학술논문
The role of interpersonal stressors and connectedness in acute suicide risk and the suicide crisis syndrome during the COVID-19 pandemic.
Document Type
Academic Journal
Author
Blum Y; Department of Community Mental Health, University of Haifa, Haifa, Israel; Department of Psychology, College of Management, Rishon LeZion, Israel.; Akhavan S; School of Medicine, Tel Aviv University, Tel Aviv, Israel.; Rogers ML; Department of Psychology, Texas State University, TX, USA.; Astudillo-García CI; National Institute of Psychiatry Ramon de la Fuente Muñiz, Mexico.; Çinka E; University of Health Sciences, Istanbul, Turkey.; Kantas Yilmaz F; University of Health Sciences, Istanbul, Turkey.; Peper-Nascimento J; Translational Psychiatry Laboratory, Graduate Program in Health Sciences, University of Southern Santa Catarina (UNESC), Criciúma, SC, Brazil.; Streb J; Department of Forensic Psychiatry and Psychotherapy, Ulm University, Ulm, Germany.; Chistopolskaya K; Eramishantsev Moscow City Clinical Hospital, Moscow, Russia.; Cohen LJ; Icahn School of Medicine at Mount Sinai, NY, USA.; Dudeck M; Department of Forensic Psychiatry and Psychotherapy, Ulm University, Ulm, Germany.; Lutz M; Department of Forensic Psychiatry and Psychotherapy, Ulm University, Ulm, Germany.; Lee MB; National Taiwan University Hospital, Taipei, Taiwan.; Husain MI; Campbell Family Mental Health Research Institute, Center for Addiction and Mental Health, Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada.; Kuśmirek O; Institute of Psychology, Polish Academy of Sciences, Warsaw, Poland.; Valvassori SS; Translational Psychiatry Laboratory, Graduate Program in Health Sciences, University of Southern Santa Catarina (UNESC), Criciúma, SC, Brazil.; You S; Department of Psychology, Chungbuk National University, Cheongju, Chungbuk, South Korea.; Menon V; Department of Psychiatry, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.; Galynker I; Icahn School of Medicine at Mount Sinai, NY, USA.; Barzilay S; Department of Community Mental Health, University of Haifa, Haifa, Israel. Electronic address: shirabarzilay@univ.haifa.ac.il.
Source
Publisher: Elsevier/North-Holland Biomedical Press Country of Publication: Netherlands NLM ID: 7906073 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1573-2517 (Electronic) Linking ISSN: 01650327 NLM ISO Abbreviation: J Affect Disord Subsets: MEDLINE
Subject
Language
English
Abstract
Background: The global COVID-19 pandemic rapidly and drastically impacted everyday life and relationships. Fear of contracting and spreading the virus brought governments and individuals to adopt strict social distancing measures. These changes have had a significant negative impact on mental health, including a suggested increase in suicidal behaviors. The present study examined the role of interpersonal stress and connectedness in suicidal ideation, deliberate self-harm, suicide attempts, and the suicide crisis syndrome during the COVID-19 pandemic.
Methods: An international sample of 7837 adult participants was recruited across ten participating countries to complete an anonymous online battery of self-report questionnaires. Questionnaires assessed suicide-related outcomes, stressful life events (SLE), and connectedness. Multilevel regression analyses were used to examine the associations between SLE and connectedness on suicide-related outcomes within the past month.
Results: Interpersonal SLEs and low connectedness were associated with an increased likelihood of suicide-related outcomes and increased severity of suicide crisis syndrome. Specifically, higher rates of SLEs and lower levels of connectedness were associated with more suicide-related outcomes.
Limitations: The use of a cross-sectional design and snowball sampling method may restrict the ability to establish causal relationships and limit the representativeness of the findings.
Conclusions: Our findings suggest elevated suicide-related outcomes during the COVID-19 pandemic among individuals experiencing multiple interpersonal stressful life events and low connectedness with others. The circumstances of social life during the COVID-19 pandemic highlight the urgency of implementing preventive programs aimed at mitigating potential suicide risks that may arise in the aftermath of public stress situations.
Competing Interests: Declaration of competing interest There is no conflict of interests.
(Copyright © 2024 Elsevier B.V. All rights reserved.)
Methods: An international sample of 7837 adult participants was recruited across ten participating countries to complete an anonymous online battery of self-report questionnaires. Questionnaires assessed suicide-related outcomes, stressful life events (SLE), and connectedness. Multilevel regression analyses were used to examine the associations between SLE and connectedness on suicide-related outcomes within the past month.
Results: Interpersonal SLEs and low connectedness were associated with an increased likelihood of suicide-related outcomes and increased severity of suicide crisis syndrome. Specifically, higher rates of SLEs and lower levels of connectedness were associated with more suicide-related outcomes.
Limitations: The use of a cross-sectional design and snowball sampling method may restrict the ability to establish causal relationships and limit the representativeness of the findings.
Conclusions: Our findings suggest elevated suicide-related outcomes during the COVID-19 pandemic among individuals experiencing multiple interpersonal stressful life events and low connectedness with others. The circumstances of social life during the COVID-19 pandemic highlight the urgency of implementing preventive programs aimed at mitigating potential suicide risks that may arise in the aftermath of public stress situations.
Competing Interests: Declaration of competing interest There is no conflict of interests.
(Copyright © 2024 Elsevier B.V. All rights reserved.)