Trends in Suicide Behaviors in Valladolid During the COVID-19 Pandemic (2018-2023)
Abstract
Objectives: The present study is conducted with the aim of analyzing trends in suicide deaths (SDs) and suicide attempts (SAs) from the years before the pandemic to the end of it. Methods: Using data on SDs and SAs collected from the Institute of Legal Medicine and the University Clinical Hospital of Valladolid, respectively, monthly incidence rates per 100,000 inhabitants were calculated, and trends were subsequently analyzed using the Joinpoint software. Results: SAs maintained the previous downward trend during the first months of the pandemic, began to increase after the first year, and stabilized a few months after the end of the pandemic. In contrast, SDs showed a pattern of stability. Conclusions: During the COVID-19 pandemic, SAs increased significantly, indicating an impact on the mental health of the population. However, this impact did not translate into an increase in SDs. More research is needed to understand the different variables involved in the development of suicide behaviors.
Keywords
Suicide, Suicide attempt, Mental health, COVID-19References
Al-Halabí, Susana, & Fonseca-Pedrero, Eduardo. (2021). Suicidal behavior prevention: The time to act is now. Clínica y Salud, 32(2), 89–92. https://doi.org/10.5093/clysa2021a17
Al-Halabí, Susana; García-Haro, Juan; Rodríguez-Muñoz, María de la Fe, & Fonseca-Pedrero, Eduardo. (2021). Conducta suicida y periodo perinatal: entre el tabú y la incomprensión. Papeles del Psicólogo, 42(3), 161–169. https://doi.org/10.23923/pap.psicol.2963
Ambrosetti, Julia; Macheret, Laura; Folliet, Aline; Wullschleger, Alexandre; Amerio, Andrea; Aguglia, Andrea; Serafini, Gianluca; Prada, Paco; Kaiser, Stefan; Bondolfi, Guido; Sarasin, François, & Costanza, Alessandra. (2021). Impact of the COVID-19 pandemic on psychiatric admissions to a large Swiss emergency department: an observational study. International Journal of Environmental Research and Public Health, 18(3), 1174. https://doi.org/10.3390/ijerph18031174
Aymerich, Claudia; Pedruzo, Borja; Salazar de Pablo, Gonzalo; Olazabal, Nora; Catalan, Ana, & González-Torres, Miguel Ángel. (2024). Number and nature of psychiatric emergency department visits in a tertiary hospital before, during, and after coronavirus pandemic. Frontiers in Psychiatry, 15, 1380401. https://doi.org/10.3389/fpsyt.2024.1380401
Balestrieri, Matteo; Rucci, Paola; Amendola, Davide; Bonizzoni, Miki; Cerveri, Giancarlo; Colli, Chiara; Dragogna, Filippo; Ducci, Giuseppe; Elmo, Maria Giuseppa; Ghio, Lucio; Grasso, Federico; Locatelli, Clara; Mencacci, Claudio; Monaco, Leonardo; Nicotra, Alessandra; Piccinini, Giulia; Pischiutta, Livia; Toscano, Marco; Vaggi, Marco; Villari, Vincenzo; … Bondi, Emi. (2021). Emergency psychiatric consultations during and after the COVID-19 lockdown in Italy: A multicentre study. Frontiers in Psychiatry, 12, Article 697058. https://doi.org/10.3389/fpsyt.2021.697058
Cénat, Jude Mary; Blais-Rochette, Camille; Kokou-Kpolou, Cyrille Kossigan; Noorishad, Pari-Gole; Mukunzi, Joana N.; McIntee, Sara-Emilie; Dalexis, Rose Darly; Goulet, Marc-André, & Labelle, Patrick R. (2021). Prevalence of symptoms of depression, anxiety, insomnia, posttraumatic stress disorder, and psychological distress among populations affected by the COVID-19 pandemic: A systematic review and meta-analysis. Psychiatry Research, 295, 113599. https://doi.org/10.1016/j.psychres.2020.113599
Claassen, Cynthia A.; Carmody, Thomas; Stewart, Sunita M.; Bossarte, Robert M.; Larkin, Gregory L.; Woodward, Wayne A., & Trivedi, Madhukar H. (2010). Effect of 11 September 2001 terrorist attacks in the USA on suicide in areas surrounding the crash sites. The British Journal of Psychiatry, 196(5), 359–364. https://doi.org/10.1192/bjp.bp.109.071928
Cobo, Aurora; Porras-Segovia, Alejandro; Pérez-Rodríguez, María Mercedes; Artés-Rodríguez, Antonio; Barrigón, Maria Luisa; Courtet, Philippe, & Baca-García, Enrique. (2021). Patients at high risk of suicide before and during a COVID-19 lockdown: ecological momentary assessment study. BJPsych Open, 7(3), e82. https://doi.org/10.1192/bjo.2021.43
Cvinar, Jacqueline G. (2005). Do suicide survivors suffer social stigma: a review of the literature. Perspectives in Psychiatric Care, 41(1), 14–21. https://doi.org/10.1111/j.0031-5990.2005.00004.x
da Cunha Varella, Ana Paula; Griffin, Eve; Khashan, Ali, & Kabir, Zubair. (2024). Suicide rates before and during the COVID-19 pandemic: a systematic review and meta-analysis. Social Psychiatry and Psychiatric Epidemiology, 59(11), 1897–1905. https://doi.org/10.1007/s00127-024-02617-1
DeCou, Christopher R.; Comtois, Katherine Anne, & Landes, Sara J. (2019). Dialectical behavior therapy is effective for the treatment of suicidal behavior: A meta-analysis. Behavior Therapy, 50(1), 60–72. https://doi.org/10.1016/j.beth.2018.03.009
de la Torre-Luque, Alejandro; Perez-Diez, Ivan; Pemau, Andrés; Martinez-Ales, Gonzalo; Borges, Guilherme; Perez-Sola, Víctor, & Ayuso-Mateos, José Luis. (2024). Suicide mortality in Spain during the COVID-19 pandemic: Longitudinal analysis of sociodemographic factors. European Neuropsychopharmacology, 82, 29–34. https://doi.org/10.1016/j.euroneuro.2024.02.006
Díaz-Oliván, Isaac; Porras-Segovia, Alejandro; Barrigón, María Luisa; Jiménez-Muñoz, Laura, & Baca-García, Enrique. (2021). Theoretical models of suicidal behaviour: A systematic review and narrative synthesis. The European Journal of Psychiatry, 35(3), 181–192. https://doi.org/10.1016/j.ejpsy.2021.02.002
Ducasse, Déborah; Jaussent, Isabelle; Arpon-Brand, Véronique; Vienot, Marina; Laglaoui, Camelia; Béziat, Séverine; Calati, Raffaella; Carrière, Isabelle; Guillaume, Sébastien; Courtet, Philippe, & Olié, Emilie. (2018). Acceptance and commitment therapy for the management of suicidal patients: A randomized controlled trial. Psychotherapy and Psychosomatics, 87(4), 211–222. https://doi.org/10.1159/000488715
Fouillet, Anne; Martin, Diane; Pontais, Isabelle; Caserio-Schönemann, Céline, & Rey, Grégoire. (2023). Reactive surveillance of suicides during the COVID-19 pandemic in France, 2020 to March 2022. Epidemiology and Psychiatric Sciences, 32, e20. https://doi.org/10.1017/S2045796023000148
Franklin, Joseph C.; Ribeiro, Jessica D.; Fox, Kathryn R.; Bentley, Kate H.; Kleiman, Evan M.; Huang, Xieyining; Musacchio, Katherine M.; Jaroszewski, Adam C.; Chang, Bernard P., & Nock, Matthew K. (2017). Risk factors for suicidal thoughts and behaviors: A meta-analysis of 50 years of research. Psychological Bulletin, 143(2), 187–232. https://doi.org/10.1037/bul0000084
García-Dolores, Fernando; Tendilla-Beltrán, Hiram; Flores, Francisco; Carbajal-Rimoldi, Linda Alejandra; Mendoza-Morales, Roberto Cuauhtémoc; Gómez-Mendoza, Laura Endira; Vázquez-Hernández, Andrea Judith; de la Cruz, Fidel; Genis-Mendoza, Alma Delia; Nicolini, Humberto, & Flores, Gonzalo. (2023). Increased suicide rates in Mexico City during the COVID-19 pandemic outbreak: An analysis spanning from 2016 to 2021. Heliyon, 9(6), e16420. https://doi.org/10.1016/j.heliyon.2023.e16420
García-Haro, Juan; González, Marta G.; Fonseca-Pedrero, Eduardo, & Al-Halabí, Susana. (2023). Conceptualización de la conducta suicida. In Susana Al-Halabí, & Eduardo Fonseca-Pedrero (Coords.), Manual de psicología de la conducta suicida (pp. 31–68). Editorial Pirámide.
Giner, Lucas, & Guija, Julio A. (2014). Número de suicidios en España: diferencias entre los datos del Instituto Nacional de Estadística y los aportados por los Institutos de Medicina Legal [Number of suicides in Spain: differences between data from the Spanish Statistical Office and the Institutes of Legal Medicine]. Revista de Psiquiatria y Salud Mental, 7(3), 139–146. https://doi.org/10.1016/j.rpsm.2014.01.002
Gómez-Revuelta, Marcos; Sánchez-Lafuente, Carlos G.; Yáñez, Javier S.; Pindado, Luis Mariano G.; Echevarría, Luisa Elvira S. E.; Meseguer, Telva C.; Ruiz, Elsa G.; Bourgon, Javier V.; Simón, Jesús Ángel A.; Díaz, Ana Isabel S., & Terán, José María P. (2024). Long-term COVID-19 pandemic impact on suicide thoughts and behaviors (STB): An interrupted time series analysis in Spain 2-year after pandemic outbreak. Psychiatry Research, 339, 116086. https://doi.org/10.1016/j.psychres.2024.116086
González, Marta G.; García-Haro, Juan M.; García-Pascual, Henar; Pérez, Mónica T. S.; Barrio-Martínez, Sara, & Oviedo, Jairo V. (2021). Hacia un enfoque contextual-existencial del suicidio: recomendaciones para la prevención. Clínica Contemporánea, 12(1), e1. https://doi.org/10.5093/cc2021a3
González-Sanguino, Clara; Ausín, Berta; Castellanos, Miguel Ángel; Saiz, Jesús; López-Gómez, Aída; Ugidos, Carolina, & Muñoz, Manuel. (2020). Mental health consequences during the initial stage of the 2020 coronavirus pandemic (COVID-19) in Spain. Brain, Behavior, and Immunity, 87, 172–176. https://doi.org/10.1016/j.bbi.2020.05.040
Gordon, Kathryn H.; Bresin, Konrad; Dombeck, Joseph; Routledge, Clay, & Wonderlich, Joseph A. (2011). The impact of the 2009 Red River flood on interpersonal risk factors for suicide. Crisis, 32(1), 52–55. https://doi.org/10.1027/0227-5910/a000051
Hernández-Calle, Daniel; Martínez-Alés, Gonzalo; Mediavilla, Roberto; Aguirre, Pablo; Rodríguez-Vega, Beatriz, & Bravo-Ortiz, María Fe. (2020). Trends in psychiatric emergency department visits due to suicidal ideation and suicide attempts during the COVID-19 pandemic in Madrid, Spain. The Journal of Clinical Psychiatry, 81(5), 20l13419. https://doi.org/10.4088/JCP.20l13419
Instituto Nacional de Estadística. (n. d.). Defunciones por causas (lista detallada) sexo y edad. 2018-2023. Retrieved April 28, 2024, from https://www.ine.es/dyngs/INEbase/es/operacion.htm?c=Estadistica_C&cid=1254736176780&menu=resultados&idp=1254735573175#_tabs-1254736194710
Joiner, Thomas. (2005). Why people die by suicide. Harvard University Press.
Joinpoint Regression Program, Version 5.0.2. (2023, May). Statistical methodology and applications branch, surveillance research program, National Cancer Institute. https://surveillance.cancer.gov/joinpoint/
Kessler, Ronald C.; Galea, Sandro; Jones, Russell T.; Parker, Holly A., & Hurricane Katrina Community Advisory Group. (2006). Mental illness and suicidality after Hurricane Katrina. Bulletin of the World Health Organization, 84(12), 930–939. https://doi.org/10.2471/blt.06.033019
Killgore, William D. S.; Cloonan, Sara A.; Taylor, Emily C., & Dailey, Natalie. S. (2020). Loneliness: A signature mental health concern in the era of COVID-19. Psychiatry Research, 290, 113117. https://doi.org/10.1016/j.psychres.2020.113117
Kim, Hyune-Ju; Fay, Michael P.; Feuer, Eric J., & Midthune, Douglas. N. (2000). Permutation tests for joinpoint regression with applications to cancer rates. Statistics in Medicine, 19(3), 335–351. https://doi.org/10.1002/(sici)1097-0258(20000215)19:3<335::aid-sim336>3.0.co;2-z
Kõlves, Kairi; Kõlves, Keili E., & De Leo, Diego. (2013). Natural disasters and suicidal behaviours: a systematic literature review. Journal of Affective Disorders, 146(1), 1–14. https://doi.org/10.1016/j.jad.2012.07.037
Lantos, Tamás, & Nyári, Tibor András. (2024). The impact of the first year of COVID-19 pandemic on suicides in a collection of 27 EU-related countries. Scientific Reports, 14(1), 17671. https://doi.org/10.1038/s41598-024-68604-3
Lee, Yena; Lui, Leanna M. W.; Chen-Li, David; Liao, Yuhua; Mansur, Rodrigo B.; Brietzke, Elisa; Rosenblat, Joshua D.; Ho, Roger; Rodrigues, Nelson B.; Lipsitz, Orly; Nasri, Flora; Cao, Bing; Subramaniapillai, Mehala; Gill, Hartej; Lu, Ciyong, & McIntyre, Roger S. (2021). Government response moderates the mental health impact of COVID-19: A systematic review and meta-analysis of depression outcomes across countries. Journal of Affective Disorders, 290, 364–377. https://doi.org/10.1016/j.jad.2021.04.050
Lutz, Pierre E.; Mechawar, Naguib, & Turecki, Gustavo. (2017). Neuropathology of suicide: recent findings and future directions. Molecular Psychiatry, 22(10), 1395–1412. https://doi.org/10.1038/mp.2017.141
Mann, John J.; Apter, Alan; Bertolote, Jose; Beautrais, Annette; Currier, Dianne; Haas, Ann; Hegerl, Ulrich; Lonnqvist, Jouko; Malone, Kevin; Marusic, Andrej; Mehlum, Lars; Patton, George; Phillips, Michael; Rutz, Wolfgang; Rihmer, Zoltan; Schmidtke, Armin; Shaffer, David; Silverman, Morton; Takahashi, Yoshimoto; Varnik, Airi; … Hendin, Herbert. (2005). Suicide prevention strategies: a systematic review. JAMA, 294(16), 2064–2074. https://doi.org/10.1001/jama.294.16.2064
Mann, John J., & Rizk, Mina M. (2020). A brain-centric model of suicidal behavior. The American Journal of Psychiatry, 177(10), 902–916. https://doi.org/10.1176/appi.ajp.2020.20081224
Martínez-Alés, Gonzalo; Szmulewicz, Alejandro; López-Cuadrado, Teresa; Morrison, Christopher N.; Keyes, Katherine M., & Susser, Ezra S. (2023). Suicide following the COVID-19 pandemic outbreak: variation across place, over time, and across sociodemographic groups. A systematic integrative review. Current Psychiatry Reports, 25(7), 283–300. https://doi.org/10.1007/s11920-023-01427-7
Osman, Mugtaba, & Parnell, Andrew C. (2015). Effect of the First World War on suicide rates in Ireland: an investigation of the 1864-1921 suicide trends. BJPsych Open, 1(2), 164–165. https://doi.org/10.1192/bjpo.bp.115.000539
Ozamiz-Etxebarria, Naiara; Idoiaga Mondragon, Nahia; Dosil Santamaría, María, & Picaza Gorrotxategi, Maitane. (2020). Psychological symptoms during the two stages of lockdown in response to the COVID-19 outbreak: An investigation in a sample of citizens in northern Spain. Frontiers in Psychology, 11, 1491. https://doi.org/10.3389/fpsyg.2020.01491
Pérez, Víctor; Elices, Matilde; Vilagut, Gemma; Vieta, Eduard; Blanch, Jordi; Laborda-Serrano, E.; Prat, Bibiana; Colom, Francesc; Palao, Diego, & Alonso, Jordi. (2022). Suicide-related thoughts and behavior and suicide death trends during the COVID-19 in the general population of Catalonia, Spain. European Neuropsychopharmacology, 56, 4–12. https://doi.org/10.1016/j.euroneuro.2021.11.006
Pignon, Baptiste; Gourevitch, Raphaël; Tebeka, Sarah; Dubertret, Caroline; Cardot, Hélène; Dauriac-Le Masson, Valérie; Trebalag, Anne-Kristelle; Barruel, David; Yon, Liova; Hemery, François; Loric, Marie; Rabu, Corentin; Pelissolo, Antoine; Leboyer, Marion; Schürhoff, Franck, & Pham-Scottez, Alexandra. (2020). Dramatic reduction of psychiatric emergency consultations during lockdown linked to COVID-19 in Paris and suburbs. Psychiatry and Clinical Neurosciences, 74(10), 557–559. https://doi.org/10.1111/pcn.13104
Pirkis, Jane; Gunnell, David; Shin, Sangsoo; Del Pozo-Banos, Marcos; Arya, Vikas; Aguilar, Pablo A.; Appleby, Louis; Arafat, S. M. Yasir; Arensman, Ella; Ayuso-Mateos, Jose Luis; Balhara, Yatan P. S.; Bantjes, Jason; Baran, Anna; Behera, Chittaranjan; Bertolote, Jose; Borges, Guilherme; Bray, Michael; Brečić, Petrana; Caine, Eric; Calati, Raffaella; … Spittal, Matthew J. (2022). Suicide numbers during the first 9-15 months of the COVID-19 pandemic compared with pre-existing trends: An interrupted time series analysis in 33 countries. EClinicalMedicine, 51, 101573. https://doi.org/10.1016/j.eclinm.2022.101573
Pirkis, Jane; John, Ann; Shin, Sangsoo; DelPozo-Banos, Marcos; Arya, Vikas; Analuisa-Aguilar, Pablo; Appleby, Louis; Arensman, Ella; Bantjes, Jason; Baran, Anna; Bertolote, Jose M.; Borges, Guilherme; Brečić, Petrana; Caine, Eric; Castelpietra, Giulio; Chang, Shu-Sen; Colchester, David; Crompton, David; Curkovic, Marko; Deisenhammer, Eberhard A.; … Spittal, Matthew 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
Radeloff, Daniel; Genuneit, Jon, & Bachmann, Christian J. (2022). Suicides in Germany during the COVID-19 pandemic. Deutsches Arzteblatt International, 119(29-30), 502–503. https://doi.org/10.3238/arztebl.m2022.0198
Ramos, Sara Freitas; Vaz Soares, Mafalda Isabel Fonseca Marinho; Correia, João Martins; Jesus, Bianca; Cruz e Sousa, Diana, & Mendes, João. (2021). The impact of COVID-19 pandemic on suicides in Portugal during the emergency state. European Psychiatry, 64(Suppl 1), S95. https://doi.org/10.1192/j.eurpsy.2021.279
Ribeiro, Jessica D.; Franklin, Joseph C.; Fox, Kathryn R.; Bentley, Kate H.; Kleiman, Evan M.; Chang, Bernard P., & Nock, Matthew. K. (2016). Self-injurious thoughts and behaviors as risk factors for future suicide ideation, attempts, and death: a meta-analysis of longitudinal studies. Psychological Medicine, 46(2), 225–236. https://doi.org/10.1017/S0033291715001804
Sandín, Bonifacio; Valiente, Rosa M.; García-Escalera, Julia; Campagne, Daniel M., & Chorot, Paloma. (2020). Psychological impact of the COVID-19 pandemic: Negative and positive effects in Spanish population during the mandatory national quarantine. Revista de Psicopatología y Psicología Clínica, 25(1), 1e–21e. https://doi.org/10.5944/rppc.28107
Tanaka, Takanao, & Okamoto, Shohei. (2021). Increase in suicide following an initial decline during the COVID-19 pandemic in Japan. Nature Human Behaviour, 5(2), 229–238. https://doi.org/10.1038/s41562-020-01042-z
Taylor, Steven. (2022). The psychology of pandemics. Annual Review of Clinical Psychology, 18, 581–609. https://doi.org/10.1146/annurev-clinpsy-072720-020131
Turecki, Gustavo; Brent, David A.; Gunnell, David; O’Connor, Rory C.; Oquendo, Maria A.; Pirkis, Jane, & Stanley, Barbara H. (2019). Suicide and suicide risk. Nature Reviews Disease Primers, 5(1), 74. https://doi.org/10.1038/s41572-019-0121-0
World Health Organization. (2021). Suicide worldwide in 2019: global health estimates. https://www.who.int/publications/i/item/9789240026643
Xiong, Jiaqi; Lipsitz, Orly; Nasri, Flora; Lui, Leanna M. W.; Gill, Hartej; Phan, Lee; Chen-Li, David; Iacobucci, Michelle; Ho, Roger; Majeed, Amma, & McIntyre, Roger S. (2020). Impact of COVID-19 pandemic on mental health in the general population: a systematic review. Journal of Affective Disorders, 277, 55–64. https://doi.org/10.1016/j.jad.2020.08.001
Yan, Yifei; Hou, Jianhua; Li, Qing, & Yu, Nancy Xiaonan. (2023). Suicide before and during the COVID-19 pandemic: A systematic review with meta-analysis. International Journal of Environmental Research and Public Health, 20(4), 3346. https://doi.org/10.3390/ijerph20043346
Yao, Haitang; Wang, Jiayang, & Liu, Wei. (2022). Lockdown policies, economic support, and mental health: Evidence from the COVID-19 pandemic in United States. Frontiers in Public Health, 10, 857444. https://doi.org/10.3389/fpubh.2022.857444
Zaldívar, Flor; López-Ríos, Francisca, & García-Montes, José Manuel. (2023). Modelos psicológicos en la conducta suicida. In Susana Al-Halabí, & Eduardo Fonseca-Pedrero (Coords.), Manual de psicología de la conducta suicida (pp. 69–110). Editorial Pirámide.
Published
How to Cite
Downloads
Copyright (c) 2026 Luis Sobrino Conde, Ana Isabel Segura Rodríguez, José Antonio Blanco Garrote

This work is licensed under a Creative Commons Attribution 4.0 International License.