Associations among state-level physical distancing measures and suicidal thoughts and behaviors among US adults during the early COVID-19 pandemic
Associations among state-level physical distancing measures and suicidal thoughts and behaviors among US adults during the early COVID-19 pandemic
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DOI：
10.1111/sltb.12653
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发表时间：
2020-07-24
影响因子：
3.2
通讯作者：
Baker, Justin C.
中科院分区：
文献类型：
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作者：
Bryan, Craig J.;Bryan, AnnaBelle O.;Baker, Justin C.
目的本研究的目的是确定压力的主要来源，描述心理健康结果的发生率，并检查在COVID-19大流行的最初几个月期间美国成年人之间的相关性。方法在2020年3月18日至4月4日进行的一项横断面一般人群调查中，通过Qualtrics Panel采用配额抽样方法招募了美国成年人（n = 10，625）。结果生活压力，可能的抑郁症，上个月的自杀意念，和上个月的自杀企图没有升高的参与者受到国家级留在家里的命令和/或大型集会禁令。多种生活压力源与可能的抑郁症发生率增加有关。过去一个月的自杀意念显着较高的参与者报告正在进行的论点与合作伙伴和严重的法律的问题。在报告担心危及生命的疾病或伤害的参与者中，过去一个月的自杀企图显着较高，但在报告意外账单或费用的参与者中显着较低。结论结果不支持物理距离措施与更差的心理健康结果相关的结论。对危及生命的疾病或伤害的担忧与自杀企图的风险增加唯一相关。
Purpose The purpose of this study was to identify leading sources of stress, describe rates of mental health outcomes, and examine their associations among U.S. adults during the first months of the COVID-19 pandemic. Method In a cross-sectional, general population survey conducted from March 18 to April 4, 2020, U.S. adults (n = 10,625) were recruited through Qualtrics Panels using quota sampling methods. Results Life stressors, probable depression, past-month suicide ideation, and past-month suicide attempts were not elevated among participants subject to state-level stay-at-home orders and/or large gathering bans. Multiple life stressors were associated with increased rates of probable depression. Past-month suicide ideation was significantly higher among participants reporting ongoing arguments with a partner and serious legal problems. Past-month suicide attempt was significantly higher among participants reporting concerns about a life-threatening illness or injury, but was significantly lower among participants reporting an unexpected bill or expense. Conclusions Results failed to support the conclusion that physical distancing measures are correlated with worse mental health outcomes. Concerns about life-threatening illness or injury were uniquely associated with increased risk of suicide attempt.