Increase in Suicidal Thinking During COVID-19
Increase in Suicidal Thinking During COVID-19
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DOI：
10.1177/2167702621993857
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发表时间：
2021-05
影响因子：
4.8
通讯作者：
Nock MK
中科院分区：
文献类型：
--
作者：
Fortgang RG;Wang SB;Millner AJ;Reid-Russell A;Beukenhorst AL;Kleiman EM;Bentley KH;Zuromski KL;Al-Suwaidi M;Bird SA;Buonopane R;DeMarco D;Haim A;Joyce VW;Kastman EK;Kilbury E;Lee HI;Mair P;Nash CC;Onnela JP;Smoller JW;Nock MK
人们担心COVID-19大流行可能会导致自杀风险增加。在目前的研究中，我们测试了在COVID-19大流行期间自杀想法是否增加，以及这种想法是否可以通过增加社会孤立感来预测。在最近因自杀想法或行为住院并参与为期6个月的密集纵向智能手机监测研究的55名个体样本中，我们检查了COVID-19大流行在美国宣布全国紧急状态之前和之后的自杀想法和隔离。我们发现，在COVID-19大流行病爆发期间，成年人的自杀想法显著增加（比值比[OR] = 4.01，95%置信区间[CI] = [3.28，4.90]，p <0.001），但青少年则没有（OR = 0.84，95% CI = [0.69，1.01]，p = 0.07）。在大流行阶段，孤立感的增加预示着自杀想法。鉴于社交距离政策的重要性，这些发现支持了数字化推广和治疗的必要性。
There is concern that the COVID-19 pandemic may cause increased risk of suicide. In the current study, we tested whether suicidal thinking has increased during the COVID-19 pandemic and whether such thinking was predicted by increased feelings of social isolation. In a sample of 55 individuals recently hospitalized for suicidal thinking or behaviors and participating in a 6-month intensive longitudinal smartphone monitoring study, we examined suicidal thinking and isolation before and after the COVID-19 pandemic was declared a national emergency in the United States. We found that suicidal thinking increased significantly among adults (odds ratio [OR] = 4.01, 95% confidence interval [CI] = [3.28, 4.90], p < .001) but not adolescents (OR = 0.84, 95% CI = [0.69, 1.01], p = .07) during the onset of the COVID-19 pandemic. Increased feelings of isolation predicted suicidal thinking during the pandemic phase. Given the importance of social distancing policies, these findings support the need for digital outreach and treatment.
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