Suicidal Behavior in Graduate Students in the Context of the Covid-19 Pandemic: Scoping Review
##plugins.themes.bootstrap3.article.main##
Abstract
Background. Graduate students experienced mental distress during the pandemic. This was perceived through the narration of students’ frustrations and the emergence of new situations to which both students and advisors were forced to adapt.
Objective. To map evidence of suicidal behavior in graduate students in the context of the COVID-19 pandemic.
Method. This is a scoping review. The eligibility criteria were: Participants—graduate students. Concept—suicidal behavior. Context—COVID-19 pandemic. The search strategy was applied to MEDLINE®/PubMed® and adapted for the following databases: EMBASE® (Elsevier), CINAHL®/EBSCO, LILACS®/BVS, PsycINFO®, and Web of Science. The review considered primary research studies with quantitative and qualitative designs. Although there were no language restrictions, there was a limit regarding the start of the new coronavirus in December 2019.
Results. Eleven articles were included in the analysis of this review. It was found that the majority of studies were published in 2022. Master’s students were more frequently investigated for the presence of suicidal ideation, while doctoral students were studied for the presence of suicidal ideation, suicide plan, suicide attempt, and suicide. The presence of suicidal ideation ranged from 6.87% to 40%. The PHQ-9 questionnaire was the most commonly used instrument to assess suicidal ideation.
Discussion and conclusion. The findings provide support for institutional strategies to prevent suicidal behavior in graduate students.
References
Abreu, E. K. D. N., Marcon, S. R., Espinosa, M. M., Kogien, M., Valim, M. D., & Nascimento, F.C.D.S. (2021). Factors associated to suicide risk in stricto sensu graduate students: a cross-sectional study. Revista Latino-Americana de Enfermagem, 29, e3460. https://doi.org/10.1590/1518-8345.4590.3460
Anjos, F. A., & Rodrigues, G. J. M. (2019). Bolsa CNPq Produtividade em Pesquisa: perfil dos pesquisadores na área de Turismo. Rosa dos Ventos – Turismo e Hospitalidade, 11(1), 194-210. http://dx.doi.org/10.18226/21789061.v11i1p194
Barcelos, T. N., Muniz, L. N., Dantas, D. M., Junior, D. F. C., Cavalcante, J. R., & Faerstein, E. (2021). Análise de fake news veiculadas durante a pandemia de COVID-19 no Brasil. Revista Panamericana de Salud Pública, 45, e65. https://doi.org/10.26633/RPSP.2021.65
Barlattani, T., D’Amelio, C., Capelli, F., Mantenuto, S., Rossi, R., Socci, V., Stratta, P., Di Stefano, R., Rossi, A., & Pacitti, F. (2023). Suicide and COVID-19: a rapid scoping review. Annals of General Psychiatry, 22(1), 10. https://doi.org/10.1186/s12991-023-00441-6
Barrigón, M. L., & Baca-García, E. (2018). Current challenges in research in suicide. Revista de Psiquiatría y Salud Mental, 11(1), 1-3. https://doi.org/10.1016/j.rpsm.2017.10.001
Barros, L. de O., Ambiel, R. A. M., & Baptista, M. N. (2021). Sintomatologia depressiva em estudantes brasileiros de pós-graduação stricto sensu. Psico, 52(4), e36161. https://doi.org/10.15448/1980-8623.2021.4.36161
Bordallo, B., Bellas, M., Cortez, A.F., Vieira, M. & Pinheiro, M. (2020). Severe COVID-19: what have we learned with the immunopathogenesis? Advances in Rheumatology, 60(50). https://doi.org/10.1186/s42358-020-00151-7
Bridge, J. A., Ruch, D. A., Sheftall, A. H., Hahm, H. C., O’Keefe, V. M., Fontanella, C. A., Brock, G., Campo, J. V., & Horowitz, L. M. (2023). Youth Suicide During the First Year of theCOVID-19 Pandemic. Pediatrics, 151(3), e2022058375. https://doi.org/10.1542/peds.2022-058375
Cesar, F., Sousa, E., Ribeiro, L., & Oliveira, L. (2018). Estressores da pós-graduação. Revisão Integrativada Literatura. Cogitare Enfermagem, 23(4), e57460. http://doi.org/10.5380/ce.v23i4.57460
Daniel, K. E., Szkody, E., Aggarwal, P., Peterman, A. H., Washburn, J. J., & Selby, E. A. (2022). Characterizing changes in mental health‐related outcomes for health service psychology graduate students during the first year of the COVID‐19 pandemic. Journal of Clinical Psychology, 78(11), 2281-2298. https://doi.org/10.1002/jclp.23392
de Castilho Sá, M., Miranda, L., & de Magalhães, F. C. (2020). Pandemia covid-19: catástrofe sanitária e psicossocial. Caderno de Administração, 28, 27-36. https://doi.org/10.4025/cadadm.v28i0.53596
Essadek, A., Gressier, F., Krebs, T., Corruble, E., Falissard, B., & Rabeyron, T. (2022). Assessment of mental health of university students faced with different lockdowns during the coronavirus pandemic, a repeated cross-sectional study. European Journal of Psychotraumatology, 13(2), 2141510. http://dx.doi.org/10.1080/20008066.2022.2141510
Filho, S. C. O., & Minayo, M. C. S. (2021). Triplo tabu: sobre o suicídio na infância e na adolescência. Ciência & Saúde Coletiva, 26(7), 2693-2698. https://doi.org/10.1590/1413-81232021267.07302021
Fontolan, M. V., Peres, K. de O., Soares, S. C., & Ahlert, A. (2022). Docência Online: Percepções de Estudantes Stricto sensu em Tempo de Pandemia. Revista Científica em Educação a Distância, 12(1). https://doi.org/10.18264/eadf.v12i1.1602
Giamattey, M. E. P., Frutuoso, J. T., Bellaguarda, M. L. R., & Luna, I. J. (2022). Rituais fúnebres na pandemia de COVID-19 e luto: possíveis reverberações. Escola Anna Nery - Revista de Enfermagem, 26(spe)e20210208. https://doi.org/10.1590/2177-9465-EAN-2021-0208
Goodfellow, B., Kõlves, K., & de Leo, D. (2018). Contemporary Nomenclatures of Suicidal Behaviors: A Systematic Literature Review. Suicide & Life-threatening Behavior, 48(3), 353-366. https://doi.org/10.1111/sltb.12354
Goodfellow, B., Kõlves, K., & de Leo, D. (2019). Contemporary Definitions of Suicidal Behavior: A Systematic Literature Review. Suicide & Life-threatening Behavior, 49, 488-504. https://doi.org/10.1111/sltb.12457
Gournellis, R., & Efstathiou, V. (2021). The impact of the COVID-19 Pandemic on the Greek population: Suicidal ideation during the first and second lockdown. Psychiatrike = Psychiatriki, 32(4), 267-270. https://doi.org/10.22365/jpsych.2021.041
Killgore, W. D. S., Cloonan, S. A., Taylor, E. C., Allbright, M. C., & Dailey. N. S. (2020). Tendências na ideação suicidadurante os primeiros três meses de bloqueios da COVID-19. Psiquiatria, 293, 113390. https://doi.org/10.1016/j.psychres.2020.113390
Leite, J. K. S., Alves, V. M., Molina, N. P. F. M., & Miasso, A. I. (2023). Suicidal behavior in graduate students in the context of the COVID-19 pandemic: Scope Review Protocol. Open Science Framework. https://doi.org/10.17605/OSF.IO/DCXM7
Liu, Y., Ning, Z., Chen, Y., Guo, M., Liu, Y., Gali, N. K., Sun, L., Duan, Y., Cai, J., Westerdahl, D., Liu, X., Xu, K., Ho, K. F., Kan, H., Fu, Q., & Lan, K. (2020). Aerodynamic analysis of SARS-CoV-2 in two Wuhan hospitals. Nature, 582(7813), 557-560. https://doi.org/10.1038/s41586-020-2271-3
Malta, D. C., dos Reis, G. M., Veloso, G. A., Cardoso, L. S. M., Hartz, Z. M. A., Cunningham, M., & Naghavi, M. (2023). Mortality patterns in municipalities of a mining region before the Brumadinho dam failure, state of Minas Gerais, Brazil. Revista Brasileira de Epidemiologia, 26(Suppl 1). https://doi.org/10.1590/1980-549720230010.supl.1
Marutani, T., Fuse-Nagase, Y., Tachikawa, H., Iwami, T., Yamamoto, Y., Moriyama, T., & Yasumi, K. (2021). Has COVID-19 affected suicides among graduate students in Japan? Asian Journal of Psychiatry, 65, 102803. https://doi.org/10.1016/j.ajp.2021.102803
Mascaro, A. L. (2020). Crise e pandemia. Boitempo Editorial, 42. Retrieved from https://www.boitempoeditorial.com.br/produto/crise-e-pandemia-1050
Matias, C. C., Reis, G. T., & Besson, J. C. F. (2023). Transtorno de Personalidade Borderline e os fatores que influenciam seu desenvolvimento: uma relação entre o comportamento autodestrutivo, relações familiares, traumas infantis e alterações fisiopatológicas. Brazilian Journal of Development, 9(05), 15952-15972. https://doi.org/10.34117/bjdv9n5-100
Ministério da Educação. (1996). Lei de Diretrizes e Bases da Educação Nacional, LDB. 9394/1996. Brasil. Brasília: Ministério da Educação. Retrieved from http://portal.mec.gov.br/seesp/arquivos/pdf/lei9394_ldbn1.pdf
MRC Centre for Global Infectious Disease Analysis (2020). Report 3 - Transmissibility of 2019-nCoV. WHO Collaborating Centre for Infectious Disease Modelling; MRC Centre for Global Infectious Disease Analysis; Abdul Latif Jameel Institute for Disease and Emergency Analytics; Imperial College London, UK. Available at: https://www.imperial.ac.uk/mrc-global-infectious-disease-analysis/disease-areas/covid-19/report-3-transmissibility-of-covid-19/
Muneeb, N. U. A., & Hassan, S. M. U. (2022). Psychological strain and suicidal ideation in young university students during Covid-19 outbreak: the mediating roles of rumination and depression. Current Psychology, 42, 23731-23742. https://doi.org/10.1007/s12144-022-03551-8
Oliveira, C. A. (2019). Ansiedade, depressão e estresse, uso de álcool e outras drogas e a satisfação de discentes de pós-graduação stricto sensu. 112 f, [Dissertação - Mestrado em Ciências da Saúde]. Universidade Federal do Amapá, Macapá. Retrieved from http://repositorio.unifap.br:80/jspui/handle/123456789/106
Orellana, J. D. Y., & de Souza, M. L. P. (2022). Excess suicides in Brazil: Inequalities according to age groups and regions during the COVID-19 pandemic. The International Journal of Social Psychiatry, 68(5), 997-1009. https://doi.org/10.1177/00207640221097826
Ouzzani, M., Hammady, H., Fedorowicz, Z., & Elmagarmid, A. (2016). Rayyan — a web and mobile app for systematic reviews. Systematic Reviews, 5, 210. https://doi.org/10.1186/s13643-016-0384-4
Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., ... Moher, D. (2021). The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. The BMJ, 372, 71. Retrieved from https://www.bmj.com/content/372/bmj.n71
Pan American Health Organization [PAHO]. (2021). 18 meses de pandemia de COVID-19, OPAS pede prioridade para prevenção ao suicídio. Retrieved from https://www.paho.org/pt/noticias/9-9-2021-apos-18-meses-pandemia-covid-19-opas-pede-prioridade-para-prevencao-ao-suicidio
Pan American Health Organization [PAHO]. (2022). Histórico da pandemia de COVID-19. Retrieved from https://www.paho.org/pt/covid19/historico-da-pandemia-covid-19
Pan American Health Organization [PAHO]. (2023). OMS declara fim da Emergência de Saúde Pública de Importância Internacional referente à COVID-19. Retrieved from https://www.paho.org/pt/noticias/5-5-2023-oms-declara-fim-da-emergencia-saude-publica-importancia-internacional-referente
Papadopoulou, A., Efstathiou, V., Yotsidi, V., Pomini, V., Michopoulos, I., Markopoulou, E., Papadopoulou, M., Tsigkaropoulou, E., Kalemi, G., Tournikioti, K., Douzenis, A., & Gournellis, R. (2021). Suicidal ideation during COVID-19 lockdown in Greece: Prevalence in the community, risk and protective factors. Psychiatry Research, 297, 113713. https://doi.org/10.1016/j.psychres.2021.113713
Peters, M. D. J., Godfrey, C., McInerney, P., Munn, Z., Tricco, A. C., & Khalil, H. (2020). Chapter 11: Scoping Reviews (2020 version). In: Aromataris E, Munn Z (Editors). Joanna Briggs Institute Manual for Evidence Synthesis. Retrieved from https://jbi-global-wiki.refined.site/space/MANUAL/4687342/Chapter+11%3A+Scoping+reviews
Pirkis, J., John, A., Shin, S., DelPozo-Banos, M., Arya, V., Analuisa-Aguilar, P., Appleby, L., Arensman, E., Bantjes, J., Baran, A., Bertolote, J. M., Borges, G., Brečić, P., Caine, E., Castelpietra, G., Chang, S. S., Colchester, D., Crompton, D., Curkovic, M., … Spittal, M. J. (2021). Suicide trends in the early months of the COVID-19 pandemic: an interrupted time-series analysis of preliminary data from 21 countries. The Lancet Psychiatry, 8(7), 579-588. https://doi.org/10.1016/S2215-0366(21)00091-2
Santos, M. M. S., Sampaio, J. M. F., Júnior, F. E. B., Júnior, J. C. C. L., Santos, S. M. S., Silva S. M., de Macêdo, L. R., Pereira, T. da C., Duarte, I. G. T., Siebra, F. L., Pereira G. F., & Pereira, D. F. (2020). Evaluation of stress levels and social profile of postgraduate healthcare students. Research, Society and Development, 9(8), e276985776. https://doi.org/10.33448/rsd-v9i8.5776
Santos, N. M., Faustino, M. V. S., Santana, M. S., Fernandes, F. E. C. V., Diniz, L. P. M., & Santos, R. L. P. (2021). Prevalência de ideação suicida em acadêmicos da área de saúde. Revista Eletrônica Acervo Saúde, 13(4), e6447. https://doi.org/10.25248/reas.e6447.2021
Schad, A., Layton, R. L., Ragland, D., & Cook, J. G. (2022). Equity, Diversity and Inclusion: Mental health in medical and biomedical doctoral students during the 2020 COVID-19 pandemic and racial protests. eLife, 11, e69960. https://doi.org/10.7554/eLife.69960
Seidler, Z. E., Wilson, M. J., Oliffe, J. L., Fisher, K., O’Connor, R., Pirkis, J., & Rice, S. M. (2023). Suicidal ideation in men during COVID-19: an examination of protective factors. BMC Psychiatry, 23, 46. https://doi.org/10.1186/s12888-023-04539-9
Sher, L. (2020). The impact of the COVID-19 pandemic on suicide rates. An International Journal of Medicine, 113(10), 707-712. https://doi.org/10.1093/qjmed/hcaa202
Silva, J. A., & Barbosa, C. A. N. (2019). O suicídio na visão da doutrina espírita e das ciências: revisão de literatura. Psicologia e Saúde em Debate, 5(2), 96-111. https://doi.org/10.22289/2446-922X.V5N2A7
Silva, L. C., Gaspar, M. A., Magalhães, F. L. F., Garcia, R. D. R., Aihara, C. H., & Mauro, M. H. (2019). Perfil dos programas de pós-graduação Stricto sensu em Gestão do Conhecimento no Brasil e seu panorama da produção científica. Avaliação (Campinas), 24(1), 328-351. https://doi.org/10.1590/s1414-407720190001000017
Silva, M. G. (2022). Capitalismo, pós-graduação e adoecimento mental. Revista Metodologias e Aprendizado, 5, 1-14. https://doi.org/10.21166/metapre.v5i.2378
Silveira, M. R., Junior, F. N. F., Cocco, R. G., Felácio, R. M. & Rodrigues, L. A. (2020). Novo coronavírus (Sars-CoV-2): difusão espacial e outro patamar para a socialização dos investimentos no Brasil. Revista Brasileira De Estudos Urbanos Regionais, 22. https://doi.org/10.22296/2317-1529.rbeur.202024pt
Sljivo, A., Smailbegovic, F., Mulać, A., Dadic, I., Kubat, A., & Sirucic, I. (2022). Mental Health and Substance Abuse Among the Bosnia and Herzegovina Student Population During the COVID-19 Outbreak. Mater Sociomed, 34(1), 8-13. https://doi.org/10.5455/msm.2022.33.8-13
Sun, S., Goldberg, S. B., Lin, D., Qiao, S., & Operario, D. (2021). Psychiatric symptoms, risk, and protective factors among university students in quarantine during the COVID-19 pandemic in China. Globalization and Health, 17, 15. https://doi.org/10.1186/s12992-021-00663-x
Tang, Y., Abildso, C. G., Lilly, C. L., Winstanley, E. L., & Rudisill, T. M. (2023). Risk Factors Associated with Driving After Marijuana Use Among US College Students During the COVID-19 Pandemic. The Journal of Adolescent Health, 72(4), 544-552. https://doi.org/10.1016/j.jadohealth.2022.10.027
Tricco A. C., Lillie, E., Zarin, W., O’Brien, K. K., Colquhoun, H., Levac, D., Moher, D., Peters, M. D. J., Horsley, T., Semanas, L., Hempel, S., Akl, E. A., Chang, C., McGowan, J., Stewart, L., Hartling, L., Aldcroft, A., Wilson, M. G., Garritty, C., ... Straus, S. E. (2018). PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. Annals of Internal Medicine, 169(7), 467-473. https://doi.org/10.7326/M18-0850
Wang, X., Hegde, S., Son, C., Keller, B., Smith, A., & Sasangohar, F. (2020). Investigating Mental Health of US College Students During the COVID-19 Pandemic: Cross-Sectional Survey Study. Journal of Medical Internet Research, 22(9), e22817. https://doi.org/10.2196/22817
Wathelet, M., Horn, M., Creupelandt, C., Fovet, T., Baubet, T., Habran, E., Martignène, N., Vaiva, G., & D’Hondt, F. (2022a). Mental Health Symptoms of University Students 15 Months After the Onset of the COVID-19 Pandemic in France. JAMA Network Open, 5(12), e2249342. https://doi.org/10.1001/jamanetworkopen.2022.49342
Wathelet, M., Vincent, C., Fovet, T., Notredame, C. E., Habran, E., Martignène, N., Baubet, T., Vaiva, G., & D’Hondt, F. (2022b). Evolution in French University Students' Mental Health One Month After the First COVID-19 Related Quarantine: Results from the COSAMe Survey. Frontiers in Psychiatry, 13, 868369. https://doi.org/10.3389/fpsyt.2022.868369
World Health Organization [WHO]. (2021). Uma em cada 100 mortes ocorre por suicídio, revelam estatísticas da OMS. Geneva. Retrieved from https://www.paho.org/pt/noticias/17-6-2021-uma-em-cada-100-mortes-ocorre-por-suicidio-revelam-estatisticas-da-oms
Zeng, B., Zhao, J., Zou, L., Yang, X., Zhang, X., Wang, W., Zhao, J., & Chen, J. (2018). Depressive symptoms, post-traumatic stress symptoms and suicide risk among graduate students: The mediating influence of emotional regulatory self-efficacy. Psychiatry Research, 264, 224-230. https://doi.org/10.1016/j.psychres.2018.03.022