Fortgang Rebecca G, Wang Shirley B, Millner Alexander J, Reid-Russell Azure, Beukenhorst Anna L, Kleiman Evan M, Bentley Kate H, Zuromski Kelly L, Al-Suwaidi Maha, Bird Suzanne A, Buonopane Ralph, DeMarco Dylan, Haim Adam, Joyce Victoria W, Kastman Erik K, Kilbury Erin, Lee Hye-In S, Mair Patrick, Nash Carol C, Onnela Jukka-Pekka, Smoller Jordan W, Nock Matthew K
Department of Psychology, Harvard University.
Department of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts.
Clin Psychol Sci. 2021 May;9(3):482-488. doi: 10.1177/2167702621993857.
There is concern that the COVID-19 pandemic may cause increased risk of suicide. In the current study, we tested whether suicidal thinking has increased during the COVID-19 pandemic and whether such thinking was predicted by increased feelings of social isolation. In a sample of 55 individuals recently hospitalized for suicidal thinking or behaviors and participating in a 6-month intensive longitudinal smartphone monitoring study, we examined suicidal thinking and isolation before and after the COVID-19 pandemic was declared a national emergency in the United States. We found that suicidal thinking increased significantly among adults (odds ratio [] = 4.01, 95% confidence interval [CI] = [3.28, 4.90], < .001) but not adolescents ( = 0.84, 95% CI = [0.69, 1.01], = .07) during the onset of the COVID-19 pandemic. Increased feelings of isolation predicted suicidal thinking during the pandemic phase. Given the importance of social distancing policies, these findings support the need for digital outreach and treatment.
有人担心新冠疫情可能会增加自杀风险。在当前的研究中，我们测试了在新冠疫情期间自杀念头是否有所增加，以及这种念头是否由社交隔离感的增强所预测。在一个由55名近期因自杀念头或行为而住院，并参与一项为期6个月的密集纵向智能手机监测研究的个体组成的样本中，我们考察了在美国宣布新冠疫情为国家紧急状态之前和之后的自杀念头及隔离情况。我们发现，在新冠疫情开始时，成年人的自杀念头显著增加（优势比[] = 4.01，95%置信区间[CI] = [3.28, 4.90]，< .001），但青少年没有（ = 0.84，95% CI = [0.69, 1.01]， = .07）。在疫情阶段，隔离感的增强可预测自杀念头。鉴于社交距离政策的重要性，这些发现支持了进行数字外展和治疗的必要性。
