Evidence mapPaperPMID 40912229Full record

Observational studyJMIR formative research2025

Changing Trends in Suicidal Ideation and Its Influencing Factors During the Transition From Quarantine to Post-Quarantine Among Chinese University Students During the COVID-19 Surge: Six-Wave Panel Study.

Lijing Li, Tingzhong Yang, Sihui Peng, Randall R Cottrell

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Observational study in JMIR formative research, 2025. 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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5 · Who and what money

Authors and funding

4 authors.

Lijing LiDepartment of Obstetrics and Gynecology, Yongkang Women and Children's Health Hospital, Yongkang, China.ORCID 0009-0003-5437-3996
Tingzhong YangMaternal and Child Healthcare Service Department, Yongkang Women and Children's Health Hospital, Yongkang, China.ORCID 0000-0001-8234-0938
Sihui PengDepartment of Public Health and Preventive Medicine, School of Medicine, Jinan University, No. 601 Huangpudadao West, Guangzhou, 510632, China, 86 02085220267.ORCID 0000-0003-0660-537X
Randall R CottrellPublic Health Studies Program, School of Health and Applied Human Sciences, University of North Carolina Wilmington, Wilmington, NY, United States.ORCID 0000-0001-8733-9127

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: To mitigate the rapid spread of COVID-19, numerous countries have adopted lockdowns and quarantine measures. Despite their public health benefits, the effects of these measures on suicidal ideation have not been well documented. Objective: This study aims to examine the relationship among COVID-19 infection, perceived beliefs, uncertainty stress, and suicidal ideation during the transition from quarantine to post-quarantine periods amid China's COVID-19 surge. Methods: A prospective longitudinal observational design was used. Changing trends across the 6 time points were assessed using the Mann-Kendall test and the Cochran-Armitage test. A generalized estimating equation was used to analyze the associations between independent variables and suicidal ideation. Results: A total of 221 (96.5%) participants completed all 6 observation waves. The prevalence of suicidal ideation during the quarantine period was 16.7% (n=37), 14.5% (n=32), and 14.5% (n=32), while during the post-quarantine period, it was 13.8% (n=30), 10.9% (n=24), and 10.0% (n=22), respectively. A significant downward trend in suicidal ideation was observed. In contrast, perceived risk, perceived severity, and the number of new infections exhibited significant upward trends (z scores of 9.56, 7.13, and 3.69, respectively; P<.001, P<.001 and P=.002, respectively). However, uncertainty stress remained stable over time (z=0.71; P=.48). The generalized estimating equation indicated that perceived risk (β=0.5482; P<.001), perceived severity (β=0.0817; P=.007), and uncertainty stress (β=0.1776; P<.001) were positively associated with suicidal ideation. The number of new infections (β=0.0041; P=.49) was not significantly associated with suicidal ideation. Conclusions: This study found that suicidal ideation gradually declined following the lifting of quarantine measures. Perceived risk, perceived severity, and uncertainty stress, rather than numbers of infected cases, were significantly associated with suicidal ideation. These findings highlight the importance of addressing individuals' perceptions with real-world context when developing effective strategies to manage COVID-19 and future infectious disease outbreaks.

Indexed as

COVID-19QuarantineStudentsSuicidal IdeationAdultChinaFemaleHumansLongitudinal StudiesMaleProspective StudiesSARS-CoV-2Stress, PsychologicalUniversitiesYoung AdultCOVID-19lockdownstresssuicideuncertainty

Identifiers

PMID40912229
PMCPMC12413214

What Socratic holds

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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.