Evidence map›Paper›PMID 39111234›Full record

ArticlePsychiatry research2024

Barriers and risk factors associated with non-treatment-seeking for suicidality onset during the COVID-19 pandemic among young adults.

G Alice Woolverton, Ritika Rastogi, Katharine K Brieger, Sylvia H M Wong, Brian TaeHyuk Keum, Hyeouk Chris Hahm, Cindy H Liu

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Article in Psychiatry research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

G Alice WoolvertonDepartment of Pediatrics, Brigham and Women's Hospital, Boston, MA, USA.
Ritika RastogiDepartment of Pediatrics, Brigham and Women's Hospital, Boston, MA, USA.
Katharine K BriegerDepartment of Psychiatry, Brigham and Women's Hospital, Boston, MA, USA; Harvard Medical School, Boston, MA, USA.
Sylvia H M WongCounseling and Clinical Psychology, Teachers College, Columbia University, New York, NY, USA.
Brian TaeHyuk KeumCarolyn A. and Peter S. Lynch School of Education and Human Development, Boston College, Chestnut Hill, MA, USA.
Hyeouk Chris HahmSchool of Social Work, Boston University, Boston, MA, USA.
Cindy H LiuDepartment 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.

Funding

Stuart T. Hauser Research Training Program in Biological and Social Psychiatry.T32MH016259 · NIMH · JUDGE BAKER CHILDREN'S CENTER · PI Marek Kubicki, Martha E. Shenton · 1985 to 2026
$8.4M
Family Communication Processes, Self-Regulation, and Adolescent Mental Health Trajectories in Chinese American FamiliesR01MH129360 · NIMH · BRIGHAM AND WOMEN'S HOSPITAL · PI CINDY H LIU, Tiffany Yip · 2022 to 2026
$4.1M
NIMH NIH HHS R01 MH129360NIMH NIH HHS T32 MH016259
6 · The paper itself

Abstract

introductionResearchers 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.

methodsAnalyses 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.

results28.6 % 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.

conclusionAsian 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.

Indexed as

COVID-19Patient Acceptance of Health CareSuicidal IdeationSuicide, AttemptedAdolescentAdultAsianCross-Sectional StudiesFemaleHealth Services AccessibilityHumansMaleRisk FactorsSexual and Gender MinoritiesYoung AdultCOVID-19 pandemicSuicidal ideationSuicideSuicide attemptsTreatment barriersTreatment seeking

Identifiers

PMID39111234
PMCPMC11371488

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.