TY - JOUR
AU - G. A. Woolverton
AU - R. Rastogi
AU - K. K. Brieger
AU - S. H. M. Wong
AU - B. T. Keum
AU - H. C. Hahm
AU - C. H. Liu
A1 - 
AB - INTRODUCTION: Researchers predict long-term increases in suicide deaths following the COVID-19 pandemic. Little is known about risk factors for suicidal ideation (SI) and suicidal attempts (SA) or treatment barriers and promoters during the pandemic. We examine these factors in a young adult sample. METHODS: Analyses used a 2022 cross-sectional survey dataset (N = 1,956). Logistic regression identified factors associated with pandemic suicidality (i.e., SI, SA). Non-treatment seekers reported barriers to seeking treatment. Logistic regression identified promotive factors associated with treatment-seeking. RESULTS: 28.6 % of our sample developed suicidality during the pandemic, of whom 49.6 % did not seek treatment. Asian race and sexual minority status were strongly associated with increased odds of pandemic suicidality. Among SI non-treatment-seekers, barriers were primarily attitudinal (e.g., "symptoms are not serious enough for treatment"); among non-treatment-seekers with SA, barriers were mostly structural (e.g., insufficient funds). Previous depression treatment was strongly associated with increased odds of treatment-seeking. CONCLUSION: Asian American individuals were at increased risk for pandemic suicidality, which may reflect interpersonal risks related to COVID-19-related anti-Asian racism. Our findings point to a "foot-in-the-door" effect: past treatment-seeking was positively associated with future treatment-seeking. To promote this effect and decrease barriers, we suggest integrated mental health screening and referrals in primary care.
AD - Department of Pediatrics, Brigham and Women's Hospital, Boston, MA, USA.; Department of Psychiatry, Brigham and Women's Hospital, Boston, MA, USA; Harvard Medical School, Boston, MA, USA.; Counseling and Clinical Psychology, Teachers College, Columbia University, New York, NY, USA.; Carolyn A. and Peter S. Lynch School of Education and Human Development, Boston College, Chestnut Hill, MA, USA.; School of Social Work, Boston University, Boston, MA, USA.; Department of Pediatrics, Brigham and Women's Hospital, Boston, MA, USA; Department of Psychiatry, Brigham and Women's Hospital, Boston, MA, USA; Harvard Medical School, Boston, MA, USA. Electronic address: chliu@bwh.harvard.edu.
AN - 39111234
BT - Psychiatry Res
C5 - Healthcare Disparities
DA - Oct
DO - 10.1016/j.psychres.2024.116095
DP - NLM
ET - 20240723
JF - Psychiatry Res
LA - eng
N2 - INTRODUCTION: Researchers predict long-term increases in suicide deaths following the COVID-19 pandemic. Little is known about risk factors for suicidal ideation (SI) and suicidal attempts (SA) or treatment barriers and promoters during the pandemic. We examine these factors in a young adult sample. METHODS: Analyses used a 2022 cross-sectional survey dataset (N = 1,956). Logistic regression identified factors associated with pandemic suicidality (i.e., SI, SA). Non-treatment seekers reported barriers to seeking treatment. Logistic regression identified promotive factors associated with treatment-seeking. RESULTS: 28.6 % of our sample developed suicidality during the pandemic, of whom 49.6 % did not seek treatment. Asian race and sexual minority status were strongly associated with increased odds of pandemic suicidality. Among SI non-treatment-seekers, barriers were primarily attitudinal (e.g., "symptoms are not serious enough for treatment"); among non-treatment-seekers with SA, barriers were mostly structural (e.g., insufficient funds). Previous depression treatment was strongly associated with increased odds of treatment-seeking. CONCLUSION: Asian American individuals were at increased risk for pandemic suicidality, which may reflect interpersonal risks related to COVID-19-related anti-Asian racism. Our findings point to a "foot-in-the-door" effect: past treatment-seeking was positively associated with future treatment-seeking. To promote this effect and decrease barriers, we suggest integrated mental health screening and referrals in primary care.
PY - 2024
SN - 0165-1781 (Print); 0165-1781
SP - 116095
ST - Barriers and risk factors associated with non-treatment-seeking for suicidality onset during the COVID-19 pandemic among young adults
T1 - Barriers and risk factors associated with non-treatment-seeking for suicidality onset during the COVID-19 pandemic among young adults
T2 - Psychiatry Res
TI - Barriers and risk factors associated with non-treatment-seeking for suicidality onset during the COVID-19 pandemic among young adults
U1 - Healthcare Disparities
U3 - 10.1016/j.psychres.2024.116095
VL - 340
VO - 0165-1781 (Print); 0165-1781
Y1 - 2024
ER -