Comparison of Stress and Suicide-Related Behaviors Among Korean Youths Before and During the COVID-19 Pandemic

Kim, So Young; Kim, Hyerim; Park, Bumjung; Choi, Hyo Geun

doi:10.1001/jamanetworkopen.2021.36137

Cited by 40 publications

(28 citation statements)

References 25 publications

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“…This reduction is attributable to bias caused by the general reduction in health care use and it is important to note that self-injury and suicidality with hospital contact only covers the most severe cases. However, cross-sectional studies using self-reported data, including this study, also found either a reduction or no change in self-injury and suicide ideation and -attempts during lockdown 12-13 . In contrast, a longitudinal study in China with self-reported data have suggested an increase in both self-injury and suicide ideation and -attempts during lockdown 14 .…”

Section: Discussioncontrasting

confidence: 43%

“…Register-based studies from other countries have documented a decrease in self-injury and suicide attempt among young people [8][9][10][11] . Studies from Norway and Korea based on self-reported repeated cross-sectional data, found no pre to post lockdown change in suicide ideation and a decrease in suicide ideation and -attempts respectively [12][13] . Contrary, a longitudinal study based on selfreported data in China demonstrated an increase in self-injury and suicide ideations and -attempts during spring 2020 14 .…”

Section: Introductionmentioning

confidence: 98%

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Self-injury, suicidal ideation and -attempt and eating disorders in young people following the initial and second COVID-19 lockdown

Danielsen¹,

Joensen

Andersen

et al. 2022

Preprint

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Summary Background: The initial COVID-19 lockdowns have had negative effect on different mental health measures, especially in young women. However, the impact on self-injury, suicidality and eating disorder (ED) are less elucidated and remains inconsistent. We compare self-reported self-injury, suicide ideation and -attempt and symptoms of EDs from before through different pandemic periods until spring 2021. Methods: Young participants in the Danish National Birth Cohort reported these measures in an 18-year follow-up in 2015-2021 and in a COVID-19 survey in spring 2021 when participants were aged 19-24 years. Changes in measures from pre to post lockdown were estimated with longitudinal data (N=7,597) and with repeated cross-sectional data (N=24,625) by linear regression. Findings: In the longitudinal comparisons 14% of women and 7% of men reported self-injury pre lockdown, which decreased 6%-points (95% CI:-7%;-5%) for women and 3%-points (95% CI:-4%;-2%) for men during lockdown. For suicide ideation, the pre lockdown proportions were 25% and 18% for women and men respectively, and decreased 7%-points (95% CI:-8%;-6%) for women and 3%-points (95% CI:-5%;-1%) for men. For suicide attempt no change was observed. Pre lockdown 15% and 3% of women and men, respectively, had symptoms of EDs, which decreased 2%-points (95% CI:-3%;-1%) for women. We observed no changes in proportions of self-injury, suicide ideation or EDs in the repeated cross-sectional data. Interpretation: Our findings provide no support for increase in self-injury, suicidality and EDs following the lockdowns, and if anything, indicate a reduction in self-injury and suicide ideation as well as EDs in women.

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Section: Discussioncontrasting

confidence: 43%

Section: Introductionmentioning

confidence: 98%

Self-injury, suicidal ideation and -attempt and eating disorders in young people following the initial and second COVID-19 lockdown

Danielsen¹,

Joensen

Andersen

et al. 2022

Preprint

View full text Add to dashboard Cite

show abstract

“…This reduction is attributable to bias caused by the general reduction in health care use and it is important to note that self-injury and suicidality with hospital contact only covers the most severe cases. However, cross-sectional studies using selfreported data, including this study, also found either a reduction or no change in self-injury and suicide ideation and -attempts during lockdown [12][13] . In contrast, a longitudinal study in China with self-reported data have suggested an increase in both self-injury and suicide ideation and -attempts during lockdown 14 .…”

Section: Discussioncontrasting

confidence: 42%

Self-injury, suicidal ideation and -attempt and eating disorders in young people following the initial and second COVID-19 lockdown

Danielsen¹,

Joensen

Andersen

et al. 2022

Preprint

View full text Add to dashboard Cite

Experts has raised concerns about young people’s mental health following the lockdowns implemented to mitigate the spread of COVID-19. An aggravation in mental health have been suggested in several studies, but the impact on self-injury, suicidality and eating disorders (EDs) are less elucidated. Using two different data setups i.e. longitudinal and repeated cross-sectional data, we compare self-reported self-injury, suicide ideation and -attempt and symptoms of EDs from before through different pandemic periods until spring 2021. The longitudinal data indicate a slight reduction in the proportion of self-injury and suicide ideation in both women and men, as well as symptoms of EDs in women. For suicide attempt no change was observed. In the repeated cross-sectional data, we observed no changes in self-injury, suicide ideation- and attempts or symptoms of EDs. Thus, our findings provide no support for increase in self-injury, suicidality, and symptoms of EDs following the lockdowns.

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“…The degree of suicidal ideation increases as the level of stress increases [15]. Environmental changes provoked by the COVID-19 pandemic have been found to represent stressors for adolescents [16]; however, severe stress, sorrow or hopelessness, and suicide-related behaviors declined among Korean adolescents early in the COVID-19 pandemic [17].…”

Section: Perceived Stressmentioning

confidence: 99%

Mental Health of Korean Adolescents in the Era of COVID-19: Web-based Survey Focused on Suicide-related Factors

Jeong

Park

Kim

2022

Preprint

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Background: The coronavirus disease 2019 (COVID-19) pandemic has negatively impacted many aspects of life. In particular, measures for combatting the spread of the virus, such as quarantining and restrictions on social gatherings, may have led to psychological anxiety and depressive symptoms among adolescents. Such mental health impacts may increase the risk of suicidal ideation. This study aimed to examine mental health among adolescents amid the prolonged COVID-19 pandemic, and identify and analyze predictors of suicidal ideation, suicide planning, and suicide attempts.Methods: Data for 57,925 adolescents who participated in the 2020 Korea Youth Risk Behavior Web-based Survey were used for this research. Based on their responses to suicide-related questions, the sample was divided into a healthy group, suicide-ideation group, suicide-planning group, and suicide-attempt group, respectively. The groups’ descriptive statistics were then analyzed. An analysis of covariance, post-hoc tests, and multiple logistic regression were performed on the four groups.Results: Overall, 6.9% of the participants reported suicidal ideation, 2.2% reported planning suicide, and 1.9% reported attempting suicide in the previous 12 months. Stress, sadness and despair, loneliness, and generalized anxiety disorder were all highest in the suicide-attempt group and lowest in the healthy group. Sex, academic achievement, economic status, impact of COVID-19 on economic status, sleep, alcohol use, drug use, smartphone overdependence, and suicide-associated factors significantly predicted adolescents’ mental health status. Conclusions: Amid the prolonged COVID-19 pandemic, there is a strong need for various individualized programs that identify and intervene to support adolescents with a suicidal risk by accurately assessing their mental health risk factors, such as stress, sadness and despair, loneliness, and generalized anxiety disorder.

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Comparison of Stress and Suicide-Related Behaviors Among Korean Youths Before and During the COVID-19 Pandemic

Cited by 40 publications

References 25 publications

Self-injury, suicidal ideation and -attempt and eating disorders in young people following the initial and second COVID-19 lockdown

Self-injury, suicidal ideation and -attempt and eating disorders in young people following the initial and second COVID-19 lockdown

Self-injury, suicidal ideation and -attempt and eating disorders in young people following the initial and second COVID-19 lockdown

Mental Health of Korean Adolescents in the Era of COVID-19: Web-based Survey Focused on Suicide-related Factors

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