McAuliffe Corey, Pumarino Javiera, Thomson Kimberly C, Richardson Chris, Slemon Allie, Salway Travis, Jenkins Emily K
School of Nursing, University of British Columbia, T201-2211 Westbrook Mall, Vancouver, British Columbia, V6T 2B5, Canada.
School of Population and Public Health, University of British Columbia, 2206 E Mall, Vancouver, British Columbia, V6T 1Z3, Canada.
SSM Popul Health. 2021 Dec;16:100988. doi: 10.1016/j.ssmph.2021.100988. Epub 2021 Dec 9.
With significant levels of mental distress reported by populations, globally, the magnitude of suicidal ideation during and beyond the COVID-19 pandemic is a central concern. The goal of this study was to quantify the extent of pandemic-related suicidal ideation in the Canadian population during the first ten months of the pandemic and identify sociodemographic and pandemic-related stressors associated with increased risk of ideation.
Data were derived from three rounds of a mental health monitoring survey, nationally representative by age, gender, household income, and region, delivered online in May 2020, September 2020, and January 2021. Bivariate analyses were used to quantify the proportion of respondents in Canada reporting suicidal ideation by sociodemographic factors and pandemic-related stressors. Unadjusted and adjusted multivariable logistic regression was used to study the association between suicidal ideation and correlates within four pandemic-related stressor categories (financial, relationship, substance use, COVID-19 exposure).
Of the 7002 respondents, 6.2% (n = 433) reported experiencing suicidal thoughts or feelings as a result of the pandemic within the two weeks prior to taking the survey. In terms of sociodemographic factors, suicidal ideation was more commonly reported among those who were not cisgender, <65 years-old, single, Indigenous, LGBT2Q+, and who experience a pre-existing mental health condition. After adjusting for sociodemographic factors, indicators across all four pandemic-related stressor categories were associated with two or more times the odds of suicidal ideation.
Disparities in COVID-19 related suicidal ideation have persisted throughout the first year of the pandemic for specific sociodemographic sub-groups and those who have faced stressors related to finances, relationships, increased substance use, and COVID-19 virus exposure. To best address these disparities and to prevent a transition from suicidal ideation to action, appropriate planning, resources, and policies are needed to ensure health and well-being for everyone.
鉴于全球人群报告了高水平的心理困扰，新冠疫情期间及之后自杀意念的程度是一个核心关注点。本研究的目的是量化疫情头十个月加拿大人群中与疫情相关的自杀意念程度，并确定与自杀意念风险增加相关的社会人口学和与疫情相关的压力源。
数据来自三轮心理健康监测调查，该调查在年龄、性别、家庭收入和地区方面具有全国代表性，于2020年5月、2020年9月和2021年1月在线进行。双变量分析用于按社会人口学因素和与疫情相关的压力源量化加拿大报告有自杀意念的受访者比例。未调整和调整后的多变量逻辑回归用于研究自杀意念与四个与疫情相关的压力源类别（财务、人际关系、物质使用、接触新冠病毒）内的相关因素之间的关联。
在7002名受访者中，6.2%（n = 433）报告在调查前两周内由于疫情经历了自杀想法或感受。就社会人口学因素而言，非顺性别者、<65岁、单身、原住民、LGBT2Q+以及有既往心理健康状况的人群中更常报告有自杀意念。在调整社会人口学因素后，所有四个与疫情相关的压力源类别中的指标与自杀意念几率高出两倍或更多倍相关。
在疫情的第一年，与新冠疫情相关的自杀意念差异在特定社会人口学子群体以及那些面临与财务、人际关系、物质使用增加和接触新冠病毒相关压力源的人群中持续存在。为了最好地解决这些差异并防止从自杀意念转变为自杀行为，需要适当的规划、资源和政策来确保每个人的健康和福祉。
