Monitoring suicidal ideation trends and risk factors among Dutch youth during and following the COVID-19 pandemic.

IF 3.2 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Public Health Pub Date : 2025-10-01 Epub Date: 2025-08-08 DOI:10.1016/j.puhe.2025.105902

I J Rahmon, A Postema, M W G Bosmans, E Marra, M L A Dückers

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引用次数: 0

Abstract

Objectives: We examined trends and risk factors for self-reported suicidal ideation among Dutch youth (12-25 years) during and following the COVID-19 pandemic.

Study design: A repeated cross-sectional survey study.

Methods: This study was performed among representative panels (N ∼ 5.000 youth per wave). Trends were assessed between September 2021 and September 2023. In March 2022, and in March 2023 and September 2023, selected sociodemographic, health, and social activity variables were analysed as potential risk factors using random forest and logistic regression analyses.

Results: Data from nine survey waves were included, totalling 42,099 participants. Results showed a significant increase in self-reported suicidal ideation following the Omicron lockdown of December 2021 and January 2022, ranging from 8.6 % in December 2021 to 18.8 % in September 2023 (P ≤ 0.001). Severe loneliness and poor psychological well-being were identified as significant risk factors.

Conclusions: This study reveals how the COVID-19 context influenced Dutch youth suicidal ideation trends, emphasizing that pandemic-era suicide prevention should focus on loneliness and poor psychological well-being. However, there is no need for significant adaptation to different stages of the pandemic, as key risk factors and their associations with suicidal ideation remained consistent across survey waves.

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监测2019冠状病毒病大流行期间和之后荷兰青年的自杀意念趋势和风险因素。

目的：我们研究了在COVID-19大流行期间和之后，荷兰青少年（12-25岁）自我报告的自杀意念的趋势和风险因素。研究设计：重复横断面调查研究。方法：本研究在代表性小组中进行（每波N ~ 5000名青年）。在2021年9月至2023年9月期间评估了趋势。在2022年3月、2023年3月和2023年9月，使用随机森林和逻辑回归分析对选定的社会人口、健康和社会活动变量作为潜在风险因素进行了分析。结果：共纳入9波调查数据，共42099名参与者。结果显示，在2021年12月和2022年1月欧米克隆封锁后，自我报告的自杀意念显著增加，从2021年12月的8.6%上升到2023年9月的18.8% （P≤0.001）。严重的孤独感和不良的心理健康被认为是重要的风险因素。结论：本研究揭示了COVID-19背景如何影响荷兰青少年自杀意念趋势，强调大流行时代的自杀预防应关注孤独和不良心理健康。然而，没有必要针对大流行的不同阶段进行重大调整，因为关键风险因素及其与自杀意念的关联在各调查阶段保持一致。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

7.60

自引率

0.00%

发文量

280

审稿时长

37 days

期刊介绍： Public Health is an international, multidisciplinary peer-reviewed journal. It publishes original papers, reviews and short reports on all aspects of the science, philosophy, and practice of public health.