Evidence map›Paper›PMID 35597475›Full record

ArticleJournal of affective disorders2022

Longitudinal associations between multiple mental health problems and suicidal ideation among university students during the COVID-19 pandemic.

Zijuan Ma, Dongfang Wang, Jingbo Zhao, Yuanyuan Zhu, Yifan Zhang, Zihao Chen, Jiaqi Jiang, Ye Pan, Zheng Yang, Zhiyi Zhu and 2 more

Abstract read
In one paragraph

Article in Journal of affective disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Zijuan MaSchool of Psychology, Center for Studies of Psychological Application, Guangdong Key Laboratory of Mental Health and Cognitive Science, South China Normal University, China; Key Laboratory of Brain, Cognition and Education Sciences, Ministry of Education, China.
Dongfang WangSchool of Psychology, Center for Studies of Psychological Application, Guangdong Key Laboratory of Mental Health and Cognitive Science, South China Normal University, China; Key Laboratory of Brain, Cognition and Education Sciences, Ministry of Education, China.
Jingbo ZhaoDepartment of Psychology, School of Public Health, Southern Medical University, Guangzhou, China.
Yuanyuan ZhuSchool of Health Professions Education, Maastricht University, Maastricht, the Netherlands.
Yifan ZhangSchool of Psychology, Center for Studies of Psychological Application, Guangdong Key Laboratory of Mental Health and Cognitive Science, South China Normal University, China; Key Laboratory of Brain, Cognition and Education Sciences, Ministry of Education, China.
Zihao ChenSchool of Psychology, Center for Studies of Psychological Application, Guangdong Key Laboratory of Mental Health and Cognitive Science, South China Normal University, China; Key Laboratory of Brain, Cognition and Education Sciences, Ministry of Education, China.
Jiaqi JiangSchool of Psychology, Center for Studies of Psychological Application, Guangdong Key Laboratory of Mental Health and Cognitive Science, South China Normal University, China; Key Laboratory of Brain, Cognition and Education Sciences, Ministry of Education, China.
Ye PanSchool of Psychology, Center for Studies of Psychological Application, Guangdong Key Laboratory of Mental Health and Cognitive Science, South China Normal University, China; Key Laboratory of Brain, Cognition and Education Sciences, Ministry of Education, China.
Zheng YangSchool of Psychology, Center for Studies of Psychological Application, Guangdong Key Laboratory of Mental Health and Cognitive Science, South China Normal University, China; Key Laboratory of Brain, Cognition and Education Sciences, Ministry of Education, China.
Zhiyi ZhuSchool of Psychology, Center for Studies of Psychological Application, Guangdong Key Laboratory of Mental Health and Cognitive Science, South China Normal University, China; Key Laboratory of Brain, Cognition and Education Sciences, Ministry of Education, China.
Xianchen LiuCenter for Public Health Initiatives, University of Pennsylvania, Philadelphia, PA, USA.
Fang FanSchool of Psychology, Center for Studies of Psychological Application, Guangdong Key Laboratory of Mental Health and Cognitive Science, South China Normal University, China; Key Laboratory of Brain, Cognition and Education Sciences, Ministry of Education, China. Electronic address: fangfan@scnu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecent research suggested that COVID-19-related multiple mental health problems were associated with an increased risk for suicidal ideations (SIs), but population-based data demonstrating these associations are scarce. This study aimed to estimate the cumulative effects of psychological risk factors on SIs during the outbreak and remission periods of COVID-19 using a cumulative risk model, as well as sex differences.

methodsA total of 68,685 college students in China participated in the survey during two phases of the pandemic (T1 and T2). Mental health risks (acute stress, depression, anxiety, insomnia, and obsessive-compulsive symptoms) and sociodemographic characteristics were measured at T1, and SIs were assessed at T1 and T2. Hierarchical regression analysis was used to determine the combined effect of multiple mental health problems on SIs at T1 and T2.

resultsThe prevalence of SIs increased from the early periods of the COVID-19 pandemic (7.6%) to the later periods (10.0%). Depression was a powerful risk factor for SIs during the COVID-19 pandemic. Individuals with >3 mental risks would be most likely to experience rapidly increasing SIs during the early periods of the COVID-19 pandemic. Sex exerted different effects on the cumulative risk model of SIs.

conclusionsInterventions, such as mental health education and improving utilization of student support services, should be implemented. There is a crucial need for early intervention and prevention efforts aimed at males with greater than three mental health problems.

Indexed as

COVID-19Suicidal IdeationAnxietyDepressionFemaleHumansMaleMental HealthPandemicsStudentsUniversitiesCOVID-19Longitudinal associationsMultiple mental health symptomsSuicidal ideationUniversity students

Identifiers

PMID35597475
PMCPMC9116974

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Registered trials

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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 OpenQuestion graph.