Changes in suicide trends among young populations during the COVID-19 pandemic in Japan and Taiwan

Dear editor,

I recently read the article published in Medicine, Science, and the Law by Ken Inoue et al., entitled “Changes in the characteristics of suicide in Japan in the third year of the COVID-19 pandemic and the importance of continued suicide prevention measures.” ¹ As a psychiatrist from Taiwan, I would like to provide an overview of the situation in our country and share some thoughts on potential preventive measures for both Japan and Taiwan.

Inoue et al. highlighted the increase in suicides in Japan during the COVID-19 pandemic, particularly among younger people and females. Taiwan, as Japan's neighbor, experienced similar trends. According to a study by Chen et al., ² while overall suicide rates in Taiwan slightly decreased after the outbreak (from 16.4 to 15.5 per 100,000 population), the age-stratified analysis showed that suicide rates increased among individuals younger than 25 and decreased among those aged 25–64 years. In the oldest age group (≥ 65), there was an immediate decrease in suicide rates followed by a sustained upward trend during the pandemic's onset.

The concurrence of increased suicide rates among young populations in both Japan and Taiwan emphasizes the need for targeted interventions and support systems for this vulnerable group. As a psychiatrist, I believe that early detection and intervention, as well as raising awareness about mental health and suicide prevention among young people, are crucial steps in addressing this issue. The use of telemedicine and online mental health support can also be beneficial, especially during periods of social distancing and restricted mobility.

In addition, it is important to consider the broader socioeconomic factors contributing to increased suicides among young populations. Both Japan and Taiwan have faced challenges related to unemployment, economic hardships, and social restrictions during the COVID-19 pandemic. Governments should continue to provide financial support and assistance to those affected, as well as develop and implement policies to mitigate the long-term socioeconomic consequences of the pandemic.

In conclusion, the findings from both Japan and Taiwan underscore the importance of tailored suicide prevention measures for different age groups, particularly for the young population. Further research and international collaboration are needed to better understand the factors driving these trends and to develop effective strategies for suicide prevention during this challenging time.

Sincerely,

Dr LienChung Wei

Psychiatrist, Taiwan