Sanggu Kang1, Yeri Jeong1, Eun Hye Park2, Seung-Sik Hwang1. 1. Department of Preventive Medicine, Graduate School of Public Health, Seoul National University, Seoul, Korea. 2. Graduate School of Public Health, Seoul National University, Seoul, Korea.
Abstract
OBJECTIVES: Economic hardship has a serious impact on adolescents' mental health. The financial impact of the coronavirus disease 2019 (COVID-19) pandemic was more severe for low-income families, and this also impacted adolescents. This study aimed to examine the associations of economic deterioration (ED) caused by the COVID-19 pandemic and low socioeconomic status (SES) with adolescents' suicidal behaviors. METHODS: This study analyzed data from the 2020 Korea Youth Risk Behavior Web-based Survey, which included 54 948 middle and high school students. Odds ratios (ORs) of suicidal ideation, suicidal planning, and suicide attempts related to ED and SES were calculated using multivariable logistic regression. We calculated relative excess risks due to interaction to assess additive interactions. RESULTS: The ORs for suicidal ideation, suicidal planning, and suicide attempts related to combined severe ED and low SES were 3.64 (95% confidence interval [CI], 3.13 to 4.23), 3.88 (95% CI, 3.09 to 4.88), and 4.27 (95% CI, 3.21 to 5.69), respectively. CONCLUSIONS: ED and low SES were significantly associated with suicidal behaviors in adolescents. Although no significant additive interaction was found, the ORs related to suicidal ideation, suicidal planning, and suicide attempts were highest among adolescents from low-income families with severe ED. Special attention is needed for this group, considering the increased impact of economic inequality due to the COVID-19 pandemic.
OBJECTIVES: Economic hardship has a serious impact on adolescents' mental health. The financial impact of the coronavirus disease 2019 (COVID-19) pandemic was more severe for low-income families, and this also impacted adolescents. This study aimed to examine the associations of economic deterioration (ED) caused by the COVID-19 pandemic and low socioeconomic status (SES) with adolescents' suicidal behaviors. METHODS: This study analyzed data from the 2020 Korea Youth Risk Behavior Web-based Survey, which included 54 948 middle and high school students. Odds ratios (ORs) of suicidal ideation, suicidal planning, and suicide attempts related to ED and SES were calculated using multivariable logistic regression. We calculated relative excess risks due to interaction to assess additive interactions. RESULTS: The ORs for suicidal ideation, suicidal planning, and suicide attempts related to combined severe ED and low SES were 3.64 (95% confidence interval [CI], 3.13 to 4.23), 3.88 (95% CI, 3.09 to 4.88), and 4.27 (95% CI, 3.21 to 5.69), respectively. CONCLUSIONS: ED and low SES were significantly associated with suicidal behaviors in adolescents. Although no significant additive interaction was found, the ORs related to suicidal ideation, suicidal planning, and suicide attempts were highest among adolescents from low-income families with severe ED. Special attention is needed for this group, considering the increased impact of economic inequality due to the COVID-19 pandemic.
Entities:
Keywords:
Adolescent; COVID-19; Health inequities; Suicidal ideation
Authors: Shu-Sen Chang; David Gunnell; Jonathan A C Sterne; Tsung-Hsueh Lu; Andrew T A Cheng Journal: Soc Sci Med Date: 2009-02-04 Impact factor: 4.634
Authors: Sarah Larney; Dennis C Wendt; Camille Zolopa; Jacob A Burack; Roisin M O'Connor; Charlotte Corran; Jessica Lai; Emiliana Bomfim; Sarah DeGrace; Julianne Dumont Journal: Adolesc Res Rev Date: 2022-02-26
Authors: So Young Kim; Na-Eun Lee; Dae Myoung Yoo; Ji Hee Kim; Mi Jung Kwon; Joo-Hee Kim; Woo Jin Bang; Hyo Geun Choi Journal: Life (Basel) Date: 2022-04-18
Authors: Debora Marques de Miranda; Bruno da Silva Athanasio; Ana Cecília Sena Oliveira; Ana Cristina Simoes-E-Silva Journal: Int J Disaster Risk Reduct Date: 2020-09-10 Impact factor: 4.320
Authors: Jörg M Fegert; Benedetto Vitiello; Paul L Plener; Vera Clemens Journal: Child Adolesc Psychiatry Ment Health Date: 2020-05-12 Impact factor: 3.033