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受挫的归属感和被感知的累赘感解释了 COVID-19 的社会和经济后果与自杀风险之间的关联。

Thwarted belongingness and perceived burdensomeness explain the associations of COVID-19 social and economic consequences to suicide risk.

机构信息

Department of Psychology, University of Toledo, Toledo, OH, USA.

出版信息

Suicide Life Threat Behav. 2020 Dec;50(6):1140-1148. doi: 10.1111/sltb.12654. Epub 2020 Jul 14.

Abstract

OBJECTIVE

The social and economic consequences of COVID-19 and related public health interventions aimed at slowing the spread of the virus have been proposed to increase suicide risk. However, no research has examined these relations. This study examined the relations of two COVID-19 consequences (i.e., stay-at-home orders and job loss) to suicide risk through thwarted belongingness, perceived burdensomeness, and loneliness.

METHOD

Online data from a nationwide community sample of 500 adults (mean age = 40) from 45 states were collected between March 27 and April 5, 2020. Participants completed measures assessing thwarted belongingness, perceived burdensomeness, loneliness, and suicide risk, as well as whether they (a) were currently under a stay-at-home order and (b) had experienced a recent job loss due to the pandemic.

RESULTS

Results revealed a significant indirect relation of stay-at-home order status to suicide risk through thwarted belongingness. Further, whereas recent job loss was significantly correlated with suicide risk, neither the direct relation of job loss to suicide risk (when accounting for their shared relations to perceived burdensomeness) nor the indirect relation through perceived burdensomeness was significant.

CONCLUSIONS

Results highlight the potential benefits of interventions targeting thwarted belongingness and perceived burdensomeness to offset suicide risk during this pandemic.

摘要

目的

有人提出,COVID-19 及其相关公共卫生干预措施带来的社会经济后果可能会增加自杀风险。然而,目前还没有研究检验这些关联。本研究通过归属感被剥夺感、自我负担感和孤独感来检验 COVID-19 两种后果(即居家令和失业)与自杀风险之间的关系。

方法

2020 年 3 月 27 日至 4 月 5 日,我们从全美 45 个州的 500 名成年人(平均年龄 40 岁)中收集了在线数据。参与者完成了评估归属感被剥夺感、自我负担感、孤独感和自杀风险的措施,以及他们是否(a)目前处于居家令之下,(b)因疫情而最近失业。

结果

结果显示,居家令状态与自杀风险之间存在显著的间接关系,通过归属感被剥夺感产生。此外,虽然最近的失业与自杀风险显著相关,但失业对自杀风险的直接关系(当考虑到它们与自我负担感的共同关系时)以及通过自我负担感产生的间接关系均不显著。

结论

结果强调了在这一大流行期间,针对归属感被剥夺感和自我负担感的干预措施可能有助于降低自杀风险。

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