Suicidal ideation during COVID-19 lockdown in Greece: Prevalence in the community, risk and protective factors.

Suicidal ideation during COVID-19 lockdown in Greece: Prevalence in the community, risk and protective factors.
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DOI:
10.1016/j.psychres.2021.113713
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发表时间:
2021-03
影响因子:
11.3
通讯作者:
Gournellis, Rossetos
Gournellis, Rossetos
中科院分区:
医学2区
文献类型:
--
作者:
Papadopoulou, Athanasia;Efstathiou, Vasiliki;Yotsidi, Vasiliki;Pomini, Valeria;Michopoulos, Ioannis;Markopoulou, Evaggelia;Papadopoulou, Marianna;Tsigkaropoulou, Evdoxia;Kalemi, Georgia;Tournikioti, Kalliopi;Douzenis, Athanasios;Gournellis, Rossetos

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本研究的目的是调查2019冠状病毒病大流行爆发后,希腊社区自杀意念的流行率以及限制措施期间自杀意念的风险和保护因素。在第一次封锁期间进行了一次网上匿名调查。参与者完成了广泛性焦虑症量表(GAD-2)、患者健康问卷(PHQ-2)、系统临床结局和常规评估(SCORE-15)、Connor-Davidson复原力量表(CD-RISK-2)和COVID-19流行病相关数据的自我报告问卷。在总共5,116名成年人中,5.20%的人报告有自杀念头,14.17%的人有潜在的焦虑临床病例,26.51%的人有抑郁症。与前两周相比,参与者在封锁的最后两周内表现出明显更高的自杀意念率。未婚或离婚的婚姻状况,心理健康史,身体健康质量差,家庭功能受损,焦虑和抑郁症状与自杀意念的几率较高独立相关,而较高的弹性,对封锁措施的积极感受,与朋友的关系,以及对最高存在的信仰与自杀意念的几率较低相关。根据调查结果,自杀意念的流行率可能被认为是升高的,在封锁期间的增加令人震惊。研究中确定的风险和保护因素为制定预防自杀意念的策略提供了宝贵的信息,特别是在危机时期。
The aim of this study was to investigate the prevalence of suicidal ideation in the community as well as the risk and protective factors of suicidal ideation during restriction measures in Greece, after the outbreak of the COVID-19 pandemic. Α web-based anonymous survey was conducted during the first lockdown period. Participants completed the Generalized Anxiety Disorder scale (GAD-2), the Patient Health Questionnaire (PHQ-2), the Systemic Clinical Outcome and Routine Evaluation (SCORE-15), the Connor-Davidson Resilience Scale (CD-RISK-2), and a self-report questionnaire for COVID-19 pandemic-related data. From a total of 5,116 adults included in the study, 5.20% reported suicidal thoughts, 14.17% were potential clinical cases of anxiety, and 26.51% of depression. Participants presented significantly higher suicidal ideation rates during the last two weeks of the lockdown compared to its previous two weeks. Unmarried or divorced marital status, mental health history, poor perceived quality of physical health, impaired family functioning, anxiety and depression symptoms were independently associated with higher odds of suicidal ideation, whereas higher resilience, positive feelings with regard to the lockdown measures, relationship with friends, and faith in a Supreme Being were associated with lower suicidal ideation odds. According to the findings, suicidal ideation prevalence might be considered elevated and its increase during the lockdown period alarming. The risk and protective factors identified in the study offer valuable information for the development of preventive strategies against suicidal ideation, especially in times of crisis.
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