Department of Sociology and Criminology, University of Arkansas-Fayetteville, Fayetteville, AR, USA.
Suicide Life Threat Behav. 2020 Dec;50(6):1241-1249. doi: 10.1111/sltb.12655. Epub 2020 Jul 14.
The current paper examines the intersection between social vulnerability, individual risk, and social/psychological resources with adult suicidality during the COVID-19 pandemic.
Data come from a national sample (n = 10,368) of U.S. adults. Using an online platform, information was gathered during the third week of March 2020, and post-stratification weighted to proportionally represent the U.S. population in terms of age, gender, race/ethnicity, income, and geography.
Nearly 15 percent of sampled respondents were categorized as high risk, scoring 7+ on the Suicide Behaviors Questionnaire-Revised (SBQ-R). This level of risk varied across social vulnerability groupings: Blacks, Native Americans, Hispanics, families with children, unmarried, and younger respondents reported higher SBQ-R scores than their counterparts (p < .000). Regression results confirm these bivariate differences and also reveal that risk factors (food insecurity, physical symptoms, and CES-D symptomatology) are positive and significantly related to suicidality (p < .000). Additionally, resource measures are significant and negatively related to suicidality (p < .000).
These results provide some insight on the impact COVID-19 is having on the general U.S.
Practitioners should be prepared for what will likely be a significant mental health fall-out in the months and years ahead.
本研究探讨了社会脆弱性、个体风险以及社会/心理资源与 COVID-19 大流行期间成人自杀意念之间的关系。
数据来自美国成年人的全国样本（n=10368）。使用在线平台，于 2020 年 3 月第三周收集信息，并进行事后分层加权，以在年龄、性别、种族/民族、收入和地理位置方面按比例代表美国人口。
大约 15%的抽样受访者被归类为高风险，其自杀行为问卷修订版（SBQ-R）得分为 7+。这种风险水平在社会脆弱性分组中有所不同：黑人、美国原住民、西班牙裔、有子女的家庭、未婚和年轻的受访者比他们的同龄人报告更高的 SBQ-R 得分（p<0.000）。回归结果证实了这些双变量差异，并且还表明风险因素（食物不安全、身体症状和 CES-D 症状）与自杀意念呈正相关且具有统计学意义（p<0.000）。此外，资源测量与自杀意念呈负相关且具有统计学意义（p<0.000）。
这些结果提供了一些关于 COVID-19 对美国普通人群影响的见解：从业者应做好准备，以应对未来数月和数年可能出现的重大心理健康问题。
