Suicidal ideation among Canadian adults during the COVID-19 pandemic: the role of psychosocial factors and substance use behaviours.
Suicidal ideation among Canadian adults during the COVID-19 pandemic: the role of psychosocial factors and substance use behaviours.
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DOI：
10.1186/s12888-022-04353-9
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发表时间：
2022-11-16
期刊：
影响因子：
4.4
通讯作者：
中科院分区：
文献类型：
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作者：
自杀是世界上最重要和日益增长的公共卫生议程之一。自2019冠状病毒病疫情以来，人们对疫情对自杀相关后果的潜在不利影响表示担忧。这项研究的主要目的是检查加拿大成年人在COVID-19大流行期间心理社会风险因素（精神健康疾病和社会隔离）和物质使用行为（大麻和酒精消费）与自杀意念的关联。这项研究是根据生活在加拿大十个省的4005名18岁或18岁以上的人进行的。本研究中使用的数据由加拿大心理健康研究中心于2021年4月20日至28日收集。多变量逻辑回归用于确定COVID-19爆发之前和之后的心理健康状况（焦虑，抑郁和其他情绪障碍），社会隔离和生活安排，以及COVID-19期间大麻和酒精消费与自杀意念的关联。调整后的Logistic回归分析结果显示，在那些报告社会隔离持续负面影响的人中，自杀意念的几率高出1.526倍（95%CI：1.082-2.152）。在COVID-19大流行之前（OR = 3.136，95%CI：2.376-4.138）和自COVID-19大流行以来（OR = 3.019，95%CI：1.929-4.726）被诊断为抑郁症的人自杀意念的几率也更高，而在COVID-19大流行之前被诊断为焦虑症的人自杀意念的几率高出1.627倍（95%CI：1.225-2.163）。报告增加的人和在大流行期间吸食大麻的人想到自杀的可能性分别是不吸食者的1.970倍（95% CI：1.463-2.653）和1.509倍（95% CI：1.158-1.966）。鉴于心理社会因素（精神健康疾病和社会隔离）和大麻使用与自杀意念的显著关联，需要对COVID-19之前和之后患有精神健康状况的成年人，那些受到社会隔离负面影响的人以及那些暴露于物质使用（大麻）的人给予更多关注和支持。
Suicide is one of the most important and increasing public health agenda around the world. Since the COVID-19 pandemic, concerns have been raised about the potential adverse impacts of the pandemic on suicide-related outcomes. The main objective of this study was to examine the association of psychosocial risk factors (mental health illnesses and social isolation) and substance use behaviors (cannabis and alcohol consumption) with suicidal ideation during the COVID-19 pandemic among Canadian adults. The study was conducted based on a total of 4005 persons 18 years of age or older, living in Canada's ten provinces. The data used in this study were collected during April 20–28, 2021, by Mental Health Research Canada. Multivariable logistic regression was used to determine the association of mental health conditions (anxiety, depression, and other mood disorder) before and since COVID-19 outbreaks, social isolation and living arrangement, as well as cannabis and alcohol consumption with suicidal ideation during COVID-19. The results of adjusted logistic regression showed that the odds of suicidal ideation were 1.526 times higher (95% CI:1.082–2.152) among those who reported continued negative impacts of social isolation. The odds of suicidal ideation were also higher for those who were diagnosed as having depression before (OR = 3.136, 95% CI: 2.376–4.138) and since the COVID-19 pandemic (OR = 3.019, 95% CI:1.929–4.726) and 1.627 times higher (95% CI: 1.225–2.163) for those who were diagnosed as having anxiety before the COVID-19 pandemic. Those who reported having increased and those who were consuming cannabis during the pandemic were 1.970 (95% CI: 1.463–2.653) and 1.509 times (95% CI: 1.158–1.966) more likely to have thought of suicide than non-takers, respectively. Given the significant associations of psychosocial factors (mental health illnesses and social isolation) and cannabis use with suicidal ideation, more attention and support need to be given to adults who had mental health conditions before and since COVID-19, those who were negatively impacted by social isolation, and those are exposed to substance use (cannabis).
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影响因子：
64.3
作者：
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通讯作者：
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影响因子：
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DOI：
10.3390/ijerph19159307
发表时间：
2022-07-29
影响因子：
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影响因子：
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作者：
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DOI：
10.1176/appi.ajp.2010.09101476
发表时间：
2010-07
期刊：
The American journal of psychiatry
影响因子：
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