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. 2024 Jun 18:15:1383992.
doi: 10.3389/fpsyt.2024.1383992. eCollection 2024.

Suicidal ideation and suicide attempts among students aged 12 to 24 after the lifting of COVID-19 restrictions in China: prevalence and associated factors

Qing-Qing Xiao  1   2 , Xue-Hua Huang  1   2 , Jing Yang  1   2 , Yun-Fei Mu  1   3 , Cong Wang  1   3 , Zhong-Yue Deng  1   3 , Jia Cai  1 , Ai-Ping Deng  2 , Wan-Jie Tang  1 , Xia-Can Chen  4 , Wei Shi  5 , Yi Jiang  6 , Jia-Jun Xu  1 , Li Yin  1 , Yi Huang  1 , Wei Zhang  1 , Mao-Sheng Ran  1   3
Affiliations

Suicidal ideation and suicide attempts among students aged 12 to 24 after the lifting of COVID-19 restrictions in China: prevalence and associated factors

Qing-Qing Xiao et al. Front Psychiatry. .

Abstract

Objective: To investigate the prevalence and associated factors of suicidal ideation and suicide attempts among adolescent and young adults in China from December 14, 2022 to February 28, 2023, when COVID-19 restrictions were lifted.

Methods: Students in middle and high schools and colleges and universities in the province of Sichuan, China were asked to complete on-line cross-sectional surveys. Information was collected about sociodemographics, experiences related to the COVID-19 pandemic, suicidal ideation and suicide attempts. Participants also filled out the Patient Health Questionnaire-9, the Generalized Anxiety Disorder-7 and the Social Support Rate Scale surveys. Factors associated with suicidal ideation or suicide attempts were explored using logistic regression.

Results: Of the 82,873 respondents (aged 12 to 24 years), 21,292 (25.7%) reported having thought of suicide at least once in their lifetime, 10,382 (12.5%) reported having thought about suicide within the previous 12 months, and 1,123 (1.4%) reported having attempted it within the previous 12 months. Risk of lifetime suicidal ideation was higher among middle school students than among older students. Risk of suicidal ideation and risk of suicide attempts correlated directly with severity of symptoms of depression and anxiety, and inversely with level of social support. Greater risk of suicidal ideation and suicidal attempts was associated with: being female, living in an urban environment, attending a boarding school, currently being in love, having parents who divorced or remarried, having parents who exhibit non-authoritative parenting behavior, having higher family income, having been COVID-19 infected, having been quarantined for a long time, and being dissatisfied with one's education.

Conclusions: Suicidal ideation and suicide attempts remain prevalent among young people in China. The potential associated factors identified in our study may be useful for targeting appropriate psychosocial interventions and developing mental health policies.

Keywords: adolescent and young adults; associated factors; lifting of COVID-19 restrictions; prevalence; suicidal ideation; suicide attempts.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
The superimposed effect of COVID-19 infection, depressive symptoms, social support on lifetime suicidal ideation.
See this image and copyright information in PMC

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References

    1. Kieling C, Buchweitz C, Caye A, Silvani J, Ameis SH, Brunoni AR, et al. . Worldwide prevalence and disability from mental disorders across childhood and adolescence: evidence from the global burden of disease study. JAMA Psychiatry. (2024) 81:347–56. doi: 10.1001/jamapsychiatry.2023.5051 - DOI - PMC - PubMed
    1. Aalsma M, Keys J, Ferrin S, Shan M, Garbuz T, Scott T, et al. . Adolescent suicide assessment and management in primary care. BMC Pediatrics. (2022) 22:389. doi: 10.1186/s12887-022-03454-4 - DOI - PMC - PubMed
    1. Ding L, Shi Z, Liu Y, Liu X. A gender comparative study on the prevalence and associated factors of suicide attempts among adolescents in low- income and middle-income countries—— Analysis based on data from the Global School Student Health Survey (GSHS). Modern Prev Med. (2021) 48:3309–12, 16
    1. Zhao S, Zhang J. Suicide risks among adolescents and young adults in rural China. Int J Environ Res Public Health. (2014) 12:131–45. doi: 10.3390/ijerph120100131 - DOI - PMC - PubMed
    1. Hu S, Mo D, Guo P, Zheng H, Jiang X, Zhong H. Correlation between suicidal ideation and emotional memory in adolescents with depressive disorder. Sci Rep. (2022) 12:5470. doi: 10.1038/s41598-022-09459-4 - DOI - PMC - PubMed

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