ArticlePloS one2022
Economic precarity, loneliness, and suicidal ideation during the COVID-19 pandemic.
Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 5 of them syntheses that pooled it.
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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.
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Who cites it
23 citing papers in PubMed, 5 syntheses or guidelines pooled it, 27 citations in OpenAlex.
- Loneliness as an Interface Between Alzheimer's Disease and Suicidal Behaviour: A Systematic Review, Meta-Analysis and Meta-Analytic Factor Analysis.Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society · 2026Pooled it
- Global Overview of Suicidal Behavior and Risk Factors among General Population during the COVID-19 Pandemic: A Systematic Review and a Meta-Regression.The Psychiatric quarterly · 2025Pooled it
- Suicide before and during the COVID-19 Pandemic: A Systematic Review with Meta-Analysis.International journal of environmental research and public health · 2023Pooled it
- SARS-CoV-2 Infection and the Risk of Suicidal and Self-Harm Thoughts and Behaviour: A Systematic Review.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2022Pooled it
- The impact of the COVID-19 pandemic on self-harm and suicidal behaviour: update of living systematic review.F1000Research · 2020Pooled it
- Hidden out-of-pocket spending on health: A cross-sectional study on underestimation of catastrophic health spending in Vietnam.Public health in practice (Oxford, England) · 2026Article
- A nation of caregivers: past, present, and future expectations of caregiving.Health affairs scholar · 2026Article
- Suicidality Risks Associated with Finasteride, a 5-Alpha Reductase Inhibitor: An Evaluation of Real-World Data from the FDA Adverse Event Reports.Pharmaceuticals (Basel, Switzerland) · 2025Article
- Support for Care Economy Policies by Political Affiliation and Caregiving Responsibilities.JAMA health forum · 2025Article
- Double Burden of Distress: Exploring the Joint Associations of Loneliness and Financial Strain with Suicidal Ideation During the COVID-19 Pandemic in Canada.International journal of environmental research and public health · 2025Article
- Associations between local COVID-19 policies and anxiety in the USA: a longitudinal digital cohort study.BMJ public health · 2025Article
- The Impact of the COVID-19 Pandemic on Suicide Attempts in Kerman Province: An Interrupted Time Series Analysis.Iranian journal of public health · 2025Article
- Suicidal ideation and thoughts of self-harm during the COVID-19 pandemic among Swedish employees: a cohort study on the role of job instability and job insecurity.BMC psychology · 2024Article
- Mental Health Treatment Use, Perceived Treatment Need, and Reasons for Non-Use Among U.S. Adults with Serious Suicidal Thoughts During the COVID-19 Pandemic.Community mental health journal · 2024Article
- Psychiatric Epidemiology During the COVID-19 Pandemic.Current epidemiology reports · 2024Article
- Suicide in Hong Kong during the COVID-19 pandemic: an observational study.BMJ public health · 2024Article
- Impacts of Working Hours, Wages, and Regular Employment Opportunity on Suicide Mortalities of Employed and Unemployed Individuals before and during the COVID-19 Pandemic in Japan.International journal of environmental research and public health · 2024Article
- Access to Mental Health and Substance Use Treatment in Comprehensive Primary Care Plus.JAMA network open · 2024Article
- COVID-19-Related Stress and Its Association with Intimate Partner Violence Perpetration and Victimization.Behavioral sciences (Basel, Switzerland) · 2023Article
- Pandemic-related impacts and suicidal ideation among adults in Canada: a population-based cross-sectional study.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2023Article
Corrections and comments
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Authors and funding
7 authors at 4 institutions in 1 country.
Funding
Abstract
The US population faced stressors associated with suicide brought on by the COVID-19 pandemic. Understanding the relationship between stressors and suicidal ideation in the context of the pandemic may inform policies and programs to prevent suicidality and suicide. We compared suicidal ideation between two cross-sectional, nationally representative surveys of adults in the United States: the 2017-2018 National Health and Nutrition Examination Survey (NHANES) and the 2020 COVID-19 and Life Stressors Impact on Mental Health and Well-being (CLIMB) study (conducted March 31 to April 13). We estimated the association between stressors and suicidal ideation in bivariable and multivariable Poisson regression models with robust variance to generate unadjusted and adjusted prevalence ratios (PR and aPR). Suicidal ideation increased from 3.4% in the 2017-2018 NHANES to 16.3% in the 2020 CLIMB survey, and from 5.8% to 26.4% among participants in low-income households. In the multivariable model, difficulty paying rent (aPR: 1.5, 95% CI: 1.2-2.1) and feeling alone (aPR: 1.9, 95% CI: 1.5-2.4) were associated with suicidal ideation but job loss was not (aPR: 0.9, 95% CI: 0.6 to 1.2). Suicidal ideation increased by 12.9 percentage points and was almost 4.8 times higher during the COVID-19 pandemic. Suicidal ideation was more prevalent among people facing difficulty paying rent (31.5%), job loss (24.1%), and loneliness (25.1%), with each stressor associated with suicidal ideation in bivariable models. Difficulty paying rent and loneliness were most associated with suicidal ideation. Policies and programs to support people experiencing economic precarity and loneliness may contribute to suicide prevention.
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Registered trials
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