{"title":"COVID-19大流行期间美国青少年的自杀意念:探索个人、人际和社区层面的恢复力因素","authors":"Yingwei Yang","doi":"10.1016/j.puhe.2025.03.009","DOIUrl":null,"url":null,"abstract":"<div><h3>Objectives</h3><div>The COVID-19 pandemic had a substantial psychological impact on adolescents in the United States (US). This study aimed to explore the multi-level resilience factors associated with adolescent suicidal ideation during the pandemic.</div></div><div><h3>Study Design</h3><div>Cross-sectional study.</div></div><div><h3>Methods</h3><div>We conducted this study using data collected in 2021 from a nationally representative sample of US high school students (N = 7,628). The outcome variable was self-reported suicidal ideation during the pandemic. Predictors included three individual factors (sleep duration, physical activity, and muscle strengthening), two interpersonal factors (parental monitoring and virtual connectedness), and two community factors (violence-free environments and school connectedness). We built four multivariate logistic regression models to measure associations between the outcome variable and the multi-level predictors.</div></div><div><h3>Results</h3><div>Nearly one in five adolescents (19.9 %) reported suicidal ideation during the pandemic. Adolescents with sufficient sleep duration (OR = 0.51, p < 0.001), muscle strengthening exercises on 3–7 days per week (OR = 0.79, p < 0.01), high levels of parental monitoring (OR = 0.54, p < 0.001), high levels of virtual connectedness with family and friends (OR = 0.77, p < 0.05), living in a violence-free community (OR = 0.46, p < 0.001), and high levels of school connectedness (OR = 0.43, p < 0.001) were less likely to report suicidal ideation.</div></div><div><h3>Conclusions</h3><div>The findings of this study highlight the positive role of individual behaviors (e.g., sufficient sleep, regular exercise) and supportive environments (e.g., family, school, and community) in protecting adolescents from suicidal ideation during the pandemic. Comprehensive intervention programs are needed to improve multi-level resilience factors and reduce suicide risk among US adolescents beyond the pandemic.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":"242 ","pages":"Pages 199-205"},"PeriodicalIF":3.9000,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Suicidal ideation among US adolescents during the COVID-19 pandemic: Exploring individual, interpersonal, and community-level resilience factors\",\"authors\":\"Yingwei Yang\",\"doi\":\"10.1016/j.puhe.2025.03.009\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objectives</h3><div>The COVID-19 pandemic had a substantial psychological impact on adolescents in the United States (US). This study aimed to explore the multi-level resilience factors associated with adolescent suicidal ideation during the pandemic.</div></div><div><h3>Study Design</h3><div>Cross-sectional study.</div></div><div><h3>Methods</h3><div>We conducted this study using data collected in 2021 from a nationally representative sample of US high school students (N = 7,628). The outcome variable was self-reported suicidal ideation during the pandemic. Predictors included three individual factors (sleep duration, physical activity, and muscle strengthening), two interpersonal factors (parental monitoring and virtual connectedness), and two community factors (violence-free environments and school connectedness). We built four multivariate logistic regression models to measure associations between the outcome variable and the multi-level predictors.</div></div><div><h3>Results</h3><div>Nearly one in five adolescents (19.9 %) reported suicidal ideation during the pandemic. Adolescents with sufficient sleep duration (OR = 0.51, p < 0.001), muscle strengthening exercises on 3–7 days per week (OR = 0.79, p < 0.01), high levels of parental monitoring (OR = 0.54, p < 0.001), high levels of virtual connectedness with family and friends (OR = 0.77, p < 0.05), living in a violence-free community (OR = 0.46, p < 0.001), and high levels of school connectedness (OR = 0.43, p < 0.001) were less likely to report suicidal ideation.</div></div><div><h3>Conclusions</h3><div>The findings of this study highlight the positive role of individual behaviors (e.g., sufficient sleep, regular exercise) and supportive environments (e.g., family, school, and community) in protecting adolescents from suicidal ideation during the pandemic. Comprehensive intervention programs are needed to improve multi-level resilience factors and reduce suicide risk among US adolescents beyond the pandemic.</div></div>\",\"PeriodicalId\":49651,\"journal\":{\"name\":\"Public Health\",\"volume\":\"242 \",\"pages\":\"Pages 199-205\"},\"PeriodicalIF\":3.9000,\"publicationDate\":\"2025-03-21\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Public Health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S003335062500126X\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Public Health","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S003335062500126X","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0
摘要
目的2019冠状病毒病大流行对美国青少年产生了重大的心理影响。本研究旨在探讨大流行期间与青少年自杀意念相关的多层次弹性因素。研究设计横断面研究。我们使用2021年从具有全国代表性的美国高中生样本(N = 7628)中收集的数据进行了这项研究。结果变量是大流行期间自我报告的自杀意念。预测因素包括三个个人因素(睡眠时间、身体活动和肌肉强化)、两个人际因素(父母监控和虚拟联系)和两个社区因素(无暴力环境和学校联系)。我们建立了四个多元逻辑回归模型来衡量结果变量与多层次预测因子之间的相关性。结果近五分之一(19.9%)的青少年在疫情期间报告有自杀意念。睡眠时间充足的青少年(OR = 0.51, p <;0.001),每周进行3-7天的肌肉强化锻炼(OR = 0.79, p <;0.01),高水平的父母监护(OR = 0.54, p <;0.001),与家人和朋友的高度虚拟联系(OR = 0.77, p <;0.05),生活在无暴力社区(OR = 0.46, p <;0.001),以及高水平的学校联系(OR = 0.43, p <;0.001)报告自杀意念的可能性较低。本研究的结果强调了个人行为(如充足睡眠、定期锻炼)和支持性环境(如家庭、学校和社区)在大流行期间保护青少年免于产生自杀意念方面的积极作用。需要综合干预方案,以提高多层次的恢复力因素,并降低美国青少年在大流行之外的自杀风险。
Suicidal ideation among US adolescents during the COVID-19 pandemic: Exploring individual, interpersonal, and community-level resilience factors
Objectives
The COVID-19 pandemic had a substantial psychological impact on adolescents in the United States (US). This study aimed to explore the multi-level resilience factors associated with adolescent suicidal ideation during the pandemic.
Study Design
Cross-sectional study.
Methods
We conducted this study using data collected in 2021 from a nationally representative sample of US high school students (N = 7,628). The outcome variable was self-reported suicidal ideation during the pandemic. Predictors included three individual factors (sleep duration, physical activity, and muscle strengthening), two interpersonal factors (parental monitoring and virtual connectedness), and two community factors (violence-free environments and school connectedness). We built four multivariate logistic regression models to measure associations between the outcome variable and the multi-level predictors.
Results
Nearly one in five adolescents (19.9 %) reported suicidal ideation during the pandemic. Adolescents with sufficient sleep duration (OR = 0.51, p < 0.001), muscle strengthening exercises on 3–7 days per week (OR = 0.79, p < 0.01), high levels of parental monitoring (OR = 0.54, p < 0.001), high levels of virtual connectedness with family and friends (OR = 0.77, p < 0.05), living in a violence-free community (OR = 0.46, p < 0.001), and high levels of school connectedness (OR = 0.43, p < 0.001) were less likely to report suicidal ideation.
Conclusions
The findings of this study highlight the positive role of individual behaviors (e.g., sufficient sleep, regular exercise) and supportive environments (e.g., family, school, and community) in protecting adolescents from suicidal ideation during the pandemic. Comprehensive intervention programs are needed to improve multi-level resilience factors and reduce suicide risk among US adolescents beyond the pandemic.
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.