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The COVID\u201019 pandemic affects risk and pro\u2010tective factors for suicide at each level of the socio\u2010ecological model. Economic downturn, augmented barriers to accessing health care, increased access to suicidal means, inappropriate media reporting at the societal level; deprioritization of mental health and preventive activities at the community level; interpersonal conflicts, neglect and violence at the relationship level; unemployment, poverty, loneliness and hopelessness at the individual level: all these variables contribute to an increase of depression, anxiety, post\u2010traumatic stress disorder, harmful use of alcohol, substance abuse, and ultimately suicide risk. Suicide should be prevented by strengthening universal strategies directed to the entire population, including mitigation of unemployment, poverty and inequalities; prioritization of access to mental health care; responsible media reporting, with information about available support; prevention of increased alcohol intake; and restriction of access to lethal means of suicide. Selective interventions should continue to target known vulnerable groups who are socio\u2010economically disadvantaged, but also new ones such as first responders and health care staff, and the bereaved by COVID\u201019 who have been deprived of the final contact with loved ones and funerals.\u00a0Indicated preventive strategies targeting individuals who display suicidal behaviour should focus on available pharmacological and psychological treatments of mental disorders, ensuring proper follow\u2010up and chain of care by increased use of telemedicine and other digital means. The scientific community, health care professionals, politicians and decision\u2010makers will find in this paper a systematic description of the effects of the pandemic on suicide risk at the society, community, family and individual levels, and an overview of how evidence\u2010based suicide preventive interventions should be adapted. Research is needed to investigate which adaptations are effective and in which\u00a0con\u2010texts.<\/jats:p>","DOI":"10.1002\/wps.20801","type":"journal-article","created":{"date-parts":[[2020,9,21]],"date-time":"2020-09-21T19:02:32Z","timestamp":1600714952000},"page":"294-306","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":234,"title":["Adaptation of evidence\u2010based suicide prevention strategies during and after the<scp>COVID<\/scp>\u201019 pandemic"],"prefix":"10.1002","volume":"19","author":[{"given":"Danuta","family":"Wasserman","sequence":"first","affiliation":[{"name":"National Centre for Suicide Research and Prevention of Mental Ill\u2010Health, Karolinska Institutet Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miriam","family":"Iosue","sequence":"additional","affiliation":[{"name":"National Centre for Suicide Research and Prevention of Mental Ill\u2010Health, Karolinska Institutet Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anika","family":"Wuestefeld","sequence":"additional","affiliation":[{"name":"National Centre for Suicide Research and Prevention of Mental Ill\u2010Health, Karolinska Institutet Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vladimir","family":"Carli","sequence":"additional","affiliation":[{"name":"National Centre for Suicide Research and Prevention of Mental Ill\u2010Health, Karolinska Institutet Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,9,15]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"World Health Organization. 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