Abuse, self-harm and suicidal ideation in the UK during the COVID-19 pandemic.
Open accessAbstract
Summary: This study explored patterns of abuse, self-harm and thoughts of suicide/self-harm in the UK during the first month of the COVID-19 pandemic using data from the COVID-19 Social Study ( n =44 775), a non-probability sample weighted to population proportions. The reported frequency of abuse, self-harm and thoughts of suicide/self-harm was higher among women, Black, Asian and minority ethnic (BAME) groups and people experiencing socioeconomic disadvantage, unemployment, disability, chronic physical illnesses, mental disorders and COVID-19 diagnosis. Psychiatric medications were the most common type of support being used, but fewer than half of those affected were accessing formal or informal support.
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The COVID-19 pandemic has disproportional consequences for patients suffering from mental health disorders, including potentially increased suicide risk and increased adversities.
“So far, data clearly indicate disproportional consequences of the COVID-19 pandemic (16–18), even a potentially increased suicide risk (18), and an increase of adversities (19) in patients suffering from mental health disorders.”
From Radical Acceptance of Reality: Putting DBT®-A Skill Groups Online During the COVID-19 Pandemic: A Qualitative Study (2022) · cites this paper as [19]
The Abstract and Discussion report that abuse, self-harm, and suicidal or self-harm thoughts during the first month of UK lockdown were more common among people with mental disorders. But the Discussion says comparisons with usual prevalence are challenging, so the paper does not establish the cited increase in adversities over pre-pandemic levels. The sentence cites a different source for potentially increased suicide risk. (LLM, conf=0.86)
Experimental — accuracy not yet measuredIn a general population sample that included people who reported having been diagnosed with COVID-19, Iob et al. (2020) found suicide/self-harm thoughts were more common in those with a COVID-19 diagnosis than in those not affected (33% vs 17%), and likewise for suicide attempts (14% vs 5%).
“In a general population sample that included people who reported having been diagnosed with COVID-19, Iob et al. (2020) found suicide/self-harm thoughts were more common in those with a COVID-19 diagnosis than in those not affected (33% vs 17%); likewise for suicide attempts (14% vs. 5%).”
From The impact of the COVID-19 pandemic on self-harm and suicidal behaviour: update of living systematic review (2021) · cites this paper as Iob et al. (2020)
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- Authors
- Iob, E., Steptoe, A., & Fancourt, D.
- Affiliations
- University College London (GB)
- Corresponding author
- Fancourt, Daisy
- Venue
- The British Journal of Psychiatry
- Publisher
- Royal College of Psychiatrists
- Published
- 2020-07-13
- Volume
- 217
- Issue
- 4
- Pages
- 543-546
- ISSN
- 0007-1250 (ISSN-L)
- 1472-1465
- PMC
- PMC7360935
- OpenAlex
- W3041917899
- Cited by
- 297
- References
- 7
- Citations by year
- 2026: 7 · 2025: 14 · 2024: 20 · 2023: 52 · 2022: 69 · 2021: 119 · 2020: 16
- FWCI
- 25.47
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- The British Journal of Psychiatry (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Research Portal (King's College London) (publishedVersion, other-oa)
- UCL Discovery (University College London) (submittedVersion)
- Funders
- Wellcome Trust (WEL/FR-000022583, 221400/Z/20/Z, 205407/Z/16/Z, ES/S002588/1, 205407)
- UK Research and Innovation (WEL/FR-000022583, 205407/Z/16/Z, [ES/S002588/1, 221400/Z/20/Z)
- Nuffield Foundation (WEL/FR000022583, ES/S002588/1)
- Economic and Social Research Council (ES/S002588/1, 1907703)
- Topics
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- COVID-19 pandemic, abuse, self-harm, suicidal ideation, domestic violence, socioeconomic deprivation, mental illness, psychiatric medication, help-seeking, COVID-19 diagnosis, disability, unemployment, chronic physical illness
- MeSH terms
- Psychosocial Support Systems, Betacoronavirus, COVID-19, SARS-CoV-2, Suicide Prevention, Adult, Mental Disorders, Female, United Kingdom, Humans, Longitudinal Studies, Male, Mental Health Services, Middle Aged, Pneumonia, Viral, Risk Factors, Social Isolation, Suicide, Prevalence, Self-Injurious Behavior, Domestic Violence, Coronavirus Infections, Risk Assessment, Pandemics, Suicidal Ideation
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