Mental Health, Suicidality, and Connectedness Among High School Students During the COVID-19 Pandemic - Adolescent Behaviors and Experiences Survey, United States, January-June 2021.

Mental Health, Suicidality, and Connectedness Among High School Students During the COVID-19 Pandemic - Adolescent Behaviors and Experiences Survey, United States, January-June 2021.
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DOI:
10.15585/mmwr.su7103a3
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发表时间:
2022-04-01
期刊:
影响因子:
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通讯作者:
Geda S
Geda S
中科院分区:
其他
文献类型:
--
作者:
Jones SE;Ethier KA;Hertz M;DeGue S;Le VD;Thornton J;Lim C;Dittus PJ;Geda S

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与COVID-19疫情相关的干扰和后果,包括学校关闭、社会隔离、家庭经济困难、家庭损失或疾病以及获得医疗保健的机会减少,令人担忧其对青年人的心理健康和福祉的影响。本报告使用了2021年青少年行为和经历调查的数据,这是一项基于概率的在线调查,对美国公立和私立学校9 - 12年级学生(N = 7,705)进行了全国代表性样本调查,以评估美国高中生在COVID-19大流行期间的心理健康和自杀倾向。该研究还探讨了心理健康和自杀倾向是否与在学校与人亲近以及在大流行期间与他人实际联系有关。总体而言,37.1%的学生在疫情期间心理健康状况不佳,31.1%的学生在疫情前30天内心理健康状况不佳。此外,在调查前的12个月内,44.2%的人经历了持续的悲伤或绝望情绪,19.9%的人认真考虑过自杀,9.0%的人曾试图自杀。与那些在学校里感觉不亲近的人相比,在大流行期间,(28.4%对45.2%)和过去30天内(23.5%对37.8%),持续的悲伤或绝望感(35.4%对52.9%),曾认真考虑过自杀(14.0%对25.6%),自杀未遂(5.8%对11.9%)。在大流行期间与他人实际联系的学生中观察到了同样的模式(即,与家人、朋友或其他团体通过使用计算机、电话或其他设备)相对于那些没有。改善与家庭、社区和学校中其他人的联系感的综合策略可能会在COVID-19大流行期间和之后促进青年人的心理健康。
Disruptions and consequences related to the COVID-19 pandemic, including school closures, social isolation, family economic hardship, family loss or illness, and reduced access to health care, raise concerns about their effects on the mental health and well-being of youths. This report uses data from the 2021 Adolescent Behaviors and Experiences Survey, an online survey of a probability-based, nationally representative sample of U.S. public- and private-school students in grades 9–12 (N = 7,705), to assess U.S. high school students’ mental health and suicidality during the COVID-19 pandemic. The study also examines whether mental health and suicidality are associated with feeling close to persons at school and being virtually connected to others during the pandemic. Overall, 37.1% of students experienced poor mental health during the pandemic, and 31.1% experienced poor mental health during the preceding 30 days. In addition, during the 12 months before the survey, 44.2% experienced persistent feelings of sadness or hopelessness, 19.9% had seriously considered attempting suicide, and 9.0% had attempted suicide. Compared with those who did not feel close to persons at school, students who felt close to persons at school had a significantly lower prevalence of poor mental health during the pandemic (28.4% versus 45.2%) and during the past 30 days (23.5% versus 37.8%), persistent feelings of sadness or hopelessness (35.4% versus 52.9%), having seriously considered attempting suicide (14.0% versus 25.6%), and having attempted suicide (5.8% versus 11.9%). The same pattern was observed among students who were virtually connected to others during the pandemic (i.e., with family, friends, or other groups by using a computer, telephone, or other device) versus those who were not. Comprehensive strategies that improve feelings of connectedness with others in the family, in the community, and at school might foster improved mental health among youths during and after the COVID-19 pandemic.