Suzanne Dworak Peck School of Social Work, University of Southern California, Los Angeles, California, USA.
Department of Psychology, University of Maryland Baltimore County, Baltimore, MD, USA.
J Am Coll Health. 2024 Jul;72(5):1350-1354. doi: 10.1080/07448481.2022.2081059. Epub 2022 Jun 21.
The COVID-19 pandemic has dramatically altered the way of life in the United States, which may be linked to self-injurious behaviors.
We conducted a secondary analysis of data from the Fall 2020 Cohort of the Healthy Minds Survey, a non-probability sample of students enrolled at one of 28 universities across the United States. Participants completed an online survey during the COVID-19 pandemic (September-December, 2020).
Nearly a quarter of the sample (n = 6999) reported engaging in non-suicidal self-injury (NSSI), 12.41% (n = 3819) reported suicidal ideation, 4.98% (n = 1531) reported making a suicide plan, and 1.09% (n = 334) reported a suicide attempt over the past 12 months. When accounting for all COVID-19 factors in the same model, COVID-19 related concern, COVID-19 related discrimination, financial distress, and infection were significantly associated with NSSI, suicidal ideation, and suicide plan; caregiving was significantly associated with lower odds of engaging in non-suicidal self-injury. None of the factors were associated with suicide attempt.
This study showed that various COVID-19 factors were related to SIB. Interventions may consider multiple dimensions of COVID-19 and their specific impacts.
COVID-19 大流行极大地改变了美国人的生活方式，这可能与自我伤害行为有关。
我们对 2020 年秋季健康思维调查的队列数据进行了二次分析，该调查是美国 28 所大学之一的学生的非概率样本。参与者在 COVID-19 大流行期间（2020 年 9 月至 12 月）完成了在线调查。
近四分之一的样本（n=6999）报告有非自杀性自我伤害（NSSI）行为，12.41%（n=3819）报告有自杀意念，4.98%（n=1531）报告有自杀计划，1.09%（n=334）报告过去 12 个月内有自杀企图。在同一模型中考虑所有 COVID-19 因素时，COVID-19 相关担忧、COVID-19 相关歧视、经济困境和感染与 NSSI、自杀意念和自杀计划显著相关；照顾与较低的非自杀性自我伤害风险相关。没有一个因素与自杀企图有关。
这项研究表明，各种 COVID-19 因素与 SIB 有关。干预措施可能需要考虑 COVID-19 的多个方面及其具体影响。
