College of Nursing, Konyang University, Daejeon, Republic of Korea.
College of Nursing, Research Institute of Nursing Science, Ajou University, Suwon-si, Republic of Korea.
Medicine (Baltimore). 2023 Aug 11;102(32):e34495. doi: 10.1097/MD.0000000000034495.
The recent prolonged coronavirus disease-2019 pandemic has brought an economic crisis to various households, leading to negative mental health such as depression, anxiety, traumatic distress, and suicide risk among adolescents. Adolescents with household financial difficulties due to the coronavirus disease-2019 pandemic show high suicidal tendencies and attempts such as suicidal ideation and plans, their suicidal ideation and plans increase the risk of suicide attempts in South Korea. The purpose of this study was to determine the effects of emotional state and suicidal tendencies on suicide attempts among adolescents with household financial difficulties in early pandemic. This was a secondary data analysis study using statistical data from the 16th (2020) Korea Youth Risk Behavior Web-based Survey. Among 54,948 who participated in the survey, 16,839 (30.6%) adolescents who had household financial difficulties were included in final analysis. Descriptive statistics, chi-squared test, and logistic regression analysis were conducted to analyze data. The strengthening the reporting of observational studies in epidemiology checklist was used for reporting this study. 16,839 adolescents (mean age 15.68 ± 1.76 years; 8709, 51.7% male) who experienced household financial difficulties in the prior year revealed 3 percent (508) had attempted suicide. Suicide attempts differed according to several characteristics and were significantly associated with sex, residence type, drinking experience, depressive mood, perceived happiness, suicidal ideation, and suicide planning. The findings indicate high-risk adolescents with household financial difficulties need a multi-dimensional safety network, suicide screening, and emotional interventions during the pandemic.
近期持续的 2019 冠状病毒病大流行给各个家庭带来了经济危机，导致青少年出现抑郁、焦虑、创伤后应激障碍和自杀风险等负面心理健康问题。由于 2019 冠状病毒病，家庭经济困难的青少年表现出较高的自杀倾向和尝试，如自杀意念和计划，他们的自杀意念和计划增加了在韩国尝试自杀的风险。本研究旨在确定情绪状态和自杀倾向对大流行早期家庭经济困难青少年自杀尝试的影响。这是一项使用来自第 16 届（2020 年）韩国青少年风险行为网络调查的统计数据进行的二次数据分析研究。在参与调查的 54948 人中，有 16839 名（30.6%）青少年家庭经济困难，纳入最终分析。采用描述性统计、卡方检验和逻辑回归分析进行数据分析。本研究采用观察性研究报告的强化报告标准进行报告。16839 名（平均年龄 15.68±1.76 岁；8709 名，51.7%男性）在前一年经历家庭经济困难的青少年中，有 3%（508 人）尝试过自杀。自杀尝试因多种特征而异，与性别、居住类型、饮酒经历、抑郁情绪、感知幸福、自杀意念和自杀计划显著相关。研究结果表明，家庭经济困难的高风险青少年在大流行期间需要一个多维度的安全网络、自杀筛查和情绪干预。
