在2019年冠状病毒疾病大流行之前和期间探索青少年自杀企图:一个横截面研究
Lucca Garcia Moreira Ribeiro1, Danton Matheus de Souza1, Carlos Alberto Dos Santos Treichel1
1Universidade de São Paulo, Escola de Enfermagem, São Paulo, SP, Brazil.
概括
在COVID-19大流行之前和期间,青少年自杀企图的数量保持稳定. 与之前的心理健康诊断不同,孤独在疫情期间成为一个关键的风险因素.
科学领域:
- 公共卫生 公共卫生
- 青少年医学 青少年医学
- 流行病学 流行病学
背景情况:
- 2019年新冠肺炎 (COVID-19) 疫情对青少年心理健康带来了前所未有的挑战.
- 了解大流行对青少年自杀企图的影响对于公共卫生干预至关重要.
研究的目的:
- 分析和比较在COVID-19大流行之前和期间在急诊室治疗的青少年自杀企图.
- 确定与大流行期间青少年自杀企图相关的风险因素和趋势.
主要方法:
- 一项横截面的回顾性研究分析了巴西圣保罗治疗自杀未遂的青少年的医疗记录.
- 数据收集跨越了大流行前 (2015-2020) 和大流行 (2020-2023) 期间.
- 使用了描述性和推断性的统计分析,包括趋势和关联测试.
主要成果:
- 总共分析了140起自杀企图,54起发生在疫情期间,趋势稳定 (p>0.05).
- 高中毕业的青少年与流行病时代的尝试有关.
- 在大流行期间,孤独感是主要的风险因素,与大流行前与先前精神障碍相关的病例不同 (p<0.05).
结论:
- COVID-19大流行并没有显著改变青少年自杀企图的整体发病率.
- 与流行病相关的自杀企图与流行病前的病例相比,与先前存在的心理健康诊断的联系较小.
- 新出现的风险因素,如孤独,需要在公共卫生危机期间对青少年心理健康支持给予有针对性的关注.
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