{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T23:33:28Z","timestamp":1787009608487,"version":"build-2736575974"},"reference-count":30,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2021,1,24]],"date-time":"2021-01-24T00:00:00Z","timestamp":1611446400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,4,27]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>A significant number of coronavirus disease SARS-CoV-2 (COVID-19) patients continue to have symptoms related to COVID-19 after the acute phase of illness. This post-COVID condition is sometimes called \u2018post-COVID syndrome\u2019, \u2018long COVID\u2019 or \u2018post-acute COVID-19\u2019. Persistent psychiatric symptoms among COVID-19 survivors such as depression, anxiety, post-traumatic symptoms and cognitive impairment may be related to psychological factors and neurobiological injury. COVID-19 related neurological symptoms including anosmia, ageusia, dizziness, headache and seizures may persist for a long time after the acute COVID-19 illness. Many COVID-19 survivors experience persistent physical symptoms such as cough, fatigue, dyspnea and pain after recovering from their initial illness. There is a high probability that symptoms of psychiatric, neurological and physical illnesses, as well as inflammatory damage to the brain in individuals with post-COVID syndrome increase suicidal ideation and behavior in this patient population. COVID-19 survivors without post-COVID syndrome may also be at elevated suicide risk. Studies of suicidality in COVID-19 survivors are urgently needed and will be a new area of suicide research. An appropriate management of psychiatric, neurological and medical conditions may reduce suicide risk among COVID-19 survivors with or without post-COVID syndrome.<\/jats:p>","DOI":"10.1093\/qjmed\/hcab007","type":"journal-article","created":{"date-parts":[[2021,1,8]],"date-time":"2021-01-08T10:02:28Z","timestamp":1610100148000},"page":"95-98","source":"Crossref","is-referenced-by-count":125,"title":["Post-COVID syndrome and suicide risk"],"prefix":"10.1093","volume":"114","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7729-3222","authenticated-orcid":false,"given":"L","family":"Sher","sequence":"first","affiliation":[{"name":"From the Inpatient Psychiatry, James J. Peters Veterans\u2019 Administration Medical Center, 130 W. Kingsbridge Road, Bronx, NY 10468, USA"},{"name":"Department of Psychiatry, Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Place, New York, NY 10029, USA"},{"name":"Department of Psychiatry, Columbia University College of Physicians and Surgeons, 1051 Riverside Drive, New York, NY 10032, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2021,1,24]]},"reference":[{"key":"2021042720540901600_hcab007-B1","article-title":"Characteristics of SARS-CoV-2 and COVID-19","author":"Hu","year":"2020","journal-title":"Nat Rev Microbiol"},{"key":"2021042720540901600_hcab007-B2","doi-asserted-by":"crossref","first-page":"707","DOI":"10.1093\/qjmed\/hcaa202","article-title":"The impact of the COVID-19 pandemic on suicide rates","volume":"113","author":"Sher","year":"2020","journal-title":"Q J Med"},{"key":"2021042720540901600_hcab007-B3","year":"2020"},{"key":"2021042720540901600_hcab007-B4","year":"2020"},{"key":"2021042720540901600_hcab007-B5","doi-asserted-by":"crossref","first-page":"m3026","DOI":"10.1136\/bmj.m3026","article-title":"Management of post-acute covid-19 in primary care","volume":"370","author":"Greenhalgh","year":"2020","journal-title":"BMJ"},{"key":"2021042720540901600_hcab007-B6","doi-asserted-by":"crossref","first-page":"270","DOI":"10.1017\/neu.2020.21","article-title":"Are COVID-19 survivors at increased risk for suicide?","volume":"32","author":"Sher","year":"2020","journal-title":"Acta Neuropsychiatr"},{"key":"2021042720540901600_hcab007-B7","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1038\/s41398-020-00949-5","article-title":"Psychiatric face of COVID-19","volume":"10","author":"Steardo","year":"2020","journal-title":"Transl Psychiatry"},{"key":"2021042720540901600_hcab007-B8","doi-asserted-by":"crossref","first-page":"2142","DOI":"10.1001\/archinternmed.2009.384","article-title":"Mental morbidities and chronic fatigue in severe acute respiratory syndrome survivors: long-term follow-up","volume":"169","author":"Lam","year":"2009","journal-title":"Arch Intern Med"},{"key":"2021042720540901600_hcab007-B9","author":"Raman","year":"2020"},{"key":"2021042720540901600_hcab007-B10","doi-asserted-by":"crossref","first-page":"594","DOI":"10.1016\/j.bbi.2020.07.037","article-title":"Anxiety and depression in COVID-19 survivors: role of inflammatory and clinical predictors","volume":"89","author":"Mazza","year":"2020","journal-title":"Brain Behav Immun"},{"key":"2021042720540901600_hcab007-B11","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1037\/rep0000073","article-title":"Is the intensive care unit traumatic? What we know and don't know about the intensive care unit and posttraumatic stress responses","volume":"61","author":"McGiffin","year":"2016","journal-title":"Rehabil Psychol"},{"key":"2021042720540901600_hcab007-B12","doi-asserted-by":"crossref","first-page":"531","DOI":"10.3109\/09540260903343877","article-title":"Psychiatric morbidity and functional impairments in survivors of burns, traumatic injuries, and ICU stays for other critical illnesses: a review ofthe literature","volume":"21","author":"Davydow","year":"2009","journal-title":"Int Rev Psychiatry"},{"key":"2021042720540901600_hcab007-B13","doi-asserted-by":"crossref","first-page":"340","DOI":"10.1164\/rccm.200406-763OC","article-title":"Two-year cognitive, emotional, and quality-of-life outcomes in acute respiratory distress syndrome","volume":"171","author":"Hopkins","year":"2005","journal-title":"Am J Respir Crit Care Med"},{"key":"2021042720540901600_hcab007-B14","author":"Tucker","year":"2020"},{"key":"2021042720540901600_hcab007-B15","doi-asserted-by":"crossref","first-page":"1064","DOI":"10.1016\/S2215-0366(20)30255-8","article-title":"Neuroinflammation in psychiatric disorders: PET imaging and promising new targets","volume":"7","author":"Meyer","year":"2020","journal-title":"Lancet Psychiatry"},{"key":"2021042720540901600_hcab007-B16","author":"Dougherty","year":"2020"},{"key":"2021042720540901600_hcab007-B17","doi-asserted-by":"crossref","first-page":"2050312120957925","DOI":"10.1177\/2050312120957925","article-title":"Neurological manifestations in COVID-19: a narrative review","volume":"8","author":"Rahman","year":"2020","journal-title":"SAGE Open Med"},{"key":"2021042720540901600_hcab007-B18","doi-asserted-by":"crossref","first-page":"117179","DOI":"10.1016\/j.jns.2020.117179","article-title":"Post-COVID 19 Neurological Syndrome (PCNS); a novel syndrome with challenges for the global neurology community","volume":"419","author":"Wijeratne","year":"2020","journal-title":"J Neurol Sci"},{"key":"2021042720540901600_hcab007-B19","doi-asserted-by":"crossref","DOI":"10.7326\/M20-5926","article-title":"COVID-19 Symptoms: longitudinal evolution and persistence in outpatient settings","author":"Nehme","year":"2020","journal-title":"Ann Intern Med"},{"key":"2021042720540901600_hcab007-B20","doi-asserted-by":"crossref","first-page":"993","DOI":"10.15585\/mmwr.mm6930e1","article-title":"Symptom duration and risk factors for delayed return to usual health among outpatients with COVID-19 in a Multistate Health Care Systems Network\u2014United States, March-June 2020","volume":"69","author":"Tenforde","year":"2020","journal-title":"Morb Mortal Wkly Rep"},{"key":"2021042720540901600_hcab007-B21","article-title":"Follow-up of adults with noncritical COVID-19 two months after symptom onset","author":"Carvalho-Schneider","year":"2020","journal-title":"Clin Microbiol Infect"},{"key":"2021042720540901600_hcab007-B22","doi-asserted-by":"crossref","first-page":"603","DOI":"10.1001\/jama.2020.12603","article-title":"Persistent symptoms in patients after acute COVID-19","volume":"324","author":"Carf\u00ec","year":"2020","journal-title":"JAMA"},{"key":"2021042720540901600_hcab007-B23","doi-asserted-by":"crossref","first-page":"611","DOI":"10.1093\/qjmed\/hcaa248","article-title":"Post COVID syndrome (PCS) and healthcare workers: who cares for the carers?","volume":"113","author":"Donnelly","year":"2020","journal-title":"Q J Med"},{"key":"2021042720540901600_hcab007-B24","doi-asserted-by":"crossref","first-page":"713","DOI":"10.1093\/qjmed\/hcaa159","article-title":"Characteristics of doctors' fatality due to COVID-19 in Western Europe and Asia-Pacific countries","volume":"113","author":"Yoshida","year":"2020","journal-title":"Q J Med"},{"key":"2021042720540901600_hcab007-B25","article-title":"Occupation and risk of severe COVID-19: prospective cohort study of 120 075 UK Biobank participants","author":"Mutambudzi","year":"2020","journal-title":"Occup Environ Med"},{"key":"2021042720540901600_hcab007-B26","year":"2020"},{"key":"2021042720540901600_hcab007-B27","volume-title":"StatPearls","author":"O'Rourke","year":"2020"},{"key":"2021042720540901600_hcab007-B28","doi-asserted-by":"crossref","first-page":"448","DOI":"10.7326\/M18-0830","article-title":"Chronic pain among suicide decedents, 2003 to 2014: findings from the National Violent Death Reporting System","volume":"169","author":"Petrosky","year":"2018","journal-title":"Ann Intern Med"},{"key":"2021042720540901600_hcab007-B29","first-page":"12443","article-title":"Suicidal behavior and neurological illnesses","volume":"02","author":"Coughlin","year":"2013","journal-title":"J Depress Anxiety"},{"key":"2021042720540901600_hcab007-B30","author":"Zalsman","year":"2020"}],"container-title":["QJM: An International Journal of Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/qjmed\/advance-article-pdf\/doi\/10.1093\/qjmed\/hcab007\/36197662\/hcab007.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/qjmed\/article-pdf\/114\/2\/95\/37463953\/hcab007.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/qjmed\/article-pdf\/114\/2\/95\/37463953\/hcab007.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,4,28]],"date-time":"2021-04-28T13:44:12Z","timestamp":1619617452000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/qjmed\/article\/114\/2\/95\/6118226"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1,24]]},"references-count":30,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2021,1,24]]},"published-print":{"date-parts":[[2021,4,27]]}},"URL":"https:\/\/doi.org\/10.1093\/qjmed\/hcab007","relation":{},"ISSN":["1460-2725","1460-2393"],"issn-type":[{"value":"1460-2725","type":"print"},{"value":"1460-2393","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2021,2,1]]},"published":{"date-parts":[[2021,1,24]]}}}