Abstract

The aim of the study was to examine the prevalence of suicide thoughts and attempts during the early stage of the COVID-19 outbreak and examine pandemic-related factors associated with suicide thoughts in the general Norwegian population. A sample of 4527 adults living in Norway were recruited via social media. Data related to suicide thoughts and attempts, alcohol use, pandemic-related concerns, and sociodemographic variables were collected. Associations with suicide thoughts were analyzed with logistic regression analysis. In the sample, 3.6% reported suicide thoughts during the last month, while 0.2% had attempted suicide during the same period. Previous suicide attempts (OR: 11.93, p < 0.001), lower age (OR: 0.69, p < 0.001), daily alcohol use (OR: 3.31, p < 0.001), being in the risk group for COVID-19 complications (OR: 2.15, p < 0.001), and having economic concerns related to the pandemic (OR: 2.28, p < 0.001) were associated with having current suicide thoughts. In addition to known risk factors, the study suggests that aspects specific to COVID-19 may be important for suicidal behaviors during the pandemic.

Highlights

  • Suicide and suicide attempts convey unbearable personal suffering, and suicides give rise to considerable, long-lasting suffering for family and close ones [1,2,3]

  • This study examined the prevalence of suicide thoughts and attempts during the early stage of the COVID-19 outbreak and examined factors associated with current suicide thoughts in the general Norwegian population

  • We considered that having suicide thoughts might be a longstanding problem among a proportion of the sample, knowing that many people live with such thoughts over time without progressing onto suicide attempts

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Summary

Introduction

Suicide and suicide attempts convey unbearable personal suffering, and suicides give rise to considerable, long-lasting suffering for family and close ones [1,2,3]. The rate of suicide in a country may be considered a crude indicator of the population’s mental health. In Norway, between 600 and 700 persons kill themselves each year [4], and it is suggested that the number of suicide attempts is approximately ten times higher [5]. Mental health policies in Norway continue to aim to reduce the population suicide rate [8]. A study in Spain followed up 1241 individuals following a first-time suicide attempt, and found that 20% of them re-attempted suicide at least once, supporting the notion that previous suicidal ideation and behaviors are major risk

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