The potential impact of typical government responses to COVID-19 on population mental health has been recognized from the earliest days of the pandemic. ‘Lockdown’ (quarantine, physical distancing and self-isolation), restrictions on movement, travel and social interaction, and enforced closure of non-essential workplaces, educational establishments, places of worship and community meeting places were considered likely to result in worsening psychological well-being and increased psychiatric illness (including depression, anxiety, post-traumatic stress disorder, hopelessness, fear, sleep problems, self-stigmatization, feelings of entrapment and burdensomeness, and substance misuse). In addition, there were anticipated negative social and economic outcomes, including social isolation, loneliness, disconnectedness, disruption of everyday routines, domestic violence, child neglect/abuse, unemployment, financial strain and insecurity. Commentators have also speculated about the likely unequal impacts of the expected post-COVID-19 economic crisis, further increasing pre-existing socioeconomic, ethnic and geographical health inequalities (found in relation to mental health and suicide, as well as non-communicable diseases).

Now, about six months after lockdown commenced in most other European countries, evidence of a significant worsening of population mental health is accumulating

Now, about six months after lockdown commenced in most other European countries, evidence of a significant worsening of population mental health is accumulating. In the United Kingdom, for example, the latestOffice for National Statistics survey发现2020年6月，几乎有五分之一的成年人正在经历某种形式的抑郁症，几乎是锁定前记录的患病率的两倍。同一项调查报道说，年龄在16至39岁的成年人，女性，无法负担意外的费用，残疾人在大流行期间最有可能遭受抑郁症状。精神健康影响差异的证据，特别是对（年轻）妇女和年轻人的影响，以及精神健康不平等的潜在扩大，而在大流行期间，精神健康前最贫穷的小组在心理健康方面的恶化也最大，，，，已找到in other学习.

Suicide researchers have noted that many, if not all, of the adverse consequences of governmental response to the pandemic are, in turn, risk factors for suicide. While they have drawn attention to the possibility of an increase in suicide during and in the aftermath of the pandemic, however, they have also stressed that this is not inevitable. The current dearth of ‘real-time’ data on trends in suicide incidence does not permit drawing any robust conclusions about pandemic-related change. The evidence on the impact of previous infectious disease-related public health emergencies (epidemics) on suicide-related outcomes has been collated in a systematic review, to be published in the journalCrisis（Zortea等人，印刷中）。有证据表明，在2003年严重的呼吸急性综合征（SARS）流行病和流行病的一年，香港老年人（尤其是妇女）的自杀率增加，以及埃博拉病毒疾病（Guinea，2015-16）之间的关联SARS暴露和自杀企图增加。尽管审查中包括的研究局限性局限性，但研究结果的综合仍支持先前流行病与自杀相关结局的风险增加之间的关联。

Unfortunately, previous studies did not undertake detailed investigations of the timing of any increase in the incidence of suicide-related outcomes.Evidence relating to public health emergencies arising from natural disasterssuggests a short-term decrease in suicide in the immediate aftermath of a disaster. This has been labelled the “honeymoon period” or the “一起拉“ 现象。已经宣称一些支持证据，，，，that, at least in the early acute phase of the current pandemic, social connectedness, community cohesion,mutual support和关怀增加了。至少至少在短期内，实际上，如果实际上存在的话，就可以按大规模地进行“团结”（如果实际存在的话）来调节COVID-19的负面心理社会心理影响，包括对自杀相关的结果的负面影响。但是，从长远来看，任何基于社区的积极保护对心理健康和自杀风险的影响都可能被大流行后经济危机的严重程度和持续时间所淹没（尤其是对年轻人的生活机会最大的年轻人的影响。工作机会的崩溃和失业的不可分割的增加）。

The systematic review was also unable to identify any studies which examined the effectiveness of specific interventions in mitigating the impact of pandemics/epidemics on the incidence of suicide-related outcomes. This highlights the urgent need for primary studies of such interventions in the context of the COVID-19 pandemic, in order to inform suicide prevention policies and clinical practice. In the meantime, national governments should strengthen their commitment to developing and implementing suicide prevention programs and activities for which there is established evidence of effectiveness, never losing sight of the importance of addressing inequalities in suicide as well as the overall suicide rate.

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