Saskatchewan Population Health and Evaluation Research Unit (SPHERU), University of Saskatchewan, 104 Clinic Place, Saskatoon, SK, S7N 2Z4, Canada.
Department of Community Health and Epidemiology, College of Medicine, University of Saskatchewan, 107 Wiggins Rd, Saskatoon, SK, S7N 5E5, Canada.
BMC Psychiatry. 2023 Aug 8;23(1):571. doi: 10.1186/s12888-023-05051-w.
Generally, pandemics such as COVID-19 take an enormous toll on people's lives. As the pandemic now turns to an endemic state, growing attention has been paid to the multiple adverse mental health and behavioral issues, such as suicidal ideation and substance use. However, the interplay of suicidality and substance misuse during the pandemic has been limited. We aimed to investigate the prevalence of co-occurrence of suicide ideation, alcohol and cannabis misuse, and the factors that are associated with these co-occurrences in the province of Saskatchewan during the COVID-19 pandemic.
We performed a multivariable trivariate probit regression on a sample of 666 Saskatchewan adolescents and adults (16 years or older), drawn from the cycle 10 data collection (March 2022) of the Mental Health Commission of Canada, and Canadian Centre on Substance Use and Addiction (MHCC-CCSA) dataset.
The prevalence of suicidal ideation was higher among respondents who reported both problematic cannabis and alcohol use (25.8%) than single users of alcohol (23.2%) and cannabis (18.7%). Younger respondents (16-34 years) and those who reported recent changes in other substance use were independent factors that were associated with the common experience of suicide ideation, problematic cannabis, and alcohol use. Having a diagnosis of mental health disorders either before or during the pandemic, and the perceived inability to bounce back after the pandemic (low resilience) are strong correlates of suicidal ideation. Those who lived alone, between 35 and 55 years of age were more likely to report problematic alcohol use. Those who reported changes in alternative activities, who reported pandemic stress, and declared a LGBTQIA2S + identity had higher probability of problematic cannabis use.
As the pandemic persists, improving access to suicide and substance use interventions for the vulnerable groups identified in this study may be impactful.
一般来说，像 COVID-19 这样的大流行病对人们的生活造成了巨大的影响。随着大流行现在转向地方病状态，人们越来越关注多种不良心理健康和行为问题，如自杀意念和物质使用。然而，大流行期间自杀和物质滥用的相互作用受到限制。我们旨在调查萨斯喀彻温省在 COVID-19 大流行期间自杀意念、酒精和大麻滥用同时发生的流行率，以及与这些同时发生相关的因素。
我们对来自加拿大心理健康委员会和加拿大药物使用和成瘾中心 (MHCC-CCSA) 数据集的第 10 周期数据收集（2022 年 3 月）中的 666 名萨斯喀彻温省青少年和成年人（16 岁或以上）样本进行了多变量三元概率回归。
报告同时存在问题性大麻和酒精使用的受访者中自杀意念的发生率高于仅使用酒精（23.2%）和大麻（18.7%）的受访者。年轻的受访者（16-34 岁）和报告最近其他物质使用变化的受访者是与自杀意念、问题性大麻和酒精使用共同经历相关的独立因素。在大流行之前或期间患有精神健康障碍的诊断，以及大流行后无法恢复（低弹性）的感知能力是自杀意念的强烈相关因素。独居的人，年龄在 35 至 55 岁之间，更有可能报告存在酒精使用问题。那些报告改变替代活动、报告大流行压力和宣布 LGBTQIA2S+身份的人，更有可能存在大麻使用问题。
随着大流行的持续，为在这项研究中确定的弱势群体提供自杀和物质使用干预措施可能会产生影响。
