School of Political Science and Public Administration, Shandong University, Jinan, PR China; Institute of Public Safety Research (Center for Public Safety Strategy Research).
Department of Sociology, University of Toronto, Toronto, Canada.
Child Abuse Negl. 2023 Apr;138:106076. doi: 10.1016/j.chiabu.2023.106076. Epub 2023 Feb 3.
Considerable research has established the harmful impacts of the COVID-19 pandemic on children's and adolescents' health and well-being. However, the literature has been constrained by studies using less representative samples, hindering the generalization of the findings.
This study aimed to investigate the associations of employment disruption and school closures during the pandemic with suicidal ideation and behavior in children and adolescents-and to consider the potential mediating effects of child psychological and physical abuse and subsequent mental health conditions.
This study used the Adolescent Behaviors and Experiences data (n = 4692) - a nationally representative survey administered by the CDC of the United States from January to June 2021.
Logistic regression models were conducted to investigate the associations. A series of multiple mediation models were performed.
School closures directly reduced child psychological and physical abuse and suicidal ideation and behavior. Employment disruption did not directly predict suicidal ideation and behavior but primarily through child abuse. Mental health's mediation role was significant in the associations between child psychological abuse and suicidal ideation and behavior, but no evidence suggested the same mediating pattern for the physical abuse-suicidal ideation and behavior relationship. Within the covariates, sexual orientation was the most consistent and highest risk factor.
This study contributes to current knowledge on disaster impact, child abuse, and suicidal ideation and behavior, and it can also provide policy and intervention awareness for social workers.
大量研究已经证实了 COVID-19 大流行对儿童和青少年健康和福祉的有害影响。然而，由于研究采用的样本代表性不足，研究结果难以推广。
本研究旨在探讨大流行期间的就业中断和学校关闭与儿童和青少年自杀意念和行为之间的关联，并考虑儿童心理和身体虐待以及随后的心理健康状况的潜在中介作用。
本研究使用了青少年行为和经历数据（n=4692）-这是美国疾病预防控制中心在 2021 年 1 月至 6 月期间进行的一项全国代表性调查。
采用逻辑回归模型进行关联分析。进行了一系列多重中介模型。
学校关闭直接减少了儿童心理和身体虐待以及自杀意念和行为。就业中断并没有直接预测自杀意念和行为，但主要是通过儿童虐待。心理健康在儿童心理虐待与自杀意念和行为之间的关联中具有显著的中介作用，但没有证据表明身体虐待与自杀意念和行为之间存在相同的中介模式。在协变量中，性取向是最一致和最高的风险因素。
本研究有助于了解灾害影响、儿童虐待和自杀意念和行为，也为社会工作者提供了政策和干预意识。
