自杀率几十年来一直在上升,全球大流行的挑战似乎加剧了自杀风险因素。自杀之间的关系,COVID-19风险认知,并对指南依从性进行了检查,以告知实施旨在预防未来大流行的行为干预措施的潜在障碍。
159名MTurk参与者的全国样本(Mage=37.64岁,SD=11.92;48.4%的女性)完成了一项包含以下内容的在线调查:人口统计,自杀意念属性量表,COVID-19风险感知的广泛适用衡量标准,以及对COVID-19指南和感知风险量表的坚持。
多重线性回归评估自杀率与感知风险分量表和每个依从性指标相关,同时控制生物性别,年龄,和基本工人身份。超过25%的参与者在过去一个月中表示自杀,19%的人有自杀行为的高风险。自杀率较高与一般COVID-19风险感知较低相关(β=-0.326,p<.001),减少洗手(β=-0.423,p<.001),如果感染COVID-19,计划自我隔离的可能性较低(β=-0.400,p<.001),社会距离较小(β=-0.457,p<.001),大型聚会的出席人数增加(β=0.405,p<.001)。
由于所用数据的横截面性质,时间关系无法评估。风险概率子量表的内部可靠性较低,因此无法将其纳入分析。
考虑到自杀与降低的风险认知和低依从性的关联,它可能会成为防止未来大流行发生所必需的持续行为改变的障碍。
Suicide rates have been increasing for decades, and the challenges of a global pandemic seem to have worsened suicide risk factors. The relationship between suicidality, COVID-19 risk perceptions, and
guideline adherence was examined to inform potential barriers to the implementation of behavioral interventions aimed at preventing future pandemics.
A national sample of 159 MTurk participants (Mage = 37.64 years, SD = 11.92; 48.4% female) completed an online survey containing the following: demographics, Suicidal Ideation Attributes Scale, Broadly Applicable Measure of Risk Perception of COVID-19, and Adherence to COVID-19
Guidelines and Perceived Risk Scale.
Multiple linear regressions assessed how suicidality related to perceived risk subscales and each adherence indicator while controlling for biological sex, age, and essential worker status. Over 25% of participants reported suicidality over the past month, and 19% were at high risk of suicidal behavior. Greater suicidality was associated with lower general COVID-19 risk perceptions (β = -0.326, p < .001), decreased handwashing (β = -0.423, p < .001), lower likelihood of planning to self-quarantine if infected with COVID-19 (β = -0.400, p < .001), less social distancing (β = -0.457, p < .001), and increased attendance of large gatherings (β = 0.405, p < .001).
Temporal relationships were unable to be assessed due to the cross-sectional nature of the data used. The low internal reliability of the risk probability subscale precluded its inclusion in analyses.
Given suicidality\'s associations with decreased risk perceptions and low adherence, it may present as a barrier to the sustained behavior change that will be necessary in preventing the occurrence of future pandemics.