目标:考虑到COVID19的死灰复燃以及新的和更致命的菌株在全球范围内的迅速蔓延,了解在此期间暴力和自我伤害倾向的发生率和模式可能有助于为未来的封锁制定更好的应急计划。对现有数据的深入研究表明,在COVID-19大流行期间,对自残和暴力的研究非常缺乏。
目的:确定COVID19封锁期间自我伤害和暴力的发生率和社会人口统计学特征,并与前一年的对照组进行比较。
方法:一项横断面回顾性观察研究。
方法:三级护理教学医院。
方法:在2020年3月24日至6月30日和2019年3月24日至6月30日的COVID-19封锁期间,所有因自我伤害和暴力而到急诊科(ED)就诊的患者。
方法:COVID-19封锁期。
未经评估:正在测试的假设是在研究之前提出的。测试的零假设是封锁期间自残和暴力案件数量的减少。
结果:在这两个时间段共分析了828例患者,其中30%(248)是女性,而70%(580)是男性。每1000例ED入院,自我伤害和暴力的增加分别为12.71%和95.32%。发现COVID-19封锁与发病率增加之间存在显著相关性(X2(1,N=828)=9.2,p<.05)。已知个人和伴侣之间的暴力行为有所增加。亲密伴侣的暴力也增加到7%。X2(3,N=662)=21.03,p<.05。在自我伤害数据集中,死亡率增加,记录了ICU入院和离开医疗建议的决定(X2(4,N=166)=24.49,p<0.05)。注意到在自我伤害和暴力行为之前使用酒精的增加。
结论:在封锁期间,向ED报告的自残和暴力案件的发生率增加。可能需要升级医疗保健和执法基础设施,以便以更有效的方式处理类似情况。
背景:不适用。
OBJECTIVE: Considering the resurgence of COVID19 and the rapid spread of new and deadlier strains across the globe understanding the incidence and pattern of violence and self harm tendencies during this period might help in formulating better contingency plans for future lockdowns. A deeper look at the available data shows that there is a significant dearth of research into self-harm & violence during the COVID-19 pandemic.
OBJECTIVE: To identify the incidence and sociodemographic characteristics of self-harm and violence during the COVID19 lockdown and compare with a control group from the previous year.
METHODS: A cross-sectional retrospective observational study.
METHODS: Tertiary care teaching hospital.
METHODS: All patients presenting to the emergency department (ED) with self harm and violence during the COVID-19 lockdown period between March 24-June 30, 2020 and March 24-June 30, 2019.
METHODS: The COVID-19 lockdown period.
UNASSIGNED: The hypothesis being tested was formulated before the study. The null hypothesis tested was a decline in number of self-harm and violence cases during the lockdown.
RESULTS: A total of 828 patients were analysed over both the time periods, out of which 30% (248) were females while 70% (580) were males. Increases in self-harm and violence were 12.71% and 95.32% respectively per 1000 ED admissions. A significant correlation was found between the COVID-19 lockdown and the increased incidence (X2 (1, N = 828) = 9.2, p < .05). An increase of violence by known individuals and between partners was seen. Intimate partner violence also increased to 7%. X2 (3, N = 662) = 21.03, p < .05. In the self harm dataset an increase in mortality, ICU admissions and decision to leave against medical advice was noted (X2 (4, N = 166) = 24.49, p < .05). Increase in the use of alcohol prior to acts of self harm and violence was noted.
CONCLUSIONS: Increase in the incidence of cases of self-harm and violence reported to the ED was noted during the lockdown period. Upgradation of health-care and law enforcement infrastructure maybe needed to deal with similar circumstances in a more efficient manner.
BACKGROUND: N/A.