“I can’t see an end in sight.” How the COVID-19 pandemic may influence suicide risk: a qualitative study

I-Ting Hwang, Fortune Fu-Tsung Shaw, Wen-Yau Hsu, Guang-Yi Liu, Chen-I Kuan, David J Gunnell, Shu-Sen Chang*

*Corresponding author for this work

Research output: Contribution to journalArticle (Academic Journal)peer-review

7 Citations (Scopus)
75 Downloads (Pure)

Abstract

Background: The COVID-19 pandemic and its consequences may affect population mental health and suicide risk.

Aims: To explore the experiences among suicidal individuals who made calls to a suicide prevention hotline and to identify factors and psychological responses that may influence suicide risk.

Method: We identified 60 eligible recorded calls to Taiwan’s suicide prevention hotline (January 23-May 31, 2020) and analyzed the transcripts using the framework analysis.

Findings: We identified three themes: (a) effects of the COVID-19 pandemic on society (impacts on local economies, the fear of contagion, and disruptions caused by outbreak control measures); (b) stress experienced by callers, including increased challenges (financial burden, restricted freedom of movement, interpersonal conflicts, feelings of uncertainty, and education/career interruption) and reduced support (reduced access to health services and social support); and (c) the callers’ psychological responses to stress, including anxiety, sleep disturbance, depression, loneliness, hopelessness, and entrapment, which may increase suicide risk.

Limitations: Only the experiences among those who sought help by calling the hotline during the early months of the pandemic in 2020 were explored.

Conclusion: Our findings revealed the potential process underlying the impact of the COVID-19 pandemic on suicide risk and have implications for prevention and intervention strategies.
Original languageEnglish
Pages (from-to)1-12
Number of pages12
JournalCrisis: Journal of Crisis Intervention and Suicide Prevention
Volume0
Issue number0
Early online date19 Aug 2022
DOIs
Publication statusE-pub ahead of print - 19 Aug 2022

Bibliographical note

Publisher Copyright:
© 2022 The Author(s).

Research Groups and Themes

  • SASH

Keywords

  • COVID-19
  • suicide
  • psychological responses
  • mental health
  • helpline

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