{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T05:20:05Z","timestamp":1775020805837,"version":"3.50.1"},"reference-count":29,"publisher":"MDPI AG","issue":"21","license":[{"start":{"date-parts":[[2022,11,2]],"date-time":"2022-11-02T00:00:00Z","timestamp":1667347200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>The COVID-19 pandemic has caused remarkable psychological overwhelming and an increase in stressors that may trigger suicidal behaviors. However, its impact on the rate of suicidal behaviors has been poorly reported. We conducted a population-based retrospective analysis of all suicidal behaviors attended in healthcare centers of Catalonia (northeast Spain; 7.5 million inhabitants) between January 2017 and June 2022 (secondary use of data routinely reported to central suicide and diagnosis registries). We retrieved data from this period, including an assessment of suicide risk and individuals\u2019 socioeconomic as well as clinical characteristics. Data were summarized yearly and for the periods before and after the onset of the COVID-19 pandemic in Spain in March 2020. The analysis included 26,458 episodes of suicidal behavior (21,920 individuals); of these, 16,414 (62.0%) were suicide attempts. The monthly moving average ranged between 300 and 400 episodes until July 2020, and progressively increased to over 600 episodes monthly. In the postpandemic period, suicidal ideation increased at the expense of suicidal attempts. Cases showed a lower suicide risk; the percentage of females and younger individuals increased, whereas the prevalence of classical risk factors, such as living alone, lacking a family network, and a history of psychiatric diagnosis, decreased. In summary, suicidal behaviors have increased during the COVID-19 pandemic, with more episodes of suicidal ideation without attempts in addition to younger and lower risk profiles.<\/jats:p>","DOI":"10.3390\/ijerph192114364","type":"journal-article","created":{"date-parts":[[2022,11,3]],"date-time":"2022-11-03T03:11:21Z","timestamp":1667445081000},"page":"14364","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Impact of the COVID-19 Pandemic on the Incidence of Suicidal Behaviors: A Retrospective Analysis of Integrated Electronic Health Records in a Population of 7.5 Million"],"prefix":"10.3390","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0533-1568","authenticated-orcid":false,"given":"Dami\u00e0","family":"Valero-Bover","sequence":"first","affiliation":[{"name":"Catalan Health Service, Travessera de les Corts, 131-159 Edifici Ol\u00edmpia, 08028 Barcelona, Spain"},{"name":"Digitalization for the Sustainability of the Healthcare System DS3\u2014IDIBELL, Gran via de l\u2019Hospitalet N\u00famero 199-203, 08908 L\u2019Hospitalet de Llobregat, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9290-6616","authenticated-orcid":false,"given":"Marc","family":"Fradera","sequence":"additional","affiliation":[{"name":"Department of Mental Health, University Hospital ParcTaul\u00ed, Parc Tau\u00ed, 08208 Sabadell, Spain"},{"name":"Unitat Mixta de Neuroci\u00e8ncia Traslacional I3PT-INc-UAB, Institut d\u2019Investigaci\u00f3 i Innovaci\u00f3 Parc Taul\u00ed I3PT, Centro de Investigaci\u00f3n Biom\u00e9dica en Red de Salud Mental, Edifici Santa Fe, 08208 Sabadell, Spain"},{"name":"Facultat de Medicina, Universitat Aut\u00f2noma de Barcelona, Campus de la Universitat Aut\u00f2noma de Barcelona, 08193 Bellaterra, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gerard","family":"Carot-Sans","sequence":"additional","affiliation":[{"name":"Catalan Health Service, Travessera de les Corts, 131-159 Edifici Ol\u00edmpia, 08028 Barcelona, Spain"},{"name":"Digitalization for the Sustainability of the Healthcare System DS3\u2014IDIBELL, Gran via de l\u2019Hospitalet N\u00famero 199-203, 08908 L\u2019Hospitalet de Llobregat, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isabel","family":"Parra","sequence":"additional","affiliation":[{"name":"Department of Mental Health, University Hospital ParcTaul\u00ed, Parc Tau\u00ed, 08208 Sabadell, Spain"},{"name":"Unitat Mixta de Neuroci\u00e8ncia Traslacional I3PT-INc-UAB, Institut d\u2019Investigaci\u00f3 i Innovaci\u00f3 Parc Taul\u00ed I3PT, Centro de Investigaci\u00f3n Biom\u00e9dica en Red de Salud Mental, Edifici Santa Fe, 08208 Sabadell, Spain"},{"name":"Facultat de Medicina, Universitat Aut\u00f2noma de Barcelona, Campus de la Universitat Aut\u00f2noma de Barcelona, 08193 Bellaterra, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6471-9979","authenticated-orcid":false,"given":"Jordi","family":"Piera-Jim\u00e9nez","sequence":"additional","affiliation":[{"name":"Catalan Health Service, Travessera de les Corts, 131-159 Edifici Ol\u00edmpia, 08028 Barcelona, Spain"},{"name":"Digitalization for the Sustainability of the Healthcare System DS3\u2014IDIBELL, Gran via de l\u2019Hospitalet N\u00famero 199-203, 08908 L\u2019Hospitalet de Llobregat, Spain"},{"name":"Faculty of Informatics, Multimedia and Telecommunications, Universitat Oberta de Catalunya, Rambla de Poblenou 156, 08018 Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3274-6048","authenticated-orcid":false,"given":"Caridad","family":"Pontes","sequence":"additional","affiliation":[{"name":"Catalan Health Service, Travessera de les Corts, 131-159 Edifici Ol\u00edmpia, 08028 Barcelona, Spain"},{"name":"Digitalization for the Sustainability of the Healthcare System DS3\u2014IDIBELL, Gran via de l\u2019Hospitalet N\u00famero 199-203, 08908 L\u2019Hospitalet de Llobregat, Spain"},{"name":"Department of Pharmacology, Therapeutics and Toxicology, Universitat Aut\u00f2noma de Barcelona, Edifici M Campus de la UAB, 08193 Bellaterra, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3323-6568","authenticated-orcid":false,"given":"Diego","family":"Palao","sequence":"additional","affiliation":[{"name":"Department of Mental Health, University Hospital ParcTaul\u00ed, Parc Tau\u00ed, 08208 Sabadell, Spain"},{"name":"Unitat Mixta de Neuroci\u00e8ncia Traslacional I3PT-INc-UAB, Institut d\u2019Investigaci\u00f3 i Innovaci\u00f3 Parc Taul\u00ed I3PT, Centro de Investigaci\u00f3n Biom\u00e9dica en Red de Salud Mental, Edifici Santa Fe, 08208 Sabadell, Spain"},{"name":"Facultat de Medicina, Universitat Aut\u00f2noma de Barcelona, Campus de la Universitat Aut\u00f2noma de Barcelona, 08193 Bellaterra, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,11,2]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"257","DOI":"10.1038\/s41586-020-2405-7","article-title":"Estimating the effects of non\u2013pharmaceutical interventions on COVID-19 in Europe","volume":"584","author":"Flaxman","year":"2020","journal-title":"Nature"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"e12103","DOI":"10.2196\/12103","article-title":"Usable Mobile App for Community education on colorectal cancer: Development process and usability study","volume":"6","author":"Yaacob","year":"2019","journal-title":"JMIR Hum. 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