Suicide during COVID-19 infection – Case report and literature review

Fulga, Iuliu; Neagu, Marius; Piraianu, Alin Ionut; Ciubara, Bogdan Alexandru; Neagu, Anca-Iulia; Ciubara, Anamaria; Fulga, Ana

doi:10.15761/0101-60830000000313

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Archives of Clinical Psychiatry (São Paulo)

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Case Report • Arc. Clin. Psychiatr. 48 (6) • Nov-Dec 2021 • https://doi.org/10.15761/0101-60830000000313 copy

Suicide during COVID-19 infection – Case report and literature review

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

The COVID-19 pandemic has a global effect on people’s mental health. The SARS-CoV-2 infection is a new source of anxiety, depression, and psycho-emotional changes in people without morbid conditions, with even more important impact on patients with associated diseases. We present the case of a previously diagnosed patient with COVID-19, in which the psychological effects accumulated during hospitalization triggered an autolytic behaviour. The case presented by us and the review of the literature show that serious diseases are frequently associated with depression and emotional disorders, and SARS-CoV-2 infection is no exception

Keywords:
SARS-CoV-2 infection; depression; anxiety; emotional disorders; suicide

Authors	Number of COVID-19 positive people	Mean Age	Sex	Symptoms	Psychiatric Comorbidity	Rate of psychiatric symptoms	Suicide / Suicide attempts
Mazza et al. [³3 Mazza M, Lorenzo R. Anxiety and depression in COVID-19 survivors: Role of inflammatory and clinical predictors. Brain Behav Immun. 2020; 89:594-600. doi: 10.1016/j.bbi.2020.07.037 https://doi.org/10.1016/j.bbi.2020.07.03... ]	402	57.8	F-137 M- 264	Depression, Anxiety, PTSD, Insomnia	7,8%	55%
Sahan et al. [⁴4 Şahan E , Ünal S , Kırpınar I . Can we predict who will be more anxious and depressed in the COVID-19 ward? J Psychosom Res. 2021;140:110302. doi: 10.1016/j.jpsychores.2020.110302 https://doi.org/10.1016/j.jpsychores.202... ]	281	55.0	F-138 M-143	Depression Anxiety	23.8%	42%
Dong et al. [⁵5 Kong X, Zheng K, Tang M, Kong F, Zhou J, Diao L, Wu S, Jiao P, Su T, Dong Y. Prevalence and Factors Associated with Depression and Anxiety of Hospitalized Patients with COVID-19. medRxiv. 2020. doi: https://doi.org/10.1101/2020.03.24.20043075 https://doi.org/10.1101/2020.03.24.20043... ]	144	49.98	F-74 M-70	Depression Anxiety	-	31,59%
Paz et al. [⁶6 Paz C, Mascialino G, Díaz L, Rodríguez-Lorenzana A, Simbaña-Rivera K, Gómez-Barreno L, Troya M, Páez MI, Javier C, Gerstner RM, Prado E. Anxiety and depression in patients with confirmed and suspected COVID-19 in Ecuador. Psychiatry Clin Neurosci. 2020;74(10):554-555. doi: 10.1111/pcn.13106 https://doi.org/10.1111/pcn.13106... ]	759	37	F-394M- 365	Depression Anxiety	-	22,9%
Speth et al. [⁷7 Speth MM, Cornelius T, Oberle M, Gengler I, Brockmeier S. COVID-19 may attack patients' central nervous system. University of Cincinnati. ScienceDaily. 2020.]	114	-	-	Depression Anxiety	-	37,3%
Parker et al. [⁸8 Parker C, Shalev D, Hsu I, Shenoy A, Cheung S, Nash S, Wiener I, Fedoronko D, Allen N, Shapiro PA. Depression, Anxiety, and Acute Stress Disorder Among Patients Hospitalized With Coronavirus Disease 2019: A Prospective Cohort Study. J Acad Consult Liaison Psychiatry. 2021;62(2):211-219. doi: 10.1016/j.psym.2020.10.001 https://doi.org/10.1016/j.psym.2020.10.0... ]	44	59	F-9M-37	DepressionAnixety	26%	32,5%
Samrah et al. [⁹9 Samrah S, Mistarehi A, Aleshawi AJ, Khasawneh A, Momany SM, Momany BS, Za’nouneh S, Keelani T, Alshorman A, Khassawneh BY. Depression and Coping Among COVID-19-Infected Individuals After 10 Days of Mandatory in-Hospital Quarantine, Irbid, Jordan. Psychol Res Behav Manag. 2020;13:823-830. doi: 10.2147/PRBM.S267459. https://doi.org/10.2147/PRBM.S267459... ]	66	35.8	F-39M-27	Depression Anxiety	-	44%
Brooks [¹⁰10 Brooks M. Depression, Anxiety in COVID-19 Indicators of CNS Attack? Medscape Medical News. August 03, 2020.]	144	44.6	F-52M- 92	Depression Anxiety	1%	47,4%
Gillett et al. [¹¹11 Gillett G, Jordan I. Severe psychiatric disturbance and attempted suicide in a patient with COVID-19 and no psychiatric history. BMJ Case Rep. 2020;13(10):e239191. doi: 10.1136/bcr-2020-239191 https://doi.org/10.1136/bcr-2020-239191... ]	1	37	M	Auditory hallucinations	NA	NA	Yes
Telles-Garcia et al. [¹²12 Telles-Garcia N, Zahrli T, Aggarwal G, Bansal S, Richards L, Aggarwal S. Suicide Attempt as the Presenting Symptom in a Patient with COVID-19: A Case Report from the United States. Case Rep Psychiatry. 2020;2020:8897454. doi: 10.1155/2020/8897454 https://doi.org/10.1155/2020/8897454... ]	1	38	M	Anxiety Depression	NA	NA	Yes
Sripad et al. [¹³13 Sripad MN, Pantoji M, Gowda GS, Ganjekar S, Reddi VSK, Math SB. Suicide in the context of COVID-19 diagnosis in India: Insights and implications from online print media reports. Psychiatry Res. 2021;298:113799. doi: 10.1016/j.psychres.2021.113799 https://doi.org/10.1016/j.psychres.2021.... ]	58	45	-	Depression Anxiety	8%	-	Yes

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[1] *Address for correspondence: Marius Neagu, Dunarea de Jos University of Galati, Faculty of Medicine and Pharmacy, 35 Cuza st., Galati 800010, Romania, Tel: +40745212079, Email: mariusneagu87@gmail.com