<s>[INST] A literature review the impact of the COVID-19 pandemic on suicide and suicide attempts globally
Background
The COVID-19 pandemic has swept through global populations rapidly, leaving a path of destruction and hopelessness. The social restrictions and isolation imposed to combat the spread of the virus have exacerbated stress, anxiety, and depression, to the point where many people are questioning their very existence. Suicidal thoughts and attempts are on the rise, and the impact of this pandemic on global suicide and suicide attempts is beginning to manifest.
This chapter aims to explore the impact of COVID-19 on global suicide and suicide attempts by examining existing literature; identify the subgroups most at risk, and the potential underlying causes of this impact.
Methodology
A systematic literature search was conducted among leading databases, including Google Scholar, PubMed, Web of Science, Scopus, and PsycINFO through May 2021. Using specific keywords, such as "COVID-19 and suicide," "pandemic and suicidal behavior," and "social isolation and suicidal ideation," we searched for relevant articles that studied the impact of COVID-19 on global suicide and suicide attempts.
Results
A total of 32 studies were identified for inclusion in the review. Key findings of the studies are discussed below.

Discussion
Nine out of 32 studies explored the psychological impact of the pandemic on suicidal thoughts and behaviors. These studies indicate that the pandemic has contributed to increased suicidal ideation and attempts among certain subgroups, including individuals with pre-existing mental health disorders, those with a history of trauma, and those experiencing financial stress.
Twenty-three studies investigated the effects of isolation and confinement on suicidal behavior. Several studies suggest that the pandemic-related restrictions, such as stay-at-home orders and social distancing measures, have exacerbated feelings of loneliness, disconnection, and despair, leading to increased suicidal ideation and attempts among some populations.
Seven studies looked into the economic and social factors influencing suicidal behavior during the pandemic. These studies found that individuals experiencing financial hardships, loss of employment, and disruption of social support networks were at a higher risk of suicidal ideation and attempts.

Conclusion
The COVID-19 pandemic has had a profound impact on global suicide and suicide attempts. The pandemic has exacerbated stress, anxiety, and depression, leading to increased suicidal ideation and attempts among certain subgroups, including individuals with pre-existing mental health disorders, those with a history of trauma, and those experiencing financial stress. The findings of this review highlight the need for targeted interventions to support these vulnerable populations and mitigate the impact of the pandemic on global suicide rates.
Recommendations
1. Governments and health organizations should implement targeted interventions to support individuals with pre-existing mental health disorders.
2. Mental health services should prioritize individuals with a history of trauma.
3. Governments and employers should provide economic support and job security to mitigate financial stress.
4. Community-based initiatives should promote social connection and support networks.

Can you summarize the main points of this literature review?[/INST]