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KMID : 0191120220370060045
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Journal of Korean Medical Science
2022 Volume.37 No. 6 p.45 ~ p.45
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Self-Injurious Behavior Rate in the Short-Term Period of the COVID-19 Pandemic in Korea
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Park Se-Jin
Rim Soo-Jung
Jo Min-Kyung
Lee Min-Geu
Kim Gyu-Rin
Park Su-Bin
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Abstract
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Background: The objective of this study was to investigate the trend of self-injurious behavior (SIB) among persons who were directly impacted by coronavirus disease 2019 (COVID-19), especially those with pre-existing mental disorders.
Methods: Using the National Health Insurance Service-COVID-19 database cohort, the monthly SIB rate was calculated by COVID-19 subgroups (i.e., positive for COVID-19 test, negative for COVID-19 test, and non-COVID-19 test [control]). In addition, moderated regression analysis was utilized to examine the statistical difference of SIB (suicide attempt and non-suicidal self-injury using ICD-10 code) trend between COVID-19 subgroups and with and without pre-existing mental disorder.
Results: A total of 328,373 persons were included in the cohort study. Of these, 212,678 had been tested for COVID-19, and 7,713 of them were confirmed positive. During the pandemic peak, the “negative for COVID-19” group showed a large increase (P = 0.003) in SIB rates compared to the control group, the “positive for COVID-19” group showed a decreasing trend, but not significant (P = 0.314). Among those who were tested for COVID-19, those with pre-existing mental disorders showed an increasing trend of SIB compared to those without pre-existing mental disorders, however statistically insignificant (P = 0.137).
Conclusion: Our results suggest that people who are tested for COVID-19 are at a high risk of SIB during the peak COVID-19 pandemic. Therefore, screening for suicide risk and psychological interventions is needed for these high-risk groups.
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KEYWORD
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COVID-19, COVID-19 Positive, Mental Disorders, Self-Injurious Behavior (SIB), Suicide Attempt, Non-Suicidal Self-Injury (NSSI), South Korea
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