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新冠疫情的临床后遗症:孤独、抑郁、过度饮酒、社交媒体成瘾以及自杀意念风险。

The Clinical Sequelae of the COVID-19 Pandemic: Loneliness, Depression, Excessive Alcohol Use, Social Media Addiction, and Risk for Suicide Ideation.

作者信息

Hamdan Sami, Guz Tal, Zalsman Gil

出版信息

Arch Suicide Res. 2025 Jan-Mar;29(1):238-251. doi: 10.1080/13811118.2024.2345170. Epub 2024 May 16.

Abstract

BACKGROUND

Depression, loneliness, and alcohol use disorder are associated with suicide ideation. The ongoing COVID-19 pandemic has challenged our social structures with social distancing and isolation policies implemented worldwide, severely restricting social interactions. Studies regarding the effects of the pandemic are starting to shed light on the harmful psychological effects of these policies.

AIMS

This study aims to identify whether the increase in suicidal ideation among college students (mostly young adults) during the pandemic was due to the known risk factors of loneliness, depression, alcohol use disorder, social media addiction, and other background variables.

METHOD

Nine hundred and eleven college students completed self-report questionnaires assessing suicidal risk, depressive symptoms, loneliness, excessive alcohol use, and social media use.

RESULTS

During the pandemic suicidal ideation was associated with loneliness (χ = 54.65,  < 0.001), depressive symptoms (χ = 110.82,  < 0.001), alcohol use disorder (χ = 10.02,  < 0.01) and social media addiction (χ = 13.73,  < 0.001). Being single [OR = 2.55;  < 0.01], and self-identifying as a non-heterosexual [OR = 2.55;  < 0.01] were found to constitute additional risk factors.

LIMITATIONS

The structural nature of quantitative self-report scales does not offer the flexibility of gaining a deeper understanding of causes, specific to particular circumstances that may lead participants to ideate on suicide, even briefly.

CONCLUSIONS

Social distancing and isolation policies during the COVID-19 pandemic constitute an additional factor in the risk for suicide ideation.

摘要

背景

抑郁症、孤独感和酒精使用障碍与自杀意念相关。持续的新冠疫情通过在全球实施社交距离和隔离政策,对我们的社会结构提出了挑战,严重限制了社交互动。关于疫情影响的研究开始揭示这些政策对心理的有害影响。

目的

本研究旨在确定疫情期间大学生(大多为年轻人)自杀意念的增加是否归因于孤独、抑郁、酒精使用障碍、社交媒体成瘾等已知风险因素以及其他背景变量。

方法

911名大学生完成了自我报告问卷,评估自杀风险、抑郁症状、孤独感、过度饮酒和社交媒体使用情况。

结果

在疫情期间,自杀意念与孤独感(χ = 54.65,< 0.001)、抑郁症状(χ = 110.82,< 0.001)、酒精使用障碍(χ = 10.02,< 0.01)和社交媒体成瘾(χ = 13.73,< 0.001)相关。单身[比值比(OR)= 2.55;< 0.01]以及自我认同为非异性恋者[OR = 2.55;< 0.01]被发现是额外的风险因素。

局限性

定量自我报告量表的结构性质无法灵活深入了解导致参与者产生自杀意念(即使是短暂的)的特定情况的原因。

结论

新冠疫情期间的社交距离和隔离政策是自杀意念风险的一个额外因素。

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