Brailovskaia Julia, Truskauskaite-Kuneviciene Inga, Kazlauskas Evaldas, Gelezelyte Odeta, Teismann Tobias, Margraf Jürgen
Mental Health Research and Treatment Center, Department of Clinical Psychology and Psychotherapy, Ruhr-Universität Bochum, Massenbergstr. 9-13, 44787 Bochum, Germany.
Center for Psychotraumatology, Institute of Psychology, Vilnius University, Vilnius, Lithuania.
Z Gesundh Wiss. 2022 Mar 25:1-11. doi: 10.1007/s10389-022-01708-0.
Suicide ideation has increased since the outbreak of Covid-19 in many countries. The present longitudinal study investigated potential predictors of suicide ideation.
Data of 406 participants from Germany (age = 27.69, = 6.88) were assessed via online surveys in spring 2020 (baseline, BL) and in spring 2021 (follow-up, FU).
The current results reveal a significant increase in symptoms of depression, anxiety, and stress between 2020 and 2021. Positive mental health (PMH), sense of control, and physical health significantly decreased. Depression symptoms (BL), PMH (BL), and consciously enhanced physical activity since the pandemic outbreak (FU) significantly predicted 12-month suicide ideation (FU). In a moderated mediation analysis, the positive relationship between depression and suicide ideation was significantly mediated by PMH. Consciously enhanced physical activity significantly moderated the negative association between PMH and suicide ideation.
The context of Covid-19 could negatively impact mental health and physical health. This might increase the risk for suicide ideation. However, PMH and physical activity might serve as protective factors. The protective effect of physical activity could be especially important in people with high depression symptoms and low PMH, such as clinical patients. Potential ways of how PMH and physical activity could be enhanced in the Covid-19 context to prevent suicide ideation are discussed.
自新冠疫情在许多国家爆发以来，自杀意念有所增加。本纵向研究调查了自杀意念的潜在预测因素。
通过在线调查评估了来自德国的406名参与者（年龄 = 27.69，标准差 = 6.88）在2020年春季（基线，BL）和2021年春季（随访，FU）的数据。
当前结果显示，2020年至2021年间，抑郁、焦虑和压力症状显著增加。积极心理健康（PMH）、控制感和身体健康显著下降。抑郁症状（BL）、PMH（BL）以及自疫情爆发以来有意识增加的身体活动（FU）显著预测了12个月时的自杀意念（FU）。在一项有调节的中介分析中，抑郁与自杀意念之间的正向关系显著由PMH介导。有意识增加的身体活动显著调节了PMH与自杀意念之间的负向关联。
新冠疫情背景可能对心理健康和身体健康产生负面影响。这可能会增加自杀意念的风险。然而，PMH和身体活动可能起到保护作用。身体活动的保护作用在抑郁症状高且PMH低的人群（如临床患者）中可能尤为重要。本文讨论了在新冠疫情背景下如何增强PMH和身体活动以预防自杀意念的潜在方法。
