{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T10:12:48Z","timestamp":1775815968754,"version":"3.50.1"},"reference-count":37,"publisher":"Royal College of Psychiatrists","issue":"1","license":[{"start":{"date-parts":[[2021,9,14]],"date-time":"2021-09-14T00:00:00Z","timestamp":1631577600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100004440","name":"Wellcome","doi-asserted-by":"publisher","award":["205407\/Z\/16\/Z"],"award-info":[{"award-number":["205407\/Z\/16\/Z"]}],"id":[{"id":"10.13039\/100004440","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100004440","name":"Wellcome","doi-asserted-by":"publisher","award":["221400\/Z\/20\/Z"],"award-info":[{"award-number":["221400\/Z\/20\/Z"]}],"id":[{"id":"10.13039\/100004440","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100014013","name":"UK Research and Innovation","doi-asserted-by":"publisher","award":["ES\/S002588\/1"],"award-info":[{"award-number":["ES\/S002588\/1"]}],"id":[{"id":"10.13039\/100014013","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000279","name":"Nuffield Foundation","doi-asserted-by":"publisher","award":["WEL\/FR-000022583"],"award-info":[{"award-number":["WEL\/FR-000022583"]}],"id":[{"id":"10.13039\/501100000279","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Br J Psychiatry"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:sec id=\"S0007125021001306_sec_a1\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>There is concern that the COVID-19 pandemic and its aftermath will result in excess suicides by increasing known risk factors such as self-harm, but evidence on how pandemic-related risk factors contribute to changes in these outcomes is lacking.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0007125021001306_sec_a2\">\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To examine how different COVID-19-related experiences of and worries about adversity contribute to changes in self-harm thoughts and behaviours.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0007125021001306_sec_a3\" sec-type=\"methods\">\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Data from 49 324 UK adults in the University College London COVID-19 Social Study were analysed (1 April 2020 to 17 May 2021). Fixed-effects regressions explored associations between weekly within-person variation in five categories of adversity experience and adversity worries with changes in self-harm thoughts and behaviours across age groups (18\u201329, 30\u201344, 45\u201359 and 60+ years).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0007125021001306_sec_a4\" sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In total, 26.1% and 7.9% of respondents reported self-harm thoughts and behaviours respectively at least once over the study period. The number of adverse experiences was more strongly related to outcomes than the number of worries. The largest specific adversity contributing to increases in both outcomes was having experienced physical or psychological abuse. Financial worries increased the likelihood of both outcomes in most age groups, and having had COVID-19 increased the likelihood of both outcomes in young (18\u201329 years) and middle-aged (45\u201359 years) adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0007125021001306_sec_a5\" sec-type=\"conclusions\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Findings suggest that a significant portion of UK adults may be at increased risk for self-harm thoughts and behaviours during the pandemic. Given the likelihood that the economic and social consequences of the pandemic will accumulate, policy makers can begin adapting evidence-based suicide prevention strategies and other social policies to help mitigate its consequences.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1192\/bjp.2021.130","type":"journal-article","created":{"date-parts":[[2021,9,14]],"date-time":"2021-09-14T04:26:52Z","timestamp":1631593612000},"page":"31-37","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":25,"title":["Factors influencing self-harm thoughts and behaviours over the first year of the COVID-19 pandemic in the UK: longitudinal analysis of 49 324 adults"],"prefix":"10.1192","volume":"220","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9193-3740","authenticated-orcid":false,"given":"Elise","family":"Paul","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6952-334X","authenticated-orcid":false,"given":"Daisy","family":"Fancourt","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"170","published-online":{"date-parts":[[2021,9,14]]},"reference":[{"key":"S0007125021001306_ref15","doi-asserted-by":"publisher","DOI":"10.2139\/ssrn.3706269"},{"key":"S0007125021001306_ref32","doi-asserted-by":"publisher","DOI":"10.1002\/9780470698976.ch20"},{"key":"S0007125021001306_ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2012.07.037"},{"key":"S0007125021001306_ref4","doi-asserted-by":"publisher","DOI":"10.1038\/s41562-020-01042-z"},{"key":"S0007125021001306_ref28","doi-asserted-by":"publisher","DOI":"10.1111\/inm.12735"},{"key":"S0007125021001306_ref2","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(21)00091-2"},{"key":"S0007125021001306_ref18","doi-asserted-by":"publisher","DOI":"10.1002\/da.23162"},{"key":"S0007125021001306_ref14","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6932a1"},{"key":"S0007125021001306_ref36","doi-asserted-by":"publisher","DOI":"10.2307\/2297968"},{"key":"S0007125021001306_ref21","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-0327(03)00198-8"},{"key":"S0007125021001306_ref22","doi-asserted-by":"publisher","DOI":"10.4135\/9781412993869"},{"key":"S0007125021001306_ref9","doi-asserted-by":"publisher","DOI":"10.1038\/s41572-019-0121-0"},{"key":"S0007125021001306_ref27","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2017.06.082"},{"key":"S0007125021001306_ref16","article-title":"The impact of infectious disease-related public health emergencies on suicide, suicidal behavior, and suicidal thoughts","author":"Zortea","year":"2020","journal-title":"Crisis"},{"key":"S0007125021001306_ref37","article-title":"Suicide prevention in the COVID-19 era: transforming threat into opportunity","author":"Moutier","year":"2020","journal-title":"JAMA Psychiatry"},{"key":"S0007125021001306_ref1","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(20)30171-1"},{"key":"S0007125021001306_ref6","year":"2020","journal-title":"World Economic Outlook, April 2020: The Great Lockdown"},{"key":"S0007125021001306_ref20","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2021.03.028"},{"key":"S0007125021001306_ref30","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpubeco.2020.104350"},{"key":"S0007125021001306_ref31","doi-asserted-by":"publisher","DOI":"10.1136\/jech.2009.105908"},{"key":"S0007125021001306_ref7","doi-asserted-by":"publisher","DOI":"10.5498\/wjp.v5.i2.243"},{"key":"S0007125021001306_ref34","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-020-8264-1"},{"key":"S0007125021001306_ref26","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1001439"},{"key":"S0007125021001306_ref19","doi-asserted-by":"publisher","DOI":"10.1111\/sltb.12653"},{"key":"S0007125021001306_ref12","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.2020.130"},{"key":"S0007125021001306_ref24","unstructured":"24 Office for National Statistics. Population Estimates for the UK, England and Wales, Scotland and Northern Ireland: mid-2018. ONS, 2020 (https:\/\/www.ons.gov.uk\/peoplepopulationandcommunity\/populationandmigration\/populationestimates\/bulletins\/annualmidyearpopulationestimates\/mid2018 [cited 2020 Sep 30])."},{"key":"S0007125021001306_ref11","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.181.3.193"},{"key":"S0007125021001306_ref35","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(21)00084-5"},{"key":"S0007125021001306_ref13","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.2020.212"},{"key":"S0007125021001306_ref17","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(17)30478-9"},{"key":"S0007125021001306_ref25","volume-title":"Stata Statistical Software: Release 16","year":"2019"},{"key":"S0007125021001306_ref5","doi-asserted-by":"publisher","DOI":"10.1002\/wps.20801"},{"key":"S0007125021001306_ref8","doi-asserted-by":"publisher","DOI":"10.1177\/0020764014536545"},{"key":"S0007125021001306_ref23","doi-asserted-by":"publisher","DOI":"10.18637\/jss.v054.i07"},{"key":"S0007125021001306_ref29","doi-asserted-by":"crossref","first-page":"m1872","DOI":"10.1136\/bmj.m1872","article-title":"Covid-19: EU states report 60% rise in emergency calls about domestic violence - ProQuest","volume":"369","author":"Mahase","year":"2020","journal-title":"Br Med J Online"},{"key":"S0007125021001306_ref33","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(09)61124-7"},{"key":"S0007125021001306_ref10","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(19)30402-X"}],"container-title":["The British Journal of Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0007125021001306","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,8]],"date-time":"2023-11-08T14:35:18Z","timestamp":1699454118000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0007125021001306\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9,14]]},"references-count":37,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,1]]}},"alternative-id":["S0007125021001306"],"URL":"https:\/\/doi.org\/10.1192\/bjp.2021.130","relation":{"has-preprint":[{"id-type":"doi","id":"10.1101\/2021.02.19.21252050","asserted-by":"object"}]},"ISSN":["0007-1250","1472-1465"],"issn-type":[{"value":"0007-1250","type":"print"},{"value":"1472-1465","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,9,14]]},"assertion":[{"value":"Copyright \u00a9 The Author(s), 2021. Published by Cambridge University Press on behalf of the Royal College of Psychiatrists","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}