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Article: Prevalence and correlates of suicidal ideation in the general public during the fifth wave of COVID-19 pandemic in Hong Kong

TitlePrevalence and correlates of suicidal ideation in the general public during the fifth wave of COVID-19 pandemic in Hong Kong
Authors
Keywordscoping strategies
COVID-19
loneliness
pre-existing mental disorders
suicidal ideation
survey
Issue Date10-Jan-2024
PublisherFrontiers Media
Citation
Frontiers in Psychiatry, 2024, v. 14 How to Cite?
Abstract

Introduction: Literature reveals increased suicidal ideation in the general population during pandemic. However, few COVID-19 studies comprehensively assessed factors associated with suicidal ideation, and mixed findings were observed. We aimed to examine prevalence and correlates of suicidal ideation in general public during the peak of fifth COVID-19 wave in Hong Kong based on a broad array of relevant measures.

Methods: This survey assessed 14,709 community-dwelling adults during March 15–April 3, 2022. Comprehensive assessment was administered including socio-demographics, pre-existing mental/physical morbidity, mental-health symptoms, resilience, loneliness, coping strategies, and pandemic-related factors. Presence of suicidal ideation was evaluated by ratings of item 9 on Patient-Health-Questionnaire-9.

Results: A total of 2,249 (15.3%) participants exhibited suicidal ideation. Multivariable-regression analysis found that being single and unemployed, pre-existing mental disorder, more severe depressive and anxiety symptoms, higher levels of loneliness and engagement in avoidant coping were significantly associated with suicidal ideation. Conversely, attaining tertiary educational level or above, greater resilience and adopting problem-focused coping were associated with lower likelihood of suicidal ideation. Although univariate-analyses revealed that a number of pandemic-related factors were linked to suicidal ideation, none remained significant in the multivariable model.

Conclusion: A significant proportion of people experienced suicidal ideation during the peak of fifth COVID-19 wave. Risk and protective factors identified would facilitate early identification of high-risk individuals and provision of targeted interventions to minimize suicidal ideation and risk of self-harm. Caution should be exercised due to study limitations of a cross-sectional design which precluded establishing causality among variables, and reliance on self-reported data.


Persistent Identifierhttp://hdl.handle.net/10722/340673
ISSN
2023 Impact Factor: 3.2
2023 SCImago Journal Rankings: 1.155
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorLo, HKY-
dc.contributor.authorChan, JKN-
dc.contributor.authorWong, CSM-
dc.contributor.authorWong, GHS-
dc.contributor.authorLei, JHC-
dc.contributor.authorSo, YK-
dc.contributor.authorFung, VSC-
dc.contributor.authorChu, RST-
dc.contributor.authorLing, R-
dc.contributor.authorChung, AKK-
dc.contributor.authorLee, KCK-
dc.contributor.authorCheng, CPW-
dc.contributor.authorChan, WC-
dc.contributor.authorChang, WC-
dc.date.accessioned2024-03-11T10:46:19Z-
dc.date.available2024-03-11T10:46:19Z-
dc.date.issued2024-01-10-
dc.identifier.citationFrontiers in Psychiatry, 2024, v. 14-
dc.identifier.issn1664-0640-
dc.identifier.urihttp://hdl.handle.net/10722/340673-
dc.description.abstract<p><strong>Introduction:</strong> Literature reveals increased suicidal ideation in the general population during pandemic. However, few COVID-19 studies comprehensively assessed factors associated with suicidal ideation, and mixed findings were observed. We aimed to examine prevalence and correlates of suicidal ideation in general public during the peak of fifth COVID-19 wave in Hong Kong based on a broad array of relevant measures.</p><p><strong>Methods:</strong> This survey assessed 14,709 community-dwelling adults during March 15–April 3, 2022. Comprehensive assessment was administered including socio-demographics, pre-existing mental/physical morbidity, mental-health symptoms, resilience, loneliness, coping strategies, and pandemic-related factors. Presence of suicidal ideation was evaluated by ratings of item 9 on Patient-Health-Questionnaire-9.</p><p><strong>Results:</strong> A total of 2,249 (15.3%) participants exhibited suicidal ideation. Multivariable-regression analysis found that being single and unemployed, pre-existing mental disorder, more severe depressive and anxiety symptoms, higher levels of loneliness and engagement in avoidant coping were significantly associated with suicidal ideation. Conversely, attaining tertiary educational level or above, greater resilience and adopting problem-focused coping were associated with lower likelihood of suicidal ideation. Although univariate-analyses revealed that a number of pandemic-related factors were linked to suicidal ideation, none remained significant in the multivariable model.</p><p><strong>Conclusion:</strong> A significant proportion of people experienced suicidal ideation during the peak of fifth COVID-19 wave. Risk and protective factors identified would facilitate early identification of high-risk individuals and provision of targeted interventions to minimize suicidal ideation and risk of self-harm. Caution should be exercised due to study limitations of a cross-sectional design which precluded establishing causality among variables, and reliance on self-reported data.</p>-
dc.languageeng-
dc.publisherFrontiers Media-
dc.relation.ispartofFrontiers in Psychiatry-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.subjectcoping strategies-
dc.subjectCOVID-19-
dc.subjectloneliness-
dc.subjectpre-existing mental disorders-
dc.subjectsuicidal ideation-
dc.subjectsurvey-
dc.titlePrevalence and correlates of suicidal ideation in the general public during the fifth wave of COVID-19 pandemic in Hong Kong-
dc.typeArticle-
dc.identifier.doi10.3389/fpsyt.2023.1252600-
dc.identifier.scopuseid_2-s2.0-85182813245-
dc.identifier.volume14-
dc.identifier.eissn1664-0640-
dc.identifier.isiWOS:001147185200001-
dc.identifier.issnl1664-0640-

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