ArticlePsicologia, reflexao e critica : revista semestral do Departamento de Psicologia da UFRGS2026
Social support and life-threatening behavior in online psychotherapy patients: a possible "pulling-together effect" during COVID-19.
Article in Psicologia, reflexao e critica : revista semestral do Departamento de Psicologia da UFRGS, 2026. 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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Abstract
backgroundThe “pulling-together effect” has been widely studied in the context of large-scale crises, such as wars, natural disasters, epidemics, and pandemics. This study was conducted from November 2020 to June 2021 and suggests a possible association with this effect, as this period may represent one of the most intense phases of the pulling-together effect ever studied in the context of global catastrophes.
objectiveThis study aimed to evaluate the association between life-threatening behavior and satisfaction with social relationships in online psychotherapy patients, which may be related to the pulling-together effect and the COVID-19 pandemic.
methodThe clinical sample was composed mostly of females (80%), aged from 21 to 30 years. Patients were selected from the psychotherapy services of five major hospitals in Porto Alegre, a state capital in southern Brazil.
resultsPreliminary results indicated that 41 individuals (44%) had some form of life-threatening behavior, and 62 (66%) rated their satisfaction with personal relationships as satisfactory or indifferent. After adjustment for other variables—gender, skin-color, and marital status—satisfaction with social relationships showed a protective effect, reducing life-threatening behavior by 29% (95%CI: 0.59–0.86, p < 0.001).
conclusionsOur results suggest that satisfaction with social relationships was protective against suicidal behavior in the early stages of the pandemic. In this sample, we identified a possible association with the pulling-together effect.
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