COVID-19大流行和学校关闭对青少年自我伤害和自杀行为的影响:一项综合荟萃分析

IF 2.7 3区 医学 Q2 PSYCHIATRY
Ilor Vardi, Sami Hamdan, Gil Zalsman, Yelena Stukalin
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引用次数: 0

摘要

2019冠状病毒病(COVID-19)大流行严重影响了青少年的心理健康,引发了人们对自我伤害和自杀行为可能增加的担忧。本研究旨在评估大流行对青少年SIB的影响,并探讨学校关闭和精神脆弱性的影响,为未来的干预措施提供信息。方法:使用PubMed进行系统回顾和荟萃分析,共纳入420项研究,其中36项研究(包含53个样本)符合纳入标准,涵盖1,754,106名青少年。效应量采用比例效应量计算。采用q统计量和I²评价各研究的异质性,采用Egger检验评价发表偏倚。研究了临床和社区样本之间的差异,以及精神症状或障碍的影响。结果:与社区样本相比,临床样本显示SIB的发生率更高,有精神症状或障碍的青少年更容易受到伤害。总体而言,与大流行前的水平相比,此次大流行与SIB发病率下降有关。自杀意念在联合样本中下降了4.14%,在社区样本中下降了7.13%。综合样本和社区样本的自残率分别下降了5.38%和6.62%。相比之下,临床样本表现出明显的趋势,自杀意念下降29.39%,自残率上升32.51%,自杀未遂率上升22.41%。结论:2019冠状病毒病大流行对青少年SIB的影响在不同人群类型和精神脆弱性水平之间存在显著差异。虽然观察到总体下降,但临床样本中自残和自杀企图的显着增加突出了量身定制的心理健康干预措施的必要性。解决这些差异对于今后的精神卫生战略和危机防范至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The effect of the COVID-19 pandemic and school closures on self-harming and suicidal behaviors in adolescents: A comprehensive meta-analysis.

Introduction: The COVID-19 pandemic has significantly affected adolescents' mental health, raising concerns about the potential increase in self-harming and suicidal behaviors (SIB). This study aimed to evaluate the pandemic's impact on SIB among adolescents and explore the effects of school closures and psychiatric vulnerabilities to inform future interventions.

Methods: A systematic review and meta-analysis were conducted using PubMed, resulting in 420 studies, of which 36 studies (comprising 53 samples) met the inclusion criteria, encompassing 1,754,106 adolescents. Effect sizes were calculated using proportion effect size. Heterogeneity across studies was assessed using Q-statistics and I², while Egger's test was applied to evaluate publication bias. Differences between clinical and community samples, as well as the influence of psychiatric symptoms or disorders, were examined.

Results: Clinical samples demonstrated higher rates of SIB compared to community samples, with adolescents having psychiatric symptoms or disorders being more vulnerable. Overall, the pandemic was associated with a decline in SIB rates compared to pre-pandemic levels. Suicidal ideation decreased by 4.14% in combined samples and by 7.13% in community samples. Self-harm rates fell by 5.38% and 6.62% in combined and community samples, respectively. In contrast, clinical samples showed a distinct trend, with suicidal ideation decreasing by 29.39%, while self-harm rates increased by 32.51% and suicide attempts rose by 22.41%.

Conclusion: The COVID-19 pandemic's impact on adolescents' SIB varied significantly across population types and levels of psychiatric vulnerability. While general declines were observed, the pronounced increases in self-harm and suicide attempts among clinical samples highlight the need for tailored mental health interventions. Addressing these disparities is essential for future mental health strategies and crisis preparedness.

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来源期刊
Suicide and Life-Threatening Behavior
Suicide and Life-Threatening Behavior Medicine-Public Health, Environmental and Occupational Health
CiteScore
5.40
自引率
3.10%
发文量
96
期刊介绍: An excellent resource for researchers as well as students, Social Cognition features reports on empirical research, self-perception, self-concept, social neuroscience, person-memory integration, social schemata, the development of social cognition, and the role of affect in memory and perception. Three broad concerns define the scope of the journal: - The processes underlying the perception, memory, and judgment of social stimuli - The effects of social, cultural, and affective factors on the processing of information - The behavioral and interpersonal consequences of cognitive processes.
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