Spatio-Temporal Clustering of Adolescent Bereavement in the United States During the Extended Response to COVID-19: A Follow-Up Study

Ryan, Sophia C; Runkle, Jennifer D.; Sugg, Margaret M.; Singh, Devyani; Green, Shannon; Wertis, Luke

doi:10.1016/j.jadohealth.2022.08.021

Cited by 6 publications

(3 citation statements)

References 13 publications

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“…Similar to earlier studies, a noteworthy increase was observed for crisis outcomes related to bereavement in both ITS analysis for impacted and non-impacted areas, as well as, the DID analysis (Maguen et al, 2012). Prior research relying on CTL data has also identified an important association between the COVID-19 pandemic and increased text volume for stress/anxiety, thoughts of suicide, substance use, and bereavement in vulnerable US populations (Harden et al, 2021;Ryan et al, 2022;Sugg et al, 2021). Community and individual mental health responses to natural disasters are influenced by the size and magnitude of the disaster event, visibility of impact, the degree of personal exposure (e.g., loss of loved ones, home, the fabric of the community), and the probability of recurrence (DeWolfe & Nordboe, 2000).…”

Section: Discussionsupporting

confidence: 73%

“…Similar to earlier studies, a noteworthy increase was observed for crisis outcomes related to bereavement in both ITS analysis for impacted and non‐impacted areas, as well as, the DID analysis (Maguen et al., 2012 ). Prior research relying on CTL data has also identified an important association between the COVID‐19 pandemic and increased text volume for stress/anxiety, thoughts of suicide, substance use, and bereavement in vulnerable US populations (Harden et al., 2021 ; Runkle, Michael, et al., 2021 ; Runkle, Sugg, et al., 2021 ; Ryan et al., 2022 ; Sugg et al., 2021 ).…”

Section: Discussionmentioning

confidence: 99%

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Examining Hurricane Ida's Impact on Mental Health: Results From a Quasi‐Experimental Analysis

et al. 2023

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Limited research has evaluated the mental health effects during compounding disasters (e.g., a hurricane occurring during a pandemic), and few studies have examined post‐disaster mental health with alternative data sources like crisis text lines. This study examined changes in crisis help‐seeking for individuals in Louisiana, USA, before and after Hurricane Ida (2021), a storm that co‐occurred during the COVID‐19 pandemic. An interrupted time series analysis and difference‐in‐difference analysis for single and multiple group comparisons were used to examine pre‐and post‐changes in crisis text volume (i.e., any crisis text, substance use, thoughts of suicide, stress/anxiety, and bereavement) among help‐seeking individuals in communities that received US Federal Emergency Management Agency individual and public assistance following a presidential disaster declaration. Results showed a significant increase in crisis texts for any reason, thoughts of suicide, stress/anxiety, and bereavement in the four‐week, three‐month, and four‐month post‐impact period. Findings highlight the need for more mental health support for residents directly impacted by disasters like Hurricane Ida.

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Section: Discussionsupporting

confidence: 73%

Section: Discussionmentioning

confidence: 99%

Examining Hurricane Ida's Impact on Mental Health: Results From a Quasi‐Experimental Analysis

et al. 2023

Self Cite

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“…Moreover, higher rates of COVID-19 mortality among minoritized populations increased their risk of trauma from losing a family member. Data from adolescent users of a national crisis text line during COVID-19 showed that Black and Indigenous youth were more likely to seek support with bereavement, possibly reflecting disparities in COVID-19 deaths within those groups [ 34 ]. Similarly, findings from a national study suggested variation by race/ethnicity in suicide trends early in the pandemic, with American Indian/Alaska Native and Black youth experiencing disproportionate suicide deaths [ 35 ].…”

Section: Variation In the Impacts Of The Pandemic For Well-beingmentioning

confidence: 99%

The racialized landscape of COVID-19:Reverberations for minority adolescents and families in the U.S.

Coulter¹,

Benner

2023

Current Opinion in Psychology

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Spatiotemporal patterns of youth isolation and loneliness in the US: a geospatial analysis of Crisis Text Line data (2016–2022)

Lucero,

Sugg,

Ryan

et al. 2024

GeoJournal

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In 2021, the US Surgeon General issued a national advisory citing an epidemic of isolation and loneliness. Even before the onset of the COVID-19 pandemic, approximately half of people in the US reported experiencing measurable levels of loneliness. Despite localized and select cross-sectional studies highlighting even higher increases in isolation/loneliness during the COVID-19 pandemic, additional research is needed, particularly for youth and young adults. This work examines patterns of isolation/loneliness across the US from 2016 to 2022 among individuals aged 24 and younger. Our study leverages a unique dataset, Crisis Text Line, which provides complete spatiotemporal coverage of crisis conversations in the US. We conducted a geospatial analysis using Kuldroff’s Space–Time SatScan to identify statistically significant clustering of elevated isolation/loneliness-related conversations. The statistical significance of spatiotemporal clusters was determined using Monte Carlo simulations (n = 9999). Results demonstrated local relative risk as high as 1.47 in high-risk populations in Southern, Midwest, and Atlantic states, indicating areas where the actual case count is 147% of the expected cases (p value < 0.01) from May to July 2020. Results also identified co-occurrence of isolation/loneliness and other crises concerns, including depression/sadness, anxiety, and multiple suicidality indicators, with higher rates among racial/ethnic minority, transgender and gender diverse, and younger individuals. This work makes a unique contribution to the literature by elucidating spatiotemporal disparities in isolation/loneliness among young people, providing much-needed knowledge as to where future public health interventions are immediately needed.

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Spatio-Temporal Clustering of Adolescent Bereavement in the United States During the Extended Response to COVID-19: A Follow-Up Study

Cited by 6 publications

References 13 publications

Examining Hurricane Ida's Impact on Mental Health: Results From a Quasi‐Experimental Analysis

Examining Hurricane Ida's Impact on Mental Health: Results From a Quasi‐Experimental Analysis

The racialized landscape of COVID-19:Reverberations for minority adolescents and families in the U.S.

Spatiotemporal patterns of youth isolation and loneliness in the US: a geospatial analysis of Crisis Text Line data (2016–2022)

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