新冠疫情前后大学生的抑郁症状和自杀意念。

Depressive symptoms and suicidal ideation among university students before and after the COVID-19 pandemic.

机构信息

Univ. Bordeaux, Inserm, Bordeaux Population Health Research Center, U1219, CHU Bordeaux, F-33000 Bordeaux, France.

出版信息

J Affect Disord. 2025 Jan 15;369:149-154. doi: 10.1016/j.jad.2024.09.093. Epub 2024 Sep 21.

DOI:10.1016/j.jad.2024.09.093

PMID:39313160

Abstract

BACKGROUND

The COVID-19 pandemic and lockdown have had negative effects on students' mental health. However, little information is available regarding the frequencies of depressive symptoms and suicidal ideation during the post-pandemic period. We aimed to determine the effect of the COVID-19 pandemic on depressive symptoms and suicidal ideation among French university students.

METHODS

In this comparative study, 4463 students were recruited during the pre-COVID-19 pandemic period (2013-2020) and 1768 students, during the post-COVID-19 pandemic period (2022-2023). Standardized frequencies of depressive symptoms and suicidal ideation were compared between the two time periods. Changes in the level of depressive symptoms and suicidal ideation between the pre- and post-pandemic periods, were then analyzed using interrupted time series analysis.

RESULTS

Compared to participants from the pre-pandemic sample, participants from the post-pandemic sample had higher standardized rates of depressive symptoms (40.6 % vs 25.6 %) and suicidal ideation (29.3 % vs 21.1 %). Segmented logistic regression showed an about 50 % increased risk of depressive symptoms (aOR, 1.47; 95 % CI, 1.01-2.13) and a 100 % increased risk of suicidal ideation (aOR, 2.00; 95 % CI, 1.33-3.00) in the post-pandemic period. Before the pandemic, there was no significant time-trend for depressive symptoms (aOR, 1.002; 95 % CI, 0.999-1.006) and suicidal thoughts (0.999-1.006; aOR, 0.999; 95 % CI, 0.995-1.002).

LIMITATIONS

Potential biases related to self-selection of participants in the study and information bias. History of depression and suicide attempt were self-reported.

CONCLUSIONS

These findings reveal an alarming deterioration of students' mental health in the post-pandemic period compared to the pre-pandemic era.

摘要

背景

COVID-19 大流行和封锁对学生的心理健康产生了负面影响。然而，关于大流行后时期抑郁症状和自杀意念的频率，信息很少。我们旨在确定 COVID-19 大流行对法国大学生抑郁症状和自杀意念的影响。

方法

在这项比较研究中，在 COVID-19 大流行前时期（2013-2020 年）招募了 4463 名学生，在 COVID-19 大流行后时期（2022-2023 年）招募了 1768 名学生。比较了两个时期抑郁症状和自杀意念的标准化频率。然后使用中断时间序列分析分析了大流行前和大流行后期间抑郁症状和自杀意念水平的变化。

结果

与大流行前样本的参与者相比，大流行后样本的参与者抑郁症状（40.6%对 25.6%）和自杀意念（29.3%对 21.1%）的标准化率更高。分段逻辑回归显示，大流行后时期抑郁症状的风险增加约 50%（调整后的比值比[aOR]，1.47；95%置信区间[CI]，1.01-2.13），自杀意念的风险增加 100%（aOR，2.00；95%CI，1.33-3.00）。在大流行之前，抑郁症状（aOR，1.002；95%CI，0.999-1.006）和自杀念头（0.999-1.006；aOR，0.999；95%CI，0.995-1.002）没有显著的时间趋势。