TY  - JOUR
PY  - 2022//
TI  - Increased rates of suicide ideation and attempts in rural dwellers following the SARS-CoV-2 pandemic
JO  - Journal of rural health
A1  - Salt, Elizabeth
A1  - Wiggins, Amanda T.
A1  - Cerel, Julie
A1  - Hall, Claire-Marie
A1  - Ellis, Misty
A1  - Cooper, Gena L.
A1  - Adkins, Brian W.
A1  - Rayens, Mary Kay
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - PURPOSE: Those factors identified to increase the risk of suicide in rural dwellers were exacerbated by the SARS-CoV-2 pandemic, specifically economic factors, substance use, access to health care, and access to lethal weapons. Because the effects of SARS-CoV-2 on suicide ideation and attempts in rural populations have not been fully characterized in published literature, this study compares: (1) the rates of suicide ideation and attempts between the 6 months affected by SARS-CoV-2 to same months of the preceding year (3/18/2020-9/18/20; 3/18/2019-9/18/19), (2) demographics (ie, age, sex, residence, race, and ethnicity), and (3) the locations in which the encounters were billed (inpatient, outpatient, and emergency department). <br><br>METHODS: Deidentified claims data associated with patient encounters billed for Suicide Ideation and Suicide Attempt were grouped based on time period and analyzed using descriptive statistics, incidence rate ratio (IRR), 2-sample t-test, chi-square test of association, or Fisher's exact test. <br><br>FINDINGS: Suicidal ideation encounters increased in the 6 months post-SARS-CoV-2 when compared to the 6 months of the prior year (IRR = 1.19; P <.001). Males (IRR = 1.27, P <.001), those residing rural areas (IRR = 1.22, P =.01), and Black, non-Hispanic (IRR = 1.24, P =.024) were found to have increased rates of suicide ideation post-SARS-Cov-2. In adults, White, non-Hispanics (IRR = 1.16; P <.001) had increased rates of post-SARS-CoV-2. In the pediatric subset, those who were aged 14-17 (IRR = 1.50; P <.001), resided in rural areas (IRR = 1.61, P =.009), and idenitifed as Hispanic (IRR = 1.89; P =.037) or Black, non-Hispanic (IRR = 1.61, P =.009) had increased rates post-SARS-CoV-2. <br><br>CONCLUSIONS: Our study identified rural dwellers to be at increased risk for suicide ideation.<p />  <p>Language: en</p>
LA  - en
SN  - 0890-765X
UR  - http://dx.doi.org/10.1111/jrh.12686
ID  - ref1
ER  -