Suicide ideation among Brazilian college students: Relationship with academic factors, mental health, and sexual abuse

Altavini, Camila Siebert; Asciutti, Antonio Paulo Rinaldi; Santana, Geilson Lima; Solis, Ana Cristina de Oliveira; Andrade, Laura Helena; Oliveira, Lúcio Garcia de; Andrade, Arthur Guerra de; Gorenstein, Clarice; Wang, Yuan‐Pang

doi:10.1016/j.jad.2023.02.112

Cited by 7 publications

(4 citation statements)

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“…5,14,[17][18][19][20][21][22] These studies suggest that children and adolescents can face increased stress and decreased mental health when school is in session. Some known risk factors, such as school bullying and peer pressure about alcohol and drug abuse, [23][24][25][26][27][28] may be associated with the observed seasonal patterns in suicidality during the school year. The in-school experience brings social, academic, and extracurricular stressors as well as poorer sleep habits, each of which may have detrimental outcomes for child and adolescent mental health and well-being.…”

Section: Introductionmentioning

confidence: 99%

Trends and Seasonality of Emergency Department Visits and Hospitalizations for Suicidality Among Children and Adolescents in the US from 2016 to 2021

2023

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ImportanceThe detection of seasonal patterns in suicidality should be of interest to clinicians and US public health officials, as intervention efforts can benefit by targeting periods of heightened risk.ObjectivesTo examine recent trends in suicidality rates, quantify the seasonality in suicidality, and demonstrate the disrupted seasonality patterns during the spring 2020 COVID-19–related school closures among US children and adolescents.Design, Setting, and ParticipantsThis population-based, descriptive cross-sectional study used administrative claims data from Optum’s deidentifed Clinformatics Data Mart Database. Participants included children aged 10 to 12 years and adolescents aged 13 to 18 years who were commercially insured from January 1, 2016, to December 31, 2021. Statistical analysis was conducted between April and November 2022.ExposuresMonth of the year and COVID-19 pandemic.Main Outcomes and MeasuresRates and seasonal patterns of emergency department (ED) visits and hospitalizations for suicidality.ResultsThe analysis included 73 123 ED visits and hospitalizations for suicidality reported between 2016 and 2021. Among these events, 66.1% were reported for females, and the mean (SD) age at the time of the event was 15.4 (2.0) years. The mean annual incidence of ED visits and hospitalizations for suicidality was 964 per 100 000 children and adolescents (95% CI, 956-972 per 100 000), which increased from 760 per 100 000 (95% CI, 745-775 per 100 000) in 2016 to 1006 per 100 000 (95% CI, 988-10 024 per 100 000) in 2019, with a temporary decrease to 942 per 100 000 (95% CI, 924-960 per 100 000) in 2020 and a subsequent increase to 1160 per 100 000 (95% CI, 1140-1181 per 100 000) in 2021. Compared with January, seasonal patterns showed peaks in April (incidence rate ratio [IRR], 1.15 [95% CI, 1.11-1.19]) and October (IRR, 1.24 [95% CI, 1.19-1.29]) and a nadir in July (IRR, 0.63 [95% CI, 0.61-0.66]) during pre–COVID-19 years and 2021. However, during the spring of 2020, which coincided with school closures, seasonal patterns were disrupted and April and May exhibited the lowest rates.Conclusions and RelevanceThe findings of this study indicated the presence of seasonal patterns and an observed unexpected decrease in suicidality among children and adolescents after COVID-19–related school closures in March 2020, which suggest a potential association between suicidality and the school calendar.

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Section: Introductionmentioning

confidence: 99%

Trends and Seasonality of Emergency Department Visits and Hospitalizations for Suicidality Among Children and Adolescents in the US from 2016 to 2021

2023

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“…Analysis of depression among college students is often tied to their academic commitment, which is central to their lives (6). Academic struggles caused by depression may, in turn, impact mental health, potentially exacerbating anxiety and depressive states, thus creating a vicious cycle (7). Some college students feel hopeless and distressed, often exhibiting confusion and avoidance in their studies (8).…”

Section: Introductionmentioning

confidence: 99%

Depression and academic engagement among college students: the role of sense of security and psychological impact of COVID-19

Tang

2023

Front. Public Health

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BackgroundThe negative consequences of depression in college students have garnered global attention, especially in relation to academic achievement during the COVID-19 pandemic, which need critical assessment.AimThis study investigated whether a sense of security mediated the relationship between depression and academic engagement among college students during the pandemic and whether the moderating psychological impact of COVID-19 has a moderating effect on this relationship.MethodsIn this cross-sectional study, we recruited 466 college students from 30 provincial-level administrative regions in China via the Internet and used established scales to measure depression, academic engagement, a sense of security, and the psychological impact of COVID-19. The mediating and moderating effects were tested using the bootstrap method.ResultsDepression was found to negatively influence academic engagement, with a sense of security partially mediating this relationship. Moreover, the psychological impact of COVID-19 was shown to have a moderating effect on this mediating process.ConclusionThis study could aid in crafting pertinent strategies to mitigate the adverse effects of depression on learning amid unexpected public health crises and foster better mental health among college students.

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“…Tanto a literatura nacional, como a internacional, aponta uma ampla variação na taxa de ocorrência de ideação suicida entre os estudantes universitários. Estudos brasileiros apresentaram resultados inferiores (5,9%) (Santos et al, 2017) e (9,9%) (Altavini et al, 2023), similar (13,0%) (Melo et al, 2023) e superiores (22,0%) (Veloso et. al, 2019), (26,3%) (Sousa et al, 2022) Santos, 2016) encontradas em dois estudos realizados em Portugal e outro no Irã (7,4%) (Poorolajal et al, 2019), até as mais altas encontradas na Mongólia (47%) (Davaasambuu et al, 2017) e na Áustria (49,1%) (Eskin et al, 2016).…”

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O papel da Internet na saúde mental de jovens universitários e sua relação com ideação suicida

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Autorizo a reprodução e divulgação total ou parcial deste trabalho, por qualquer meio convencional ou eletrônico, para fins de estudo e pesquisa, desde que citada a fonte. Catalogação da PublicaçãoFicha elaborada pelo Sistema de Geração Automática a partir de dados fornecidos pelo(a) autor(a)Bibliotecária da FSP/USP: Maria do Carmo Alvarez -CRB-8/4359 DUPRAT I. P. O papel da Internet na saúde mental de jovens universitários e sua relação com ideação suicida. 2024.

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Suicide ideation among Brazilian college students: Relationship with academic factors, mental health, and sexual abuse

Cited by 7 publications

References 73 publications

Trends and Seasonality of Emergency Department Visits and Hospitalizations for Suicidality Among Children and Adolescents in the US from 2016 to 2021

Trends and Seasonality of Emergency Department Visits and Hospitalizations for Suicidality Among Children and Adolescents in the US from 2016 to 2021

Depression and academic engagement among college students: the role of sense of security and psychological impact of COVID-19

O papel da Internet na saúde mental de jovens universitários e sua relação com ideação suicida

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