COVID-19 illness, SARS-CoV2 infection, and subsequent suicidal ideation in the French nationwide population-based EpiCov cohort : a propensity score analysis of more than 50,000 individuals Article Swipe
Camille Davisse‐Paturet
,
Massimiliano Orri
,
Stéphane Legleye
,
Aline-Marie Florence
,
Jean‐Baptiste Hazo
,
Josiane Warszawski
,
Bruno Falissard
,
Marie‐Claude Geoffroy
,
Maria Melchior
,
Alexandra Rouquette
·
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.1101/2022.08.02.22278311
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.1101/2022.08.02.22278311
Symptomatic COVID-19 appears to be associated with suicidal ideation but longitudinal evidence is still scarce. SARS-CoV2-induced neurological damages might underline this association, but findings are inconsistent. We therefore investigated the association between COVID-19 disease and subsequent suicidal ideation in the general population, using both self-reported symptoms and serology as well as inverse probability weighting to draw as near as possible to the direct association. Using data from the nationwide French EpiCov cohort, COVID-19 disease was assessed through 1) COVID-19 illness (self-reported symptoms of sudden loss of taste/smell or fever alongside cough, shortness of breath or chest oppression, between February and November 2020), and 2) SARS-CoV2 infection (Spike protein ELISA test screening in dried-blood-spot samples). Suicidal ideation was self-reported between December 2020 and July 2021. Inverse probability weighting with propensity scores was used as an adjustment strategy, leading to balanced sociodemographic and health-related factors between the exposed and non-exposed groups of both COVID-19 disease measures. Then, modified Poisson regression models were used to investigate the association of COVID-19 illness and SARS-CoV2 infection with subsequent suicidal ideation. Among 52,050 participants from the EpiCov cohort, 1.68% [1.54% - 1.82%] reported suicidal ideation in the first half of 2021, 9.57% [9.24% – 9.90%] had a SARS-CoV2 infection in 2020 and 13.23% [12.86% – 13.61%] reported COVID-19 symptoms in 2020. COVID-19 illness in 2020 was associated with higher risks of subsequent suicidal ideation in the first half of 2021 (Relative Risk ipw [CI95%]= 1.43 [1.20 – 1.69]) while SARS-CoV2 infection in 2020 was not (RR ipw = 0.88 [0.69 – 1.12]). If COVID-19 illness was associated with subsequent suicidal ideation, the exact role of SARS-CoV2 infection with respect to suicide risk has yet to be clarified. Psychological support should be offered to persons recovering from symptomatic COVID-19 in order to minimize suicidal ideation risk. Moreover, if such psychological support is to be implemented, serology status alone does not seem a relevant criterion to define persons who suffered from COVID-19 to prioritize.
Related Topics
Concepts
Medicine
Suicidal ideation
Cohort
Population
Cohort study
Psychiatry
Internal medicine
Suicide attempt
Poison control
Injury prevention
Emergency medicine
Environmental health
Metadata
- Type
- preprint
- Language
- en
- Landing Page
- https://doi.org/10.1101/2022.08.02.22278311
- https://www.medrxiv.org/content/medrxiv/early/2022/08/03/2022.08.02.22278311.full.pdf
- OA Status
- green
- References
- 19
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4289653872
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4289653872Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1101/2022.08.02.22278311Digital Object Identifier
- Title
-
COVID-19 illness, SARS-CoV2 infection, and subsequent suicidal ideation in the French nationwide population-based EpiCov cohort : a propensity score analysis of more than 50,000 individualsWork title
- Type
-
preprintOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2022Year of publication
- Publication date
-
2022-08-03Full publication date if available
- Authors
-
Camille Davisse‐Paturet, Massimiliano Orri, Stéphane Legleye, Aline-Marie Florence, Jean‐Baptiste Hazo, Josiane Warszawski, Bruno Falissard, Marie‐Claude Geoffroy, Maria Melchior, Alexandra RouquetteList of authors in order
- Landing page
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https://doi.org/10.1101/2022.08.02.22278311Publisher landing page
- PDF URL
-
https://www.medrxiv.org/content/medrxiv/early/2022/08/03/2022.08.02.22278311.full.pdfDirect link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
-
greenOpen access status per OpenAlex
- OA URL
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https://www.medrxiv.org/content/medrxiv/early/2022/08/03/2022.08.02.22278311.full.pdfDirect OA link when available
- Concepts
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Medicine, Suicidal ideation, Cohort, Population, Cohort study, Psychiatry, Internal medicine, Suicide attempt, Poison control, Injury prevention, Emergency medicine, Environmental healthTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
- References (count)
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19Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.respect | 273 |
| abstract_inverted_index.scarce. | 15 |
| abstract_inverted_index.suicide | 275 |
| abstract_inverted_index.support | 283, 304 |
| abstract_inverted_index.through | 77 |
| abstract_inverted_index.Abstract | 0 |
| abstract_inverted_index.COVID-19 | 2, 33, 73, 79, 152, 167, 212, 216, 258, 292, 324 |
| abstract_inverted_index.December | 120 |
| abstract_inverted_index.February | 99 |
| abstract_inverted_index.November | 101 |
| abstract_inverted_index.Suicidal | 115 |
| abstract_inverted_index.[CI95%]= | 238 |
| abstract_inverted_index.assessed | 76 |
| abstract_inverted_index.balanced | 139 |
| abstract_inverted_index.evidence | 12 |
| abstract_inverted_index.findings | 24 |
| abstract_inverted_index.ideation | 9, 38, 116, 189, 228, 298 |
| abstract_inverted_index.minimize | 296 |
| abstract_inverted_index.modified | 156 |
| abstract_inverted_index.possible | 60 |
| abstract_inverted_index.relevant | 316 |
| abstract_inverted_index.reported | 187, 211 |
| abstract_inverted_index.serology | 48, 309 |
| abstract_inverted_index.suffered | 322 |
| abstract_inverted_index.suicidal | 8, 37, 174, 188, 227, 264, 297 |
| abstract_inverted_index.symptoms | 46, 82, 213 |
| abstract_inverted_index.(Relative | 235 |
| abstract_inverted_index.Moreover, | 300 |
| abstract_inverted_index.SARS-CoV2 | 105, 170, 202, 244, 270 |
| abstract_inverted_index.alongside | 90 |
| abstract_inverted_index.criterion | 317 |
| abstract_inverted_index.ideation, | 265 |
| abstract_inverted_index.ideation. | 175 |
| abstract_inverted_index.infection | 106, 171, 203, 245, 271 |
| abstract_inverted_index.measures. | 154 |
| abstract_inverted_index.samples). | 114 |
| abstract_inverted_index.screening | 111 |
| abstract_inverted_index.shortness | 92 |
| abstract_inverted_index.strategy, | 136 |
| abstract_inverted_index.therefore | 28 |
| abstract_inverted_index.underline | 20 |
| abstract_inverted_index.weighting | 54, 127 |
| abstract_inverted_index.adjustment | 135 |
| abstract_inverted_index.associated | 6, 221, 261 |
| abstract_inverted_index.clarified. | 281 |
| abstract_inverted_index.nationwide | 69 |
| abstract_inverted_index.propensity | 129 |
| abstract_inverted_index.recovering | 289 |
| abstract_inverted_index.regression | 158 |
| abstract_inverted_index.subsequent | 36, 173, 226, 263 |
| abstract_inverted_index.Symptomatic | 1 |
| abstract_inverted_index.association | 31, 165 |
| abstract_inverted_index.investigate | 163 |
| abstract_inverted_index.non-exposed | 148 |
| abstract_inverted_index.oppression, | 97 |
| abstract_inverted_index.population, | 42 |
| abstract_inverted_index.prioritize. | 326 |
| abstract_inverted_index.probability | 53, 126 |
| abstract_inverted_index.symptomatic | 291 |
| abstract_inverted_index.taste/smell | 87 |
| abstract_inverted_index.association, | 22 |
| abstract_inverted_index.association. | 64 |
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| abstract_inverted_index.investigated | 29 |
| abstract_inverted_index.longitudinal | 11 |
| abstract_inverted_index.neurological | 17 |
| abstract_inverted_index.participants | 178 |
| abstract_inverted_index.Psychological | 282 |
| abstract_inverted_index.inconsistent. | 26 |
| abstract_inverted_index.psychological | 303 |
| abstract_inverted_index.self-reported | 45, 118 |
| abstract_inverted_index.(self-reported | 81 |
| abstract_inverted_index.health-related | 142 |
| abstract_inverted_index.dried-blood-spot | 113 |
| abstract_inverted_index.sociodemographic | 140 |
| abstract_inverted_index.SARS-CoV2-induced | 16 |
| cited_by_percentile_year | |
| corresponding_author_ids | https://openalex.org/A5080141734 |
| countries_distinct_count | 2 |
| institutions_distinct_count | 10 |
| corresponding_institution_ids | https://openalex.org/I154526488, https://openalex.org/I195731000, https://openalex.org/I277688954, https://openalex.org/I4210103698 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.800000011920929 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.14554833 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |