Rogers Megan L, McMullen Lauren, Liang Yinan, Perez Nazareth, Richards Jenelle A, Akülker Gizem, Barzilay Shira, Bilici Rabia, Blum Yarden, Chistopolskaya Ksenia, Dudeck Manuela, Husain M Ishrat, Kuśmirek Oskar, Luiz Jhoanne M, Menon Vikas, Pilecka Barbara, Sadovnichaya Veronika, Titze Larissa, Valvassori Samira S, You Sungeun, Galynker Igor
Department of Psychology, Texas State University, San Marcos, TX, USA.
Icahn School of Medicine at Mount Sinai, Mount Sinai Beth Israel, New York, NY, USA.
J Affect Disord. 2023 May 15;329:1-8. doi: 10.1016/j.jad.2023.02.076. Epub 2023 Feb 23.
The Suicide Crisis Syndrome (SCS) has been proposed as an acute, pre-suicidal mental state that precedes imminent suicidal behavior; however, its cross-national applicability and sociodemographic correlates have not yet been determined. The present study assessed the presence and severity of the SCS in ten countries and examined several potential sociodemographic correlates (i.e., age, gender, marital status, race/ethnicity) of the SCS.
5528 community-based adults across 10 participating countries provided information on their SCS symptoms and sociodemographic characteristics in an anonymous online survey obtained via convenience sampling during the first year of the COVID-19 pandemic.
The SCS occurred cross-nationally, with rates ranging from 3.6% (Israel) to 16.2% (Poland). Those in the United States, South Korea, Poland, and Turkey had the highest severity of symptoms. Participants who were older, identified as cisgender men, and married tended to have lower rates of the SCS than their respective counterparts. There were minimal differences in the SCS by race/ethnicity.
These data were both cross-sectional and collected via convenience sampling, limiting generalizability of findings and information about the SCS's predictive utility.
These findings support the cross-national presence of the SCS during the COVID-19 pandemic. Sociodemographic correlates aligned with those of suicidal behavior more generally, providing additional evidence for the concurrent/predictive validity of the SCS.
自杀危机综合征（SCS）被认为是一种急性的、自杀前的精神状态，先于即将发生的自杀行为；然而，其跨国适用性和社会人口学相关因素尚未确定。本研究评估了10个国家中SCS的存在情况和严重程度，并研究了SCS的几个潜在社会人口学相关因素（即年龄、性别、婚姻状况、种族/民族）。
在新冠疫情大流行的第一年，通过便利抽样获得的一项匿名在线调查中，来自10个参与国的5528名社区成年人提供了他们的SCS症状和社会人口学特征信息。
SCS在跨国范围内出现，发生率从3.6%（以色列）到16.2%（波兰）不等。美国、韩国、波兰和土耳其的参与者症状严重程度最高。年龄较大、自我认同为顺性别男性且已婚的参与者的SCS发生率往往低于各自的对应人群。按种族/民族划分，SCS的差异极小。
这些数据是横断面数据且通过便利抽样收集，限制了研究结果的普遍性以及关于SCS预测效用的信息。
这些发现支持了新冠疫情大流行期间SCS在跨国范围内的存在。社会人口学相关因素与自杀行为的相关因素总体上一致，为SCS的并发/预测效度提供了额外证据。
