COVID-19导致的地位丧失、传统男性气质及其与近期自杀企图和自杀意念的关系

A. Walther, Jessica Grub, Sarah Tsar, U. Ehlert, A. Heald, R. Perrin, J. Ogrodniczuk, Z. Seidler, S. Rice, D. Kealy, J. Oliffe, Lukas Eggenberger
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引用次数: 4

摘要

2019冠状病毒病大流行正在造成大量失业,导致许多男性失去社会地位。对传统男子气概意识形态的认可可能会使一些男性对地位的丧失特别敏感,从而增加自杀的风险。在欧洲德语国家进行的匿名在线调查中,490名男性填写了有关因新冠疫情而失去社会地位、过去一个月和一生的自杀企图和自杀意念的问卷。此外,还测量了传统男子气概意识形态的认可程度以及典型和男性典型的外化抑郁症状。在总共490名男子中,14.7%的男子报告说,由于大流行而失去了地位。这些男性在过去一个月内企图自杀的可能性是没有报告身份丧失的男性的四倍多(OR = 4.48, 95% CI[1.72, 11.67]),在过去两周内报告自杀意念的可能性是没有报告身份丧失的男性的两倍多(OR = 2.47, 95% CI[1.42, 4.28])。社会地位的丧失与自杀倾向有关,但与传统男性意识形态的认同无关。然而,当男性典型外部性抑郁症状和原型抑郁症状被纳入模型时,它们显示出与自杀结果的唯一直接关联(例如,对于过去一个月的自杀企图:男性典型外部性抑郁症状OR = 2.18, 95% CI[1.31, 3.62],原型抑郁症状OR = 2.41, 95% CI[1.13, 5.12])。地位丧失与传统男子气概意识形态认同之间存在显著的交互作用,进一步表明传统男子气概对地位丧失与过去一个月自杀企图之间的关系具有增强的调节作用(OR = 3.27, 95% CI[1.16, 9.27])。COVID-19大流行导致的地位丧失成为男性自杀的危险因素。因COVID-19大流行而失去地位的男性,同时表现出对传统男子气概意识形态的强烈支持,其自杀风险也会增加。2019冠状病毒病大流行导致的地位丧失,特别是在那些强烈支持传统男子气概意识形态的男性中,可能是理解2019冠状病毒病大流行最严重阶段后自杀率上升的关键因素。医疗保健政策应专门针对因COVID-19大流行而在自杀预防规划中经历了地位丧失的男性,并迅速设计适合传统男子气概意识形态的男性群体的精神卫生保健活动。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Status loss due to COVID-19, traditional masculinity, and their association with recent suicide attempts and suicidal ideation.
The COVID-19 pandemic is causing extensive job loss leading to a loss of social status in many men. Endorsement of traditional masculinity ideology may render some men particularly sensitive to status loss and thereby to an increased risk for suicidality. In this anonymous online survey conducted in German-speaking European countries, 490 men completed questionnaires regarding loss of social status due to the COVID-19 pandemic, past-month and lifetime suicide attempt and suicidal ideation. Furthermore, endorsement of traditional masculinity ideology and prototypical and male-typical externalizing depression symptoms were measured. Out of a total of 490 men, 14.7% of men reported experiencing status loss due to the pandemic. These men were more than four times as likely to have attempted suicide in the past month (OR = 4.48, 95% CI [1.72, 11.67]) and more than twice as likely to report suicidal ideation during the past 2 weeks (OR = 2.47, 95% CI [1.42, 4.28]), than men not reporting status loss. Status loss, but not endorsement of traditional masculinity ideology, was associated with suicide outcomes. However, when male-typical externalizing depression symptoms and prototypical depression symptoms were included in the models, they exhibited the only direct associations with suicide outcomes (e.g., for past-month suicide attempt: male-typical externalizing depression symptoms OR = 2.18, 95% CI [1.31, 3.62], prototypical depression symptoms OR = 2.41, 95% CI [1.13, 5.12]). A significant interaction between status loss and endorsement of traditional masculinity ideology further suggests an enhancing moderating effect of traditional masculinity on the relationship between status loss and past-month suicide attempts (OR = 3.27, 95% CI [1.16, 9.27]). Status loss due to the COVID-19 pandemic emerges as risk factor for suicide in men. Men who experience status loss due to the COVID-19 pandemic while concomitantly exhibiting strong endorsement of traditional masculinity ideology have an additional increased risk of suicide. Public Significance Statement Status loss due to the COVID-19 pandemic, particularly among men with strong endorsement of traditional masculinity ideologies, may play a critical role in understanding the elevated suicide rates in the aftermath of the most acute phase of the COVID-19 pandemic. Health care policy should specifically target men with experienced status loss due to the COVID-19 pandemic in suicide prevention programs and swiftly design mental health care campaigns tailored to the group of men with strong endorsement of traditional masculinity ideology.
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