Panfil Anca-Livia, Lungeanu Diana, Tamasan Simona, Bredicean Cristina, Papava Ion, Smirnova Daria, Fountoulakis Konstantinos N
Liaison Psychiatry, "Pius Brinzeu" County Emergency Hospital, Timisoara, Romania.
Department of Functional Sciences, Center for Modeling Biological Systems and Data Analysis, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania.
Front Psychiatry. 2022 May 17;13:818712. doi: 10.3389/fpsyt.2022.818712. eCollection 2022.
Suicidality is a serious public health concern at a global scale. Suicide itself is considered to be preventable death; worldwide, suicide rates and their trends are under constant scrutiny. As part of the international COMET-G cross-sectional study, we conducted a national level investigation to examine the individual disturbances (such as anxiety, depression, or history of life-threatening attempts) and contextual factors (such as adherence to conspiracy theories or Internet use) associated with suicidality related to the COVID-19 lockdown in a lot of Romanian adults.
One thousand four hundred and forty-six adults responded to an anonymous on-line questionnaire, with mean age ± standard deviation of 47.03 ± 14.21 years (1,142 females, 292 males, 12 identified themselves as non-binary). Data were analyzed using descriptive statistics and structural equation modeling (SEM).
Univariate analysis showed strong significant correlation between anxiety and depression scorings among the respondents (Spearman R = 0.776, < 0.001). Both the suicidality scorings and the Internet use correlated fairly with anxiety and depression, with two-by-two Spearman coefficients between R = 0.334 and R = 0.370 ( < 0.001 for each). SEM analysis substantiated the emotional disturbances, previous life-threatening attempts, and younger age as significant predictors for suicidality. The patterns of reality reading (including religious inquiries, Internet use, and beliefs in conspiracy theories) did not reach the statistical significance as influential factors in the suicidality of these respondents. There was no covariance between the Internet use and belief in conspiracy theories.
The study confirmed the suicidality risk initially hypothesized as being associated with the history of life-threatening attempts, increased depression within the younger population, and higher anxiety during the first year of the COVID-19 pandemic and its related lockdown. National strategies for effective interventions at various levels of the healthcare system should be developed.
自杀倾向是全球范围内严重的公共卫生问题。自杀本身被视为可预防的死亡；在全球范围内，自杀率及其趋势一直受到密切关注。作为国际COMET - G横断面研究的一部分，我们在国家层面开展了一项调查，以研究罗马尼亚众多成年人中与新冠疫情封锁相关的自杀倾向所关联的个体干扰因素（如焦虑、抑郁或有危及生命的企图史）和背景因素（如对阴谋论的信奉或互联网使用情况）。
1446名成年人回复了一份匿名在线问卷，平均年龄±标准差为47.03±14.21岁（1142名女性，292名男性，12人表明自己为非二元性别）。数据采用描述性统计和结构方程模型（SEM）进行分析。
单因素分析显示，受访者的焦虑评分与抑郁评分之间存在极强的显著相关性（斯皮尔曼R = 0.776，P < 0.001）。自杀倾向评分和互联网使用情况与焦虑和抑郁均有一定程度的相关性，两两之间的斯皮尔曼系数在R = 0.334至R = 0.370之间（每项P < 0.001）。结构方程模型分析证实，情绪干扰、既往危及生命的企图以及较年轻的年龄是自杀倾向的重要预测因素。现实认知模式（包括宗教探究、互联网使用和对阴谋论的信仰）作为这些受访者自杀倾向的影响因素未达到统计学显著性。互联网使用与对阴谋论的信仰之间不存在协方差。
该研究证实了最初假设的自杀倾向风险与危及生命的企图史、年轻人群中抑郁情绪增加以及新冠疫情大流行第一年及其相关封锁期间更高的焦虑情绪有关。应制定国家战略，以便在医疗系统的各个层面进行有效干预。
