Short-Term Effect of the COVID-19 Pandemic on Suicidal Ideation
Short-Term Effect of the COVID-19 Pandemic on Suicidal Ideation
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COVID-19 大流行对自杀意念的短期影响
DOI：
10.1027/0227-5910/a000797
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发表时间：
2021
期刊：
影响因子：
3
通讯作者：
Ueda Michiko
中科院分区：
文献类型：
--
作者：
Sueki Hajime;Ueda Michiko
背景很少有研究探讨流行病对自杀相关结局的影响。目的我们通过跟踪2020年1月至4月的个体，研究普通人群中的自杀意念水平是否因COVID-19大流行而发生变化。方法我们采用前瞻性观察纵向设计（n = 6，683）和分层抽样，对日本普通成年人进行在线调查，（基线）和大流行期间（后续）。结果自杀意念水平显着低于大流行之前，然而，效果大小是非常小的。在大流行期间，年龄较小、工作不稳定、没有子女、收入较低和接受精神病治疗的参与者更有可能有较高的自杀意念水平。局限性由于这是一项互联网调查，受选择偏差的影响，样本不一定代表日本人口。在调查时，日本的COVID-19病例和死亡人数相对低于其他发达国家。结论虽然COVID-19大流行对自杀意念的短期影响有限，但相对年轻和经济脆弱的个体更有可能在大流行期间表现出加剧的自杀意念。
BackgroundFew studies have examined the effect of pandemics on suicide-related outcomes.AimsWe examined whether suicidal ideation levels among the general population changed owing to the COVID-19 pandemic by tracking individuals between January and April 2020.MethodWe used a prospective observational longitudinal design (n= 6,683) and stratified sampling to conduct online surveys of the general adult population in Japan before (baseline) and during the pandemic (follow-up).ResultsSuicidal ideation levels were significantly lower during than before the pandemic; however, the effect size was very small. Participants who were younger, with unstable employment, without children, with low income, and receiving psychiatric care were more likely to have higher suicidal ideation levels during the pandemic.LimitationsBecause this was an Internet survey and subject to selection bias, the sample was not necessarily representative of the Japanese population. At the time of the survey, COVID-19 cases and deaths in Japan were relatively lower than in other developed countries. The dropout rate may have affected the results.ConclusionAlthough the short-term impact of the COVID-19 pandemic on suicidal ideation is limited, relatively young and economically vulnerable individuals are more likely to show exacerbated suicidal ideation during the pandemic.