Evidence map›Paper›PMID 36584705›Full record

Observational studyJournal of affective disorders2023

Psychological mediators of the associations between pandemic-related stressors and suicidal ideation across three periods of the COVID-19 pandemic in Canada.

Brianna J Turner, Andrew C Switzer, Brooke E Welch, Nicole K Legg, Madeline A Gregory, Peter Phiri, Shanaya Rathod, Theone S E Paterson

Abstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Journal of affective disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
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

8 authors.

Brianna J TurnerDepartment of Psychology, University of Victoria, Victoria, BC, Canada. Electronic address: briannat@uvic.ca.
Andrew C SwitzerDepartment of Psychology, University of Victoria, Victoria, BC, Canada.
Brooke E WelchDepartment of Psychology, University of Victoria, Victoria, BC, Canada.
Nicole K LeggDepartment of Psychology, University of Victoria, Victoria, BC, Canada.
Madeline A GregoryDepartment of Psychology, University of Victoria, Victoria, BC, Canada.
Peter PhiriResearch & Innovation Department, Southern Health NHS Foundation Trust, Southampton, UK; School of Psychology, Faculty of Environmental and Life Sciences, University of Southampton, Southampton, UK.
Shanaya RathodResearch & Innovation Department, Southern Health NHS Foundation Trust, Southampton, UK; Faculty of Science, University of Portsmouth, UK.
Theone S E PatersonDepartment of Psychology, University of Victoria, Victoria, BC, Canada.

Funding

CIHR
6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic's mental health impact is well-established. While early evidence suggested suicide deaths remained stable or declined, suicidal ideation (SI) became more prevalent than before the pandemic. Our study: (1) examined the prevalence and distribution of SI among Canadian adults, (2) compared SI among those with and without pre-existing mental illnesses, and (3) evaluated associations between pandemic-related stressors (i.e., unemployment, insecure employment, loss of income, medical vulnerability, COVID-19 exposure) with SI, and whether such associations were mediated by depression, thwarted belongingness, perceived burdensomeness, or perceived discrimination.

methodsThe sample was comprised of data gathered at three timepoints (Wave 1 08/18/2020-10/01/2020, n = 6629; Wave 2 12/21/2020-03/31/2021, n = 5920; Wave 3 09/07/2021-12/07/2021, n = 7354). Quota-based responses from survey research panels which matched the geographic, age, and sex distribution of the Canadian population were supplemented with convenience-sampled responses.

resultsThe prevalence of SI was 4.1 % (Wave 1), 5.3 % (Wave 2), and 5.8 % (Wave 3). Odds of SI were higher for respondents under the age of 35 years and with pre-existing mental illnesses. SI was associated with quarantining due to suspected or confirmed COVID-19 exposure, potential COVID-19 exposure at work, medical vulnerability toward COVID-19, insecure employment or unemployment, and income loss. These associations were mediated by psychological experiences, particularly depression and thwarted belongingness. LIMITATIONS: This cross-sectional, observational study cannot establish temporality or causality.

conclusionResults highlight groups who may benefit from enhanced screening for depression and suicide risk. Reducing depression and increasing sense of belonging should be prioritized.

Indexed as

COVID-19Suicidal IdeationAdultCanadaCross-Sectional StudiesHumansInterpersonal RelationsPandemicsPsychological TheoryRisk FactorsDemographicDepressionEpidemiologyPandemicSuicidal thoughtsSuicide

Identifiers

PMID36584705
PMCPMC9794401

What OpenQuestion holds

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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.