347. DOI:10.1016/j.arcmed.2004.03.001.

Pridmore S, Ahmadi J, Pridmore W: Suicide of Australians during the Vietnam War. Australas Psychiatry Bull R Aust N Z Coll Psychiatr. 2018; 26(2): 149-151. DOI:10.1177/1039856217734740.

Marshall JR: Political integration and the effect of war on suicide: United States, 1933-76. Soc Forces. 1981; 59(3): 771-785. DOI:10.1093/sf/59.3.771.

Osman M, Parnell AC: Effect of the First World War on suicide rates in Ireland: An investigation of the 1864-1921 suicide trends. BJPsych Open. 2015; 1(2): 164-165. DOI:10.1192/bjpo.bp.115.000539.

Lester D: The effect of war on suicide rates. A study of France from 1826 to 1913. Eur Arch Psychiatry Clin Neurosci. 1993; 242(4): 248-249. DOI:10.1007/BF02189971.

De Lange AW, Neeleman J: The effect of the September 11 terrorist attacks on suicide and deliberate self-harm: A time trend study. Suicide Life Threat Behav. 2004; 34(4): 439-447. DOI:10.1521/suli.34.4.439.53744.

Medenwald D: The terror attacks of 9/11 and suicides in Germany: A time series analysis. Medicine (Baltimore). 2016; 95(15): e3228. DOI:10.1097/MD.0000000000003228.

Claassen CA, Carmody T, Stewart SM, et al.: Effect of 11 September 2001 terrorist attacks in the USA on suicide in areas surrounding the crash sites. Br J Psychiatry J Ment Sci. 2010; 196(5): 359-364. DOI:10.1192/bjp.bp.109.071928.

Salib E, Cortina-Borja M: Effect of 7 July 2005 terrorist attacks in London on suicide in England and Wales. Br J Psychiatry J Ment Sci. 2009; 194(1): 80-85. DOI:10.1192/bjp.bp.108.049650.

Lester D: Domestic terror and rates of suicide and homicide in Canada, 1960-1985. Psychol Rep. 1995; 77(1): 42. DOI:10.2466/pr0.1995.77.1.42.

Ran MS, Zhang Z, Fan M, et al.: Risk factors of suicidal ideation among adolescents after Wenchuan earthquake in China. Asian J Psychiatry. 2015; 13: 66-71. DOI:10.1016/j.ajp.2014.06.016.

Chou YJ, Huang N, Lee CH, et al.: Suicides after the 1999 Taiwan earthquake. Int J Epidemiol. 2003; 32(6): 1007-1014. DOI:10.1093/ije/dyg296.

Nishio A, Akazawa K, Shibuya F, et al.: Influence on the suicide rate two years after a devastating disaster: A report from the 1995 Great Hanshin-Awaji Earthquake. Psychiatry Clin Neurosci. 2009; 63(2): 247-250. DOI:10.1111/j.1440-1819.2009.01942.x.

Stratta P, Rossi A: Suicide in the aftermath of the L’Aquila (Italy) earthquake. Crisis. 2013; 34(2): 142-144. DOI:10.1027/0227-5910/a000166.

Gigantesco A, D’Argenio P, Cofini V, et al.: Health-related quality of life in the aftermath of the L’Aquila earthquake in Italy. Disaster Med Public Health Prep. 2016; 10(1): 11-15. DOI:10.1017/dmp.2015.91.

Rodrigo A, Mcquillin A, Pimm J: Effect of the 2004 tsunami on suicide rates in Sri Lanka. Psychiatr Bull. 2009; 33: 179-180. DOI:10.1192/pb.bp.108.020743.

Fujiwara T, Yagi J, Homma H, et al.: Suicide risk among young children after the Great East Japan Earthquake: A follow-up study. Psychiatry Res. 2017; 253: 318-324. DOI:10.1016/j.psychres.2017.04.018.

Hyodo K, Nakamura K, Oyama M, et al.: Long-term suicide mortality rates decrease in men and increase in women after the Niigata-Chuetsu earthquake in Japan. Tohoku J Exp Med. 2010; 220(2): 149-155. DOI:10.1620/tjem.220.149.

Matsubayashi T, Sawada Y, Ueda M: Natural disasters and suicide: evidence from Japan. Soc Sci Med 1982. 2013; 82: 126-133. DOI:10.1016/j.socscimed.2012.12.021.

Wasserman IM: The influence of economic business cycles on United States suicide rates. Suicide Life Threat Behav. 1984; 14(3): 143-156. DOI:10.1111/j.1943-278x.1984.tb00445.x.

Kamekis A, Rachiotis G, Markaki A, et al.: Employment and suicidal rates during economic recession: A country-targeted integrative review. Int J Soc Psychiatry. Published online November 2, 2020: 20764020969740. DOI:10.1177/0020764020969740.

Reeves A, Stuckler D, McKee M, et al.: Increase in state suicide rates in the USA during economic recession. Lancet Lond Engl. 2012; 380(9856): 1813-1814. DOI:10.1016/S0140-6736(12)61910-2.

Corcoran P, Griffin E, Arensman E, et al.: Impact of the economic recession and subsequent austerity on suicide and self-harm in Ireland: An interrupted time series analysis. Int J Epidemiol. 2015; 44(3): 969-977. DOI:10.1093/ije/dyv058.

Demirci Ş, Konca M, Yetim B, et al.: Effect of economic crisis on suicide cases: An ARDL bounds testing approach. Int J Soc Psychiatry. 2020; 66(1): 34-40. DOI:10.1177/0020764019879946.

Luo F, Florence CS, Quispe-Agnoli M, et al.: Impact of business cycles on US suicide rates, 1928-2007. Am J Public Health. 2011; 101(6): 1139-1146. DOI:10.2105/AJPH.2010.300010.

Chang SS, Gunnell D, Sterne JAC, et al.: Was the economic crisis 1997-1998 responsible for rising suicide rates in East/Southeast Asia? A time-trend analysis for Japan, Hong Kong, South Korea, Taiwan, Singapore and Thailand. Soc Sci Med 1982. 2009; 68(7): 1322-1331. DOI:10.1016/j.socscimed.2009.01.010.

Ásgeirsdóttir HG, Valdimarsdóttir UA, Nyberg U, et al.: Suicide rates in Iceland before and after the 2008 Global Recession: A nationwide population-based study. Eur J Public Health. 2020; 30(6): 1102-1108. DOI:10.1093/eurpub/ckaa121.

Congressional Research Service: Unemployment Rates during the COVID-19 Pandemic: In Brief., 2020. Available at Accessed January 9, 2021.

Bauer L, Broady K, Edelberg W, et al.: Ten Facts about COVID-19 and the U.S. Economy, 2020. Available at Accessed January 9, 2021.

UN News: World Bank expects global economy to expand by 4% in 2021. Published January 5, 2021. Available at Accessed January 9, 2021.

Fowler KA, Gladden RM, Vagi KJ, et al.: Increase in suicides associated with home eviction and foreclosure during the US housing crisis: Findings from 16 National Violent Death Reporting System States, 2005-2010. Am J Public Health. 2015; 105(2): 311-316. DOI:10.2105/AJPH.2014.301945.

Houle JN, Light MT: The home foreclosure crisis and rising suicide rates, 2005 to 2010. Am J Public Health. 2014; 104(6): 1073-1079. DOI:10.2105/AJPH.2013.301774.

Kim TJ, von dem Knesebeck O: Perceived job insecurity, unemployment and depressive symptoms: A systematic review and meta-analysis of prospective observational studies. Int Arch Occup Environ Health. 2016; 89(4): 561-573. DOI:10.1007/s00420-015-1107-1.

Gonçalves PD, Moura HF, do Amaral RA, et al.: Alcohol use and COVID-19: Can we predict the impact of the pandemic on alcohol use based on the previous crises in the 21st century? A brief review. Front Psychiatry. 2020; 11: 581113. DOI:10.3389/fpsyt.2020.581113.

Coronavirus: Italy extends emergency measures nationwide. Published March 10, 2020. Available at Accessed January 9, 2021.

Francescani C: Timeline: The first 100 days of New York Gov. Andrew Cuomo’s COVID-19 response. Published June 17, 2020. Available at Accessed January 9, 2021.

California Department of Public Health: Regional stay at home order. Published December 3, 2020. Available at Accessed January 9, 2021.

Official Advisory from the Mayor of the City of Chicago. Published December 20, 2020. Available at Accessed January 9, 2021.

Financial Times: Lockdowns compared: Tracking government’s coronavirus response. Published January 6, 2021. Available at Accessed January 9, 2021.

Brooks SK, Webster RK, Smith LE, et al.: The psychological impact of quarantine and how to reduce it: Rapid review of the evidence. Lancet Lond Engl. 2020; 395(10227): 912-920. DOI:10.1016/S0140-6736(20)30460-8.

Calati R, Ferrari C, Brittner M, et al.: Suicidal thoughts and behaviors and social isolation: A narrative review of the literature. J Affect Disord. 2019; 245: 653-667. DOI:10.1016/j.jad.2018.11.022.

Killgore WDS, Cloonan SA, Taylor EC, et al.: Loneliness during the first half-year of COVID-19 Lockdowns. Psychiatry Res. 2020; 294: 113551. DOI:10.1016/j.psychres.2020.113551.

Leigh-Hunt N, Bagguley D, Bash K, et al.: An overview of systematic reviews on the public health consequences of social isolation and loneliness. Public Health. 2017; 152: 157-171. DOI:10.1016/j.puhe.2017.07.035.

Levine MP: Loneliness and eating disorders. J Psychol. 2012; 146(1-2): 243-257. DOI:10.1080/00223980.2011.606435.

Horigian VE, Schmidt RD, Feaster DJ: Loneliness, mental health, and substance use among US young adults during COVID-19. J Psychoactive Drugs. Published online October 28, 2020: 1-9. DOI:10.1080/02791072.2020.1836435.

Vyas MV, Watt JA, Yu AYX, et al.: The association between loneliness and medication use in older adults. Age Ageing. Published online September 14, 2020. DOI:10.1093/ageing/afaa177.

Alheneidi H, AlSumait L, AlSumait D, et al.: Loneliness and problematic internet use during COVID-19 lock-down. Behav Sci Basel Switz. 2021; 11(1). DOI:10.3390/bs11010005.

Viero A, Barbara G, Montisci M, et al.: Violence against women in the Covid-19 pandemic: A review of the literature and a call for shared strategies to tackle health and social emergencies. Forensic Sci Int. 2020; 319: 110650. DOI:10.1016/j.forsciint.2020.110650.

Usher K, Bhullar N, Durkin J, et al.: Family violence and COVID-19: Increased vulnerability and reduced options for support. Int J Ment Health Nurs. 2020; 29(4): 549-552. DOI:10.1111/inm.12735.

Poddar S, Mukherjee U: Ascending child sexual abuse statistics in India during COVID-19 lockdown: A darker reality and alarming mental health concerns. Indian J Psychol Med. 2020; 42(5): 493-494. DOI:10.1177/0253717620951391.

Boserup B, McKenney M, Elkbuli A: Alarming trends in US domestic violence during the COVID-19 pandemic. Am J Emerg Med. 2020; 38(12): 2753-2755. DOI:10.1016/j.ajem.2020.04.077.

Reingle JM, Jennings WG, Connell NM, et al.: On the pervasiveness of event-specific alcohol use, general substance use, and mental health problems as risk factors for intimate partner violence. J Interpers Violence. 2014; 29(16): 2951-2970. DOI:10.1177/0886260514527172.

Castellví P, Miranda-Mendizábal A, Parés-Badell O, et al. Exposure to violence, a risk for suicide in youths and young adults. A meta-analysis of longitudinal studies. Acta Psychiatr Scand. 2017; 135(3): 195-211. DOI:10.1111/acps.12679.

Ahmadabadi Z, Najman JM, Williams GM, et al.: Intimate partner violence in emerging adulthood and subsequent substance use disorders: Findings from a longitudinal study. Addict Abingdon Engl. 2019; 114(7): 1264-1273. DOI:10.1111/add.14592.

Chandan JS, Thomas T, Bradbury-Jones C, et al.: Female survivors of intimate partner violence and risk of depression, anxiety and serious mental illness. Br J Psychiatry J Ment Sci. 2020; 217(4): 562-567. DOI:10.1192/bjp.2019.124.

Pazzanese C: Battling the “pandemic of misinformation.” The Harvard Gazette. Published May 8, 2020. Available at Accessed January 15, 2021.

Busari S, Adebayo B: Nigeria records chloroquine poisoning after Trump endorses it for coronavirus treatment. CNN. Published March 23, 2020. Available at Accessed January 15, 2021.

Haelle T: Man dead from taking chloroquine product after trump touts drug for coronavirus. Forbes. Published March 23, 2020. Available at Accessed January 15, 2021.

Aghababaeian H, Hamdanieh L, Ostadtaghizadeh A: Alcohol intake in an attempt to fight COVID-19: A medical myth in Iran. Alcohol Fayettev N. 2020; 88: 29-32. DOI:10.1016/j.alcohol.2020.07.006.

Pathare S, Vijayakumar L, Fernandes TN, et al.: Analysis of news media reports of suicides and attempted suicides during the COVID-19 lockdown in India. Int J Ment Health Syst. 2020; 14(1): 88. DOI:10.1186/s13033-020-00422-2.

Sisask M, Värnik A: Media roles in suicide prevention: A systematic review. Int J Environ Res Public Health. 2012; 9(1): 123-138. DOI:10.3390/ijerph9010123.

Dong W, Tao J, Xia X, et al.: Public emotions and rumors spread during the COVID-19 epidemic in China: Web-based correlation study. J Med Internet Res. 2020; 22(11): e21933. DOI:10.2196/21933.

Ni MY, Yang L, Leung CMC, et al.: Mental health, risk factors, and social media use during the COVID-19 epidemic and cordon sanitaire among the community and health professionals in Wuhan, China: Cross-sectional survey. JMIR Ment Health. 2020; 7(5): e19009. DOI:10.2196/19009.

Gao J, Zheng P, Jia Y, et al.: Mental health problems and social media exposure during COVID-19 outbreak. PloS One. 2020; 15(4): e0231924. DOI:10.1371/journal.pone.0231924.

Choi DH, Yoo W, Noh GY, et al.: The impact of social media on risk perceptions during the MERS outbreak in South Korea. Comput Hum Behav. 2017; 72: 422-431. DOI:10.1016/j.chb.2017.03.004.

Kramer ADI, Guillory JE, Hancock JT: Experimental evidence of massive-scale emotional contagion through social networks. Proc Natl Acad Sci U S A. 2014; 111(24): 8788-8790. DOI:10.1073/pnas.1320040111.

Neria Y, Sullivan GM: Understanding the mental health effects of indirect exposure to mass trauma through the media. JAMA. 2011; 306(12): 1374-1375. DOI:10.1001/jama.2011.1358.

Murata S, Rezeppa T, Thoma B, et al.: The psychiatric sequelae of the COVID-19 pandemic in adolescents, adults, and health care workers. Depress Anxiety. Published online December 28, 2020. DOI:10.1002/da.23120.

Rebalancing the “COVID-19 effect” on alcohol sales. Published May 7, 2020. Available at Accessed January 12, 2021.

Pollard MS, Tucker JS, Green HD: Changes in adult alcohol use and consequences during the COVID-19 pandemic in the US. JAMA Netw Open. 2020; 3(9): e2022942-e2022942.

Grossman ER, Benjamin-Neelon SE, Sonnenschein S: Alcohol consumption during the COVID-19 pandemic: A cross-sectional survey of US adults. Int J Environ Res Public Health. 2020; 17(24). DOI:10.3390/ijerph17249189.

Newby JM, O’Moore K, Tang S, et al.: Acute mental health responses during the COVID-19 pandemic in Australia. PloS One. 2020; 15(7): e0236562. DOI:10.1371/journal.pone.0236562.

Vanderbruggen N, Matthys F, Van Laere S, et al.: Self-reported alcohol, tobacco, and cannabis use during COVID-19 lockdown measures: Results from a web-based survey. Eur Addict Res. 2020; 26(6): 309-315. DOI:10.1159/000510822.

Sidor A, Rzymski P: Dietary choices and habits during COVID-19 lockdown: Experience from Poland. Nutrients. 2020; 12(6). DOI:10.3390/nu12061657.

Dumas TM, Ellis W, Litt DM: What does adolescent substance use look like during the COVID-19 pandemic? Examining changes in frequency, social contexts, and pandemic-related predictors. J Adolesc Health Off Publ Soc Adolesc Med. 2020; 67(3): 354-361. DOI:10.1016/j.jadohealth.2020.06.018.

Sun Y, Li Y, Bao Y, et al.: Brief report: Increased addictive internet and substance use behavior during the COVID-19 pandemic in China. Am J Addict. 2020; 29(4): 268-270. DOI:10.1111/ajad.13066.

Czeisler MÉ, Lane RI, Petrosky E, et al.: Mental health, substance use, and suicidal ideation during the COVID-19 pandemic: United States, June 24-30, 2020. MMWR Morb Mortal Wkly Rep. 2020; 69(32): 1049-1057. DOI:10.15585/mmwr.mm6932a1.

Rolland B, Haesebaert F, Zante E, et al.: Global changes and factors of increase in caloric/salty food intake, screen use, and substance use during the early COVID-19 containment phase in the general population in France: Survey study. JMIR Public Health Surveill. 2020; 6(3): e19630. DOI:10.2196/19630.

Ahmed MZ, Ahmed O, Aibao Z, et al.: Epidemic of COVID-19 in China and associated psychological Problems. Asian J Psychiatry. 2020; 51: 102092. DOI:10.1016/j.ajp.2020.102092.

Moise IK, Ruiz MO: Hospitalizations for substance abuse disorders before and after Hurricane Katrina: Spatial clustering and area-level predictors, New Orleans, 2004 and 2008. Prev Chronic Dis. 2016; 13: E145. DOI:10.5888/pcd13.160107.

Flory K, Hankin BL, Kloos B, et al.: Alcohol and cigarette use and misuse among Hurricane Katrina survivors: Psychosocial risk and protective factors. Subst Use Misuse. 2009; 44(12): 1711-1724. DOI:10.3109/10826080902962128.

Adams RE, Boscarino JA, Galea S: Alcohol use, mental health status and psychological well-being 2 years after the World Trade Center attacks in New York City. Am J Drug Alcohol Abuse. 2006; 32(2): 203-224. DOI:10.1080/00952990500479522.

Wu P, Liu X, Fang Y, et al.: Alcohol abuse/dependence symptoms among hospital employees exposed to a SARS outbreak. Alcohol Oxf Oxfs. 2008; 43(6): 706-712. DOI:10.1093/alcalc/agn073.

Imtiaz S, Wells S, Rehm J, et al.: Cannabis use during the COVID-19 pandemic in Canada: A repeated cross-sectional study. J Addict Med. Published online December 14, 2020. DOI:10.1097/ADM.0000000000000798.

van Laar MW, Oomen PE, van Miltenburg CJA, et al.: Cannabis and COVID-19: Reasons for concern. Front Psychiatry. 2020; 11: 601653. DOI:10.3389/fpsyt.2020.601653.

Wang QQ, Kaelber DC, Xu R, et al.: COVID-19 risk and outcomes in patients with substance use disorders: Analyses from electronic health records in the United States. Mol Psychiatry. Published online September 14, 2020: 1-10. DOI:10.1038/s41380-020-00880-7.

Boden JM, Fergusson DM: Alcohol and depression. Addict Abingdon Engl. 2011; 106(5): 906-914. DOI:10.1111/j.1360-0443.2010.03351.x.

Conner KR, Pinquart M, Gamble SA: Meta-analysis of depression and substance use among individuals with alcohol use disorders. J Subst Abuse Treat. 2009; 37(2): 127-137. DOI:10.1016/j.jsat.2008.11.007.

Schuckit MA: Alcohol-use disorders. Lancet Lond Engl. 2009; 373(9662): 492-501. DOI:10.1016/S0140-6736(09)60009-X.

Jané-Llopis E, Matytsina I: Mental health and alcohol, drugs and tobacco: A review of the comorbidity between mental disorders and the use of alcohol, tobacco and illicit drugs. Drug Alcohol Rev. 2006; 25(6): 515-536. DOI:10.1080/09595230600944461.

Esmaeelzadeh S, Moraros J, Thorpe L, et al.: Examining the association and directionality between mental health disorders and substance use among adolescents and young adults in the US and Canada: A systematic review and meta-analysis. J Clin Med. 2018; 7(12). DOI:10.3390/jcm7120543.

Borges G, Bagge CL, Cherpitel CJ, et al.: A meta-analysis of acute use of alcohol and the risk of suicide attempt. Psychol Med. 2017; 47(5): 949-957. DOI:10.1017/S0033291716002841.

Darvishi N, Farhadi M, Haghtalab T, et al.: Alcohol-related risk of suicidal ideation, suicide attempt, and completed suicide: A meta-analysis. PloS One. 2015; 10(5): e0126870. DOI:10.1371/journal.pone.0126870.

Yuodelis-Flores C, Ries RK: Addiction and suicide: A review. Am J Addict. 2015; 24(2): 98-104. DOI:10.1111/ajad.12185.

Turecki G, Brent DA, Gunnell D, et al.: Suicide and suicide risk. Nat Rev Dis Primer. 2019; 5(1): 74. DOI:10.1038/s41572-019-0121-0.

Wang C, Pan R, Wan X, et al.: Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. Int J Environ Res Public Health. 2020; 17(5). DOI:10.3390/ijerph17051729.

Qiu J, Shen B, Zhao M, et al.: A nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic: Implications and policy recommendations. Gen Psychiatry. 2020; 33(2): e100213. DOI:10.1136/gpsych-2020-100213.

Huang Y, Zhao N: Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: A web-based cross-sectional survey. Psychiatry Res. 2020; 288: 112954. DOI:10.1016/j.psychres.2020.112954.

Varma P, Junge M, Meaklim H, et al.: Younger people are more vulnerable to stress, anxiety and depression during COVID-19 pandemic: A global cross-sectional survey. Prog Neuropsychopharmacol Biol Psychiatry. 2020; 109: 110236. DOI:10.1016/j.pnpbp.2020.110236.

Xiong J, Lipsitz O, Nasri F, et al.: Impact of COVID-19 pandemic on mental health in the general population: A systematic review. J Affect Disord. 2020; 277: 55-64. DOI:10.1016/j.jad.2020.08.001.

Hossain MM, Tasnim S, Sultana A, et al.: Epidemiology of mental health problems in COVID-19: A review. F1000Research. 2020; 9: 636. DOI:10.12688/f1000research.24457.1.

Vindegaard N, Benros ME: COVID-19 pandemic and mental health consequences: Systematic review of the current evidence. Brain Behav Immun. 2020; 89: 531-542. DOI:10.1016/j.bbi.2020.05.048.

Hao F, Tan W, Jiang L, et al.: Do psychiatric patients experience more psychiatric symptoms during COVID-19 pandemic and lockdown? A case-control study with service and research implications for immunopsychiatry. Brain Behav Immun. 2020; 87: 100-106. DOI:10.1016/j.bbi.2020.04.069.

Turecki G, Brent DA: Suicide and suicidal behaviour. Lancet Lond Engl. 2016; 387(10024): 1227-1239. DOI:10.1016/S0140-6736(15)00234-2.

Berman AL: Estimating the population of survivors of suicide: Seeking an evidence base. Suicide Life Threat Behav. 2011; 41(1): 110-116. DOI:10.1111/j.1943-278X.2010.00009.x.

Andriessen K, Rahman B, Draper B, et al.: Prevalence of exposure to suicide: A meta-analysis of population-based studies. J Psychiatr Res. 2017; 88: 113-120. DOI:10.1016/j.jpsychires.2017.01.017.

Pitman A, Osborn D, King M, et al.: Effects of suicide bereavement on mental health and suicide risk. Lancet Psychiatry. 2014; 1(1):. 86-94. DOI:10.1016/S2215-0366(14)70224-X.

Bolton JM, Au W, Leslie WD, et al.: Parents bereaved by offspring suicide: A population-based longitudinal case-control study. JAMA Psychiatry. 2013; 70(2): 158-167. DOI:10.1001/jamapsychiatry.2013.275.

de Leo D, Heller T: Social modeling in the transmission of suicidality. Crisis. 2008; 29(1): 11-19. DOI:10.1027/0227-5910.29.1.11.

Maple M, Cerel J, Sanford R, et al.: Is exposure to suicide beyond kin associated with risk for suicidal behavior? A systematic review of the evidence. Suicide Life Threat Behav. 2017; 47(4): 461-474. DOI:10.1111/sltb.12308.

Ammerman BA, Burke TA, Jacobucci R, et al.: Preliminary investigation of the association between COVID-19 and suicidal thoughts and behaviors in the U.S. J Psychiatr Res. 2020; 134: 32-38. DOI:10.1016/j.jpsychires.2020.12.037.

Hill RM, Rufino K, Kurian S, et al.: Suicide ideation and attempts in a pediatric emergency department before and during COVID-19. Pediatrics. Published online December 16, 2020. DOI:10.1542/peds.2020-029280.

Beckett L: Americans have bought record 17m guns in year of unrest, analysis finds. The Guardian. Published October 30, 2020. Available at Accessed January 18, 2021.

Anestis MD, Bond AE, Daruwala SE, et al.: Suicidal ideation among individuals who have purchased firearms during COVID-19. Am J Prev Med. Published online November 17, 2020. DOI:10.1016/j.amepre.2020.10.013.

Stone D, Holland K, Bartholow B, et al.: Preventing suicide: A technical package of policy, programs, and practices. Published online 2017. Available at Accessed January 20, 2021.

Puig-Barrachina V, Giró P, Artazcoz L, et al.: The impact of Active Labour Market Policies on health outcomes: A scoping review. Eur J Public Health. 2020; 30(1): 36-42. DOI:10.1093/eurpub/ckz026.

Dow WH, Godøy A, Lowenstein C, et al.: Can labor market policies reduce deaths of despair? J Health Econ. 2020; 74: 102372. DOI:10.1016/j.jhealeco.2020.102372.

Morgan ER, DeCou CR, Hill HD, et al.: State earned income tax credits and suicidal behavior: A repeated cross-sectional study. Prev Med. 2021; 145: 106403. DOI:10.1016/j.ypmed.2020.106403.

Pollock LR, Williams JMG: Problem-solving in suicide attempters. Psychol Med. 2004; 34(1): 163-167. DOI:10.1017/s0033291703008092.

Wilson KG, Stelzer J, Bergman JN, et al.: Problem solving, stress, and coping in adolescent suicide attempts. Suicide Life Threat Behav. 1995; 25(2): 241-252.

Wasserman D, Hoven CW, Wasserman C, et al.: School-based suicide prevention programmes: The SEYLE cluster-randomised, controlled trial. Lancet Lond Engl. 2015; 385(9977): 1536-1544. DOI:10.1016/S0140-6736(14)61213-7.

Wilcox HC, Kellam SG, Brown CH, et al.: The impact of two universal randomized first- and second-grade classroom interventions on young adult suicide ideation and attempts. Drug Alcohol Depend. 2008; 95 Suppl 1(Suppl 1): S60-73. DOI:10.1016/j.drugalcdep.2008.01.005.

Kellam SG, Brown CH, Poduska JM, et al.: Effects of a universal classroom behavior management program in first and second grades on young adult behavioral, psychiatric, and social outcomes. Drug Alcohol Depend. 2008; 95 Suppl 1(Suppl 1): S5-S28. DOI:10.1016/j.drugalcdep.2008.01.004.

Trudeau L, Spoth R, Mason WA, et al.: Effects of adolescent universal substance misuse preventive interventions on young adult depression symptoms: Mediational modeling. J Abnorm Child Psychol. 2016; 44(2): 257-268. DOI:10.1007/s10802-015-9995-9.

Spoth RL, Redmond C, Shin C: Randomized trial of brief family interventions for general populations: Adolescent substance use outcomes 4 years following baseline. J Consult Clin Psychol. 2001; 69(4): 627-642. DOI:10.1037//0022-006x.69.4.627.

World Health Organization: Preventing suicide: A resource for media professionals. Published online 2008. Available at Accessed January 18, 2021.

Organisation for Economic Co-operation and Development: Combatting COVID-19 disinformation on online platforms. Available at Accessed January 18, 2021.

Xuan Z, Naimi TS, Kaplan MS, et al.: Alcohol policies and suicide: A review of the literature. Alcohol Clin Exp Res. 2016; 40(10): 2043-2055. DOI:10.1111/acer.13203.

Isaac M, Elias B, Katz LY, et al.: Gatekeeper training as a preventative intervention for suicide: A systematic review. Can J Psychiatry Rev Can Psychiatr. 2009; 54(4): 260-268. DOI:10.1177/070674370905400407.

Suicide Prevention Resource Center: Choosing a suicide prevention gatekeeper training program – A comparison table of trainings available online. Published online May 2020. Available at Accessed January 19, 2021.

Suicide Prevention Resource Center: Selecting and implementing a gatekeeper training. Published online 2020. Available at Accessed January 19, 2021.

Yonemoto N, Kawashima Y, Endo K, et al.: Gatekeeper training for suicidal behaviors: A systematic review. J Affect Disord. 2019; 246: 506-514. DOI:10.1016/j.jad.2018.12.052.

Burnette C, Ramchand R, Ayer L: Gatekeeper training for suicide prevention: A theoretical model and review of the empirical literature. Rand Health Q. 2015; 5(1): 16.

Gould MS, Kalafat J, Harrismunfakh JL, et al.: An evaluation of crisis hotline outcomes. Part 2: Suicidal callers. Suicide Life Threat Behav. 2007; 37(3): 338-352. DOI:10.1521/suli.2007.37.3.338.

Brody C, Star A, Tran J: Chat-based hotlines for health promotion: A systematic review. mHealth. 2020; 6: 36. DOI:10.21037/mhealth-2019-di-13.

Coppen A: Lithium in unipolar depression and the prevention of suicide. J Clin Psychiatry. 2000; 61 Suppl 9: 52-56.

Cipriani A, Hawton K, Stockton S, et al.: Lithium in the prevention of suicide in mood disorders: Updated systematic review and meta-analysis. BMJ. 2013; 346: f3646. DOI:10.1136/bmj.f3646.

Tondo L, Baldessarini RJ: Suicidal behavior in mood disorders: Response to pharmacological treatment. Curr Psychiatry Rep. 2016; 18(9): 88. DOI:10.1007/s11920-016-0715-0.

Andriessen K, Krysinska K, Kõlves K, et al.: Suicide post-vention service models and guidelines 2014-2019: A systematic review. Front Psychol. 2019; 10: 2677. DOI:10.3389/fpsyg.2019.02677.

Gehrmann M, Dixon SD, Visser VS, et al.: Evaluating the outcomes for bereaved people supported by a community-based suicide bereavement service. Crisis. 2020; 41(6): 437-444. DOI:10.1027/0227-5910/a000658.

Andriessen K, Krysinska K, Hill NTM, et al.: Effectiveness of interventions for people bereaved through suicide: A systematic review of controlled studies of grief, psychosocial and suicide-related outcomes. BMC Psychiatry. 2019; 19(1): 49. DOI:10.1186/s12888-019-2020-z.



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