新冠疫情期间孟加拉国年轻成年人的自杀倾向：行为因素、新冠风险与恐惧以及心理健康问题的作用
Suicidality in Bangladeshi Young Adults During the COVID-19 Pandemic: The Role of Behavioral Factors, COVID-19 Risk and Fear, and Mental Health Problems.
作者信息
Mamun Mohammed A, Al Mamun Firoj, Hosen Ismail, Hasan Mahmudul, Rahman Abidur, Jubayar Ahsanul Mahbub, Maliha Zeba, Abdullah Abu Hasnat, Sarker Md Abedin, Kabir Humayun, Jyoti Avijit Sarker, Kaggwa Mark Mohan, Sikder Md Tajuddin
机构信息
CHINTA Research Bangladesh, Dhaka, Bangladesh.
Department of Public Health and Informatics, Jahangirnagar University, Dhaka, Bangladesh.
出版信息
Risk Manag Healthc Policy. 2021 Sep 29;14:4051-4061. doi: 10.2147/RMHP.S330282. eCollection 2021.
BACKGROUND
It is said that psychological stressors have risen during the COVID-19 pandemic, which may contribute to suicidality. A few studies were conducted investigating suicidality amid the first wave of the pandemic in Bangladesh, but none of these studies explored the predictive role of the suicidality-related factors (eg, behavior and health-related variables, COVID-19 risk, fear of COVID-19). Thus, this study aimed to investigate the prevalence of suicidality and the predictive models explaining suicidality variance among Bangladeshi young adults during the second wave of the pandemic.
METHODS
An online-based cross-sectional survey was conducted during the second wave of the pandemic (between 1 and 13 April 2021; a year after the pandemic's inception in the country). The survey questionnaire collected information on socio-demographics, behavior and health-related variables, COVID-19 risk, fear of COVID-19, depression, anxiety, and suicidality. A total of 756 data were analyzed (male 59%; mean age 22.24 ±4.39 years), and hierarchical regression was performed considering suicidality as the dependent variable. A -value <0.05 was set to be statistically significant with a 95% of confidence interval.
RESULTS
About 8.2% reported having at least suicidal thoughts within the pandemic inception to survey time (one-year suicidal ideation). More specifically, 7.40% had only suicidal ideation, whereas 0.10% planned for suicide, 0.70% attempted suicide. None of the socio-demographic variables was significantly associated with suicidality. Taking drugs, performing less physical activity, poor self-reporting health condition, being comorbid, being at higher COVID-19 risk, having fear of COVID-19 infection, and suffering from depression and anxiety were significantly associated with a higher risk of suicidality. However, the final model including all of the studied variables explained a 17.1% (F=8.245, <0.001) variance in terms of suicidality.
CONCLUSION
Although this study reported a lower severity of suicidality than prior Bangladeshi studies conducted during the first wave of the pandemic, a portion of people are still at risk of suicide and they should be given attention.
背景
据说在新冠疫情期间心理压力源有所增加，这可能导致自杀倾向。在孟加拉国疫情第一波期间开展了一些关于自杀倾向的研究，但这些研究均未探讨与自杀倾向相关因素（如行为和健康相关变量、感染新冠病毒风险、对新冠病毒的恐惧）的预测作用。因此，本研究旨在调查疫情第二波期间孟加拉国年轻成年人中自杀倾向的患病率以及解释自杀倾向差异的预测模型。
方法
在疫情第二波期间（2021年4月1日至13日；该国疫情开始一年后）进行了一项基于网络的横断面调查。调查问卷收集了社会人口统计学、行为和健康相关变量、感染新冠病毒风险、对新冠病毒的恐惧、抑郁、焦虑和自杀倾向等方面的信息。共分析了756份数据（男性占59%；平均年龄22.24±4.39岁），并以自杀倾向为因变量进行了分层回归分析。设定P值<0.05且置信区间为95%时具有统计学意义。
结果
约8.2%的人报告在疫情开始至调查期间（一年自杀意念）至少有过自杀念头。更具体地说，7.40%的人只有自杀意念，而0.10%的人计划自杀，0.70%的人尝试过自杀。社会人口统计学变量均与自杀倾向无显著关联。吸毒、体育活动较少、自我报告健康状况较差、患有合并症、感染新冠病毒风险较高、担心感染新冠病毒以及患有抑郁和焦虑与自杀倾向风险较高显著相关。然而，包含所有研究变量的最终模型解释了自杀倾向方面17.1%（F=8.245，P<0.001）的差异。
结论
尽管本研究报告的自杀倾向严重程度低于孟加拉国在疫情第一波期间进行的先前研究，但仍有一部分人存在自杀风险，应予以关注。
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