Kim Jaewhan, Hoskinson Colby, Nichols Evelyn, Illapperuma-Wood Chathuri, Fischer Aaron, Ben-Umeh Kenechukwu, Wilson Fernando
Department of Physical Therapy, University of Utah, Salt Lake City, UT, USA.
Department of Educational Psychology, University of Utah, Salt Lake City, UT, USA.
Ann Med. 2025 Dec;57(1):2516698. doi: 10.1080/07853890.2025.2516698. Epub 2025 Jun 9.
This study examined the association between COVID-19 and the risk of self-harm, suicidal ideation and poisoning in school-aged children and adolescents.
We utilized the 2019-2021 Utah All Payers Claims Database (APCD) to identify school-age children and adolescents aged 6-15 years in 2019. COVID-19 diagnosis, self-harm, suicidal ideation and poisoning were identified using ICD-10 diagnosis codes. Baseline characteristics were assessed, and Inverse Probability Weighting (IPW) was applied to balance these characteristics between the two groups (those with COVID-19 and those without). Weighted logistic regression was employed to identify factors associated with these outcomes in 2021.
The study included 180,925 participants (48% female; mean [SD] age in 2019: 10.6 [2.9] years), of whom 45,056 (24.9%) had a COVID-19 in 2020, and 51.5% were aged 11-15 years. Subjects with COVID-19 had twice the odds of suicidal ideation (AOR = 2.00, < 0.01) and more than twice the odds of self-harm (AOR = 2.05, < 0.01) and poisoning (AOR = 2.21, < 0.01) compared to those without COVID-19. Adolescents aged 11-15 years had nearly four times the odds of suicidal ideation compared to those aged 6-10 years (AOR = 3.97, < 0.01) while female participants were significantly more likely to engage in self-harm than male participants (AOR = 1.73, < 0.01).
Our findings suggest a significant association between diagnosed COVID-19 and self-harming behaviours in children and adolescents.
本研究调查了新冠病毒病（COVID-19）与学龄儿童及青少年自我伤害、自杀意念和中毒风险之间的关联。
我们利用2019 - 2021年犹他州全支付方索赔数据库（APCD）来识别2019年6至15岁的学龄儿童及青少年。使用国际疾病分类第十版（ICD - 10）诊断代码来识别COVID-19诊断、自我伤害、自杀意念和中毒情况。评估基线特征，并应用逆概率加权法（IPW）来平衡两组（感染COVID-19的人群和未感染的人群）之间的这些特征。采用加权逻辑回归来确定2021年与这些结果相关的因素。
该研究纳入了180,925名参与者（48%为女性；2019年的平均[标准差]年龄：10.6[2.9]岁），其中45,056人（24.9%）在2020年感染了COVID-19，51.5%的年龄在11至15岁之间。与未感染COVID-19的人相比，感染COVID-19的人出现自杀意念的几率高出两倍（优势比[AOR]=2.00，<0.01），自我伤害的几率高出两倍多（AOR = 2.05，<0.01），中毒的几率高出两倍多（AOR = 2.21，<0.01）。与6至10岁的青少年相比，11至15岁的青少年出现自杀意念的几率高出近四倍（AOR = 3.97，<0.01），而女性参与者自我伤害的可能性显著高于男性参与者（AOR = 1.73，<0.01）。
我们的研究结果表明，确诊的COVID-19与儿童及青少年的自我伤害行为之间存在显著关联。
