Borschmann Rohan, Moran Paul A
Justice Health Unit, Centre for Health Equity, Melbourne School of Population and Global Health, University of Melbourne, Australia; and Centre for Adolescent Health, Murdoch Children's Research Institute, Melbourne, Australia; and Department of Psychiatry, University of Oxford, Warneford Hospital, Oxford, UK; and Melbourne School of Psychological Sciences, University of Melbourne, Australia.
Centre for Academic Mental Health, Department of Population Health Sciences, Bristol Medical School, University of Bristol, UK.
BJPsych Open. 2022 Jul 25;8(4):e141. doi: 10.1192/bjo.2022.553.
Little is known about the degree to which social factors interact with COVID-19-related adversity to increase the risk of self-harm thoughts and behaviours. Using data derived from a UK cohort study, Paul & Fancourt found that loneliness was associated with an increase in the odds of self-harm thoughts and behaviours, whereas high-quality social support protected against self-harm thoughts and behaviours. The authors concluded that it is the quality of social support and interactions, rather than the act of engaging in social interaction per se, that protects against self-harm in the context of adversity. The COVID-19 pandemic may exert longer-lasting effects on population mental health, and continued surveillance of mental health, including self-harm status, will be essential. If accompanied by appropriate measures of the availability and quality of social support, such monitoring could also inform the development of more effective adaptive interventions for those at risk of engaging in self-harm.
关于社会因素与新冠肺炎相关逆境相互作用以增加自伤想法和行为风险的程度，我们所知甚少。保罗和范库尔特利用一项英国队列研究的数据发现，孤独与自伤想法和行为的几率增加有关，而高质量的社会支持可预防自伤想法和行为。作者得出的结论是，在逆境中防止自伤的是社会支持和互动的质量，而不是参与社会互动本身的行为。新冠肺炎疫情可能会对人群心理健康产生更持久的影响，持续监测心理健康状况，包括自伤状况，将至关重要。如果同时对社会支持的可获得性和质量采取适当措施，这种监测还可为针对有自伤风险的人群制定更有效的适应性干预措施提供依据。
