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Xiao QQ, Huang XH, Yang J, Mu YF, Wang C, Deng ZY, Cai J, Deng AP, Tang WJ, Chen XC, Shi W, Jiang Y, Xu JJ, Yin L, Huang Y, Zhang W, Ran MS. Suicidal ideation and suicide attempts among students aged 12 to 24 after the lifting of COVID-19 restrictions in China: prevalence and associated factors. Front Psychiatry 2024; 15:1383992. [PMID: 38962062 PMCID: PMC11221262 DOI: 10.3389/fpsyt.2024.1383992] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/08/2024] [Accepted: 05/31/2024] [Indexed: 07/05/2024] Open
Abstract
Objective To investigate the prevalence and associated factors of suicidal ideation and suicide attempts among adolescent and young adults in China from December 14, 2022 to February 28, 2023, when COVID-19 restrictions were lifted. Methods Students in middle and high schools and colleges and universities in the province of Sichuan, China were asked to complete on-line cross-sectional surveys. Information was collected about sociodemographics, experiences related to the COVID-19 pandemic, suicidal ideation and suicide attempts. Participants also filled out the Patient Health Questionnaire-9, the Generalized Anxiety Disorder-7 and the Social Support Rate Scale surveys. Factors associated with suicidal ideation or suicide attempts were explored using logistic regression. Results Of the 82,873 respondents (aged 12 to 24 years), 21,292 (25.7%) reported having thought of suicide at least once in their lifetime, 10,382 (12.5%) reported having thought about suicide within the previous 12 months, and 1,123 (1.4%) reported having attempted it within the previous 12 months. Risk of lifetime suicidal ideation was higher among middle school students than among older students. Risk of suicidal ideation and risk of suicide attempts correlated directly with severity of symptoms of depression and anxiety, and inversely with level of social support. Greater risk of suicidal ideation and suicidal attempts was associated with: being female, living in an urban environment, attending a boarding school, currently being in love, having parents who divorced or remarried, having parents who exhibit non-authoritative parenting behavior, having higher family income, having been COVID-19 infected, having been quarantined for a long time, and being dissatisfied with one's education. Conclusions Suicidal ideation and suicide attempts remain prevalent among young people in China. The potential associated factors identified in our study may be useful for targeting appropriate psychosocial interventions and developing mental health policies.
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Affiliation(s)
- Qing-Qing Xiao
- Mental Health Center, West China Hospital, Sichuan University, Chengdu, Sichuan, China
- West China School of Nursing, Sichuan University, Chengdu, Sichuan, China
| | - Xue-Hua Huang
- Mental Health Center, West China Hospital, Sichuan University, Chengdu, Sichuan, China
- West China School of Nursing, Sichuan University, Chengdu, Sichuan, China
| | - Jing Yang
- Mental Health Center, West China Hospital, Sichuan University, Chengdu, Sichuan, China
- West China School of Nursing, Sichuan University, Chengdu, Sichuan, China
| | - Yun-Fei Mu
- Mental Health Center, West China Hospital, Sichuan University, Chengdu, Sichuan, China
- Institute of Psychiatry, West China Hospital, Sichuan University, Chengdu, Sichuan, China
| | - Cong Wang
- Mental Health Center, West China Hospital, Sichuan University, Chengdu, Sichuan, China
- Institute of Psychiatry, West China Hospital, Sichuan University, Chengdu, Sichuan, China
| | - Zhong-Yue Deng
- Mental Health Center, West China Hospital, Sichuan University, Chengdu, Sichuan, China
- Institute of Psychiatry, West China Hospital, Sichuan University, Chengdu, Sichuan, China
| | - Jia Cai
- Mental Health Center, West China Hospital, Sichuan University, Chengdu, Sichuan, China
| | - Ai-Ping Deng
- West China School of Nursing, Sichuan University, Chengdu, Sichuan, China
| | - Wan-Jie Tang
- Mental Health Center, West China Hospital, Sichuan University, Chengdu, Sichuan, China
| | - Xia-Can Chen
- Institute of Forensic Medicine, West China School of Basic Medical Sciences and Forensic Medicine, Sichuan University, Chengdu, Sichuan, China
| | - Wei Shi
- Institute for Disaster Management and Reconstruction, Sichuan University, Chengdu, Sichuan, China
| | - Yi Jiang
- Department of Neurology, West China Hospital, Sichuan University, Chengdu, Sichuan, China
| | - Jia-Jun Xu
- Mental Health Center, West China Hospital, Sichuan University, Chengdu, Sichuan, China
| | - Li Yin
- Mental Health Center, West China Hospital, Sichuan University, Chengdu, Sichuan, China
| | - Yi Huang
- Mental Health Center, West China Hospital, Sichuan University, Chengdu, Sichuan, China
| | - Wei Zhang
- Mental Health Center, West China Hospital, Sichuan University, Chengdu, Sichuan, China
| | - Mao-Sheng Ran
- Mental Health Center, West China Hospital, Sichuan University, Chengdu, Sichuan, China
- Institute of Psychiatry, West China Hospital, Sichuan University, Chengdu, Sichuan, China
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Hu K, Hu Y, Godfrey K, Li Q, Li CSR. A 2-year mental health follow-up study subsequent to COVID-19. Psychiatry Res 2024; 333:115684. [PMID: 38219344 DOI: 10.1016/j.psychres.2023.115684] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/05/2023] [Revised: 12/17/2023] [Accepted: 12/20/2023] [Indexed: 01/16/2024]
Abstract
The COVID-19 pandemic has profoundly impacted the mental health and education of college students. This study examined the interrelationships among loneliness, resilience, and COVID-19 fear among college students in Northern Michigan, a region of the United States severely affected by the pandemic. Data were collected from two student cohorts (n = 258), with half surveyed in early 2022 and the other half in mid-2022, two years after pandemic's onset. The Omicron wave peaked in Michigan in January 2022, but by June 2022, cases, hospitalizations, and deaths had significantly declined. Students completed measures of loneliness, resilience, learning difficulty, and psychological symptoms. Key findings are: 1) Participants' fear, loneliness, and academic difficulty decreased over time, reflecting fluctuations in acute situational and emotional states; 2) Unexpectedly, resilience declined from early to mid-2022, suggesting its diminishing protective role under prolonged, pandemic-induced stress; 3) Despite improvements, students continued reporting high academic difficulties. Loneliness, heightened fear, and dampened happiness together contributed to greater academic difficulties; 4) Pre-existing sex differences equalized two years after the pandemic's onset. While modest improvements were noted, enduring academic and mental health impacts signal a need for continued support.
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Affiliation(s)
- Kesong Hu
- School of Psychology, Capital Normal University, Beijing, China; Department of Psychology, University of Arkansas, Little Rock, AR, USA.
| | - Yuhan Hu
- Little Rock Central High School, Little Rock, AR, USA
| | - Kaylene Godfrey
- Department of Psychology, Lake Superior State University, Sault Ste. Marie, MI, USA
| | - Qi Li
- Department of Psychology, Lake Superior State University, Sault Ste. Marie, MI, USA.
| | - Chiang-Shan R Li
- Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA; Department of Neuroscience, Yale University School of Medicine, New Haven, CT, USA; Wu Tsai Institute, Yale University, New Haven, CT, USA
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Lathabhavan R, Bharti T, Marznaki ZH. Role of resilience and self-coping strategy in determining positive emotions during pandemic among healthcare professionals in Iran. BMC Psychol 2023; 11:284. [PMID: 37736738 PMCID: PMC10514932 DOI: 10.1186/s40359-023-01323-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2023] [Accepted: 09/12/2023] [Indexed: 09/23/2023] Open
Abstract
BACKGROUND The unprecedented COVID-19 pandemic placed immense stress on healthcare professionals worldwide. This strain often resulted in imbalances in their physical and mental well-being, necessitating effective coping mechanisms. In light of this context, this study investigates the correlations between the fear of COVID-19, self-coping strategies, and positive emotions, with particular reference to the Iranian health care industry. METHODS Data were collected from 1050 healthcare professionals in Iran and the data were analysed sing structural equation modelling. RESULTS The study revealed that pandemic fear negatively impacts self-coping strategies and positive emotions during crisis scenarios. Conversely, self-coping strategies have a positive correlation with positive emotions. The research also underscored the role of resilience in reinforcing the favorable link between self-coping strategies and positive emotions. CONCLUSIONS This study is one of the first to explore the significance of resilience and self-coping strategies among Iranian healthcare professionals during the pandemic. Its findings offer valuable insights for researchers and practitioners, paving the way for further contributions in this field. Future research endeavors may consider investigating the effects of various psychological interventions, including breathing techniques, self-talk, physical exercises, yoga, optimizing sleep, and dietary measures on the resilience and self-coping practices of healthcare professionals.
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Affiliation(s)
- Remya Lathabhavan
- OB and HRM Area, Indian Institute of Management, Bodh Gaya, Bihar, India
| | - Teena Bharti
- OB and HRM Area, Indian Institute of Management, Bodh Gaya, Bihar, India
| | - Zohreh Hosseini Marznaki
- Department of Nursing, Amol Faculty of Nursing and Midwifery Sciences, Mazandaran University of Medical Sciences, Sari, Iran
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Vázquez I, Gato J, Coimbra S, Tasker F, Barrientos J, Miscioscia M, Cerqueira-Santos E, Malmquist A, Seabra D, Leal D, Houghton M, Poli M, Gubello A, Ramos MDM, Guzmán-González M, Urzúa A, Ulloa F, Wurm M. Psychological Adjustment Profiles of LGBTQ+ Young Adults Residing with Their Parents during the COVID-19 Pandemic: An International Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:3188. [PMID: 36833881 PMCID: PMC9964666 DOI: 10.3390/ijerph20043188] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/18/2023] [Revised: 01/30/2023] [Accepted: 02/09/2023] [Indexed: 06/18/2023]
Abstract
The COVID-19 pandemic has been associated with poor mental health symptoms, particularly among vulnerable populations such as LGBTQ+ individuals. In the present study, we aimed to (i) identify different psychological adjustment profiles among LGBTQ+ young adults during the COVID-19 pandemic and compare LGBTQ+ young adults in relation to (ii) sociodemographic characteristics and COVID-19-related experiences and (iii) the internal and external protective resources associated with each adjustment profile. An online questionnaire was administered to 1699 LGBTQ+ young adults from six countries (Brazil, Chile, Italy, Portugal, Sweden, and the UK). A cluster analysis was conducted, and four profiles of psychological adjustment were identified: unchallenged, resilient, distressed, and at-risk. The at-risk cluster scored lowest in social support (particularly from family). The profiles of participants who experienced the highest levels of pandemic adversity (at-risk and resilient) comprised mostly South American participants, those under lockdown at the time of survey completion, those who self-identified as transgender and non-binary, and those with a plurisexual sexual orientation. Interventions should consider strategies to help young adults maintain support systems and reinforce the value of positive family relationships. Specific groups within the LGBTQ+ community that seem to be in a particularly vulnerable situation may need additional tailored support.
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Affiliation(s)
- Inês Vázquez
- Faculty of Psychology and Education Sciences, University of Porto, 4200-135 Porto, Portugal
| | - Jorge Gato
- Faculty of Psychology and Education Sciences, University of Porto, 4200-135 Porto, Portugal
- Centre for Psychology, University of Porto, 4200-135 Porto, Portugal
| | - Susana Coimbra
- Faculty of Psychology and Education Sciences, University of Porto, 4200-135 Porto, Portugal
- Centre for Psychology, University of Porto, 4200-135 Porto, Portugal
| | - Fiona Tasker
- Department of Psychological Sciences, Birkbeck, University of London, London WC1E 7HX, UK
| | - Jaime Barrientos
- Faculty of Psychology, University Alberto Hurtado, Santiago 6500620, Chile
| | - Marina Miscioscia
- Department of Women’s and Children’s Health, University of Padua, 35122 Padua, Italy
- Department of Developmental Psychology and Socialization, University of Padua, 35122 Padua, Italy
| | | | - Anna Malmquist
- Division of Psychology, Linköping University, 581 83 Linköping, Sweden
| | - Daniel Seabra
- Center for Research in Neuropsychology and Cognitive and Behavioural Intervention (CINEICC), University of Coimbra, 3000-115 Coimbra, Portugal
| | - Daniela Leal
- Faculty of Psychology and Education Sciences, University of Porto, 4200-135 Porto, Portugal
| | - Marie Houghton
- Department of Psychological Sciences, Birkbeck, University of London, London WC1E 7HX, UK
| | - Mikael Poli
- Department of Developmental Psychology and Socialization, University of Padua, 35122 Padua, Italy
| | - Alessio Gubello
- Department of Women’s and Children’s Health, University of Padua, 35122 Padua, Italy
- Department of Developmental and Family Psychology, Université Libre de Bruxelles, 1050 Brussels, Belgium
| | | | | | - Alfonzo Urzúa
- School of Psychology, Universidad Católica del Norte, Antofagasta 0610, Chile
| | - Francisco Ulloa
- MUMS—Movimiento por la Diversidad Sexual, Santiago 578, Chile
| | - Matilda Wurm
- School of Behavioral, Social and Legal Sciences, Örebro University, 702 81 Örebro, Sweden
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Li Y, Chen H, Liu C, Liu H. How does COVID-19 pandemic affect entrepreneur anxiety? The role of threat perception and performance pressure. Front Psychol 2022; 13:1044011. [PMID: 36337536 PMCID: PMC9626652 DOI: 10.3389/fpsyg.2022.1044011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2022] [Accepted: 09/28/2022] [Indexed: 09/07/2024] Open
Abstract
The entrepreneurial firms may be more vulnerable to the COVID-19 pandemic, and the entrepreneurs of entrepreneurial firms are also threatened by the revenues decline and business failure, which vehemently affect their well-being. The mental health of the entrepreneur decides whether the entrepreneurial firms can make the right decision, which is related to the healthy development of the entrepreneurial firms. Based on the event system theory and the cognitive appraisal theory, this paper aims to explore the effect of COVID-19 pandemic on the entrepreneur anxiety, and the threat perception and performance pressure are introduced to investigate the mediating mechanism and boundary of this effect. Using the simple random sampling to obtain questionnaire survey data, 168 entrepreneurs of entrepreneurial firms have participated in the empirical study, and the research results are as follows. First, the COVID-19 pandemic significantly positively affects entrepreneur anxiety. Second, the entrepreneur threat perception plays a mediating role between the COVID-19 pandemic and the entrepreneur anxiety, which means the COVID-19 pandemic can enhance the external threat perception of entrepreneurs, and then affect the entrepreneur anxiety. Third, the positive effect of the COVID-19 pandemic on the entrepreneur anxiety is strengthened by the entrepreneur performance pressure, while the positive effect of entrepreneur threat perception on entrepreneur anxiety is weakened by the entrepreneur performance pressure. The above findings are helpful to explore the mechanism of the COVID-19 pandemic and other critical crisis events on entrepreneurs' mental health from the new perspective of cognitive appraisal theory and event system theory, filling the research gaps between the COVID-19 pandemic and entrepreneur anxiety. Besides, this study broadens the applied range of the cognitive appraisal theory and the event system theory in the fields of crisis situations and entrepreneur research, and enriches the research outputs. Furthermore, this study will help provide a new theoretical analysis insight for the related research on how the COVID-19 pandemic affects entrepreneurs' psychology, and further deepen researchers to understand the mechanism of entrepreneur anxiety under the COVID-19 pandemic, providing theoretical inspirations for reducing entrepreneur anxiety. What's more, this study finds that individual pressure can affect their cognitive appraisal, which means that future research should take the pressure influential mechanism into consideration in the process of exploring "external stimulus--cognitive appraisal--emotional response," further expanding the theoretical model of cognitive appraisal proposed from the perspective of pressure.
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Affiliation(s)
| | - Hongchuan Chen
- School of Management, Guangzhou University, Guangzhou, China
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