Risk of admission to hospital for self-harm after admission to hospital for COVID-19: French nationwide longitudinal study
2024

Risk of Self-Harm After COVID-19 Hospitalization

Sample size: 2894088 publication Evidence: high

Author Information

Author(s): Pirard Philippe, Decio Valentina, Pignon Baptiste, Bouaziz Olivier, Perduca Vittorio, Kovess-Masfety Viviane, Corruble Emmanuelle, Chin Francis, Geoffroy Pierre A., Strat Yann Le, Messika Jonathan, Regnault Nolwenn, Tebeka Sarah

Primary Institution: Non Communicable Diseases and Trauma Division, Santé publique France, Paris, France

Hypothesis

Does COVID-19 particularly affect the risk of suicide attempts after hospitalisation?

Conclusion

Hospitalisation for COVID-19 during the early pandemic was linked to a lower risk of subsequent self-harm than hospitalisation for other reasons.

Supporting Evidence

  • Of the 96,313 patients hospitalized for COVID-19, 336 were subsequently admitted for self-harm within 12 months.
  • 20,135 of 2,797,775 patients admitted for other reasons were subsequently admitted for self-harm.
  • The adjusted odds ratio for self-harm after COVID-19 hospitalization was 0.66 after adjusting for sociodemographic factors.

Takeaway

People who were hospitalized for COVID-19 were less likely to hurt themselves later compared to those who were hospitalized for other reasons.

Methodology

Logistic regression models were used to analyze data from patients admitted to hospitals in metropolitan France between January and June 2020.

Potential Biases

Potential biases include selection bias due to the focus on hospital admissions and the possibility of underreporting self-harm.

Limitations

The actual number of admissions for self-harm was relatively small, and the study only considered self-harm that led to hospitalization.

Participant Demographics

The study included adults aged 18 years or older, with a focus on those hospitalized for COVID-19 and other reasons.

Statistical Information

P-Value

p<0.0001

Confidence Interval

95% CI: 0.63–0.78

Statistical Significance

p<0.0001

Digital Object Identifier (DOI)

10.1192/bjo.2024.786

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