COVID-19 Related Daily Stressors, Coping, and Suicidal Ideation in Psychiatrically Hospitalized Youth,Child & Youth Care forum

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COVID-19 Related Daily Stressors, Coping, and Suicidal Ideation in Psychiatrically Hospitalized Youth
Child & Youth Care forum ( IF 2.203 ) Pub Date : 2021-07-19 , DOI: 10.1007/s10566-021-09641-1
Anastacia Y Kudinova _{1,

2} , Alexandra H Bettis ₃ , Elizabeth C Thompson _{1,

4} , Sarah A Thomas _{1,

4} , Jacqueline Nesi _{1,

4} , Leyla Erguder _{1,

2} , Heather A MacPherson _{1,

2} , Taylor A Burke _{1,

4} , Jennifer C Wolff _{1,

2}

Affiliation

Background

Given reports of the adverse effects of COVID-19 on adolescent mental health, it is critical to understand how it impacts psychiatrically hospitalized youth who may be particularly vulnerable to its effects.

Objective

This study aimed to advance our understanding of high-risk adolescents’ experiences of COVID-19, including COVID-19-related stress, changes in daily functioning, and coping as they relate to suicidal ideation (SI).

Method

Participants were 107 youth (ages 11–18; M = 15.06, SD = 1.79) admitted to an adolescent psychiatric inpatient unit during the time when the initial COVID-19 safety measures (i.e., school closure, stay-at-home- order) and reopening initiatives (Phase I, II, and III) were implemented in Rhode Island between March 13th and July 19th 2020. Adolescents completed measures of COVID-19-related stress, coping, functioning, and SI at the time of admission.

Results

Nearly half of the sample (43%) reported a negative impact of COVID-19 on daily functioning. Youth who endorsed COVID-19-related decline in functioning evidenced higher levels of SI compared to youth with no change or improvement in functioning due to COVID-19. Overall levels of stress were not associated with SI. Greater coping repertoire, but not the use of specific coping strategies was associated with higher levels of SI.

Conclusions

Findings demonstrate the importance of examining COVID-19-related changes in functioning and broadening repertoire of coping strategies among adolescents at high risk for SI.

中文翻译：

精神病住院青年中与 COVID-19 相关的日常压力源、应对和自杀意念

背景

鉴于有关 COVID-19 对青少年心理健康的不利影响的报道，了解它如何影响可能特别容易受到其影响的精神病住院青年至关重要。

客观的

本研究旨在加深我们对高危青少年 COVID-19 经历的理解，包括与 COVID-19 相关的压力、日常功能的变化以及与自杀意念 (SI) 相关的应对。

方法

参与者是 107 名青少年（年龄 11-18 岁；M = 15.06， SD = 1.79），在最初的 COVID-19 安全措施（即学校停课、居家令）期间入住青少年精神科住院病房2020 年 3 月 13 日至 7 月 19 日期间，罗德岛州实施了重新开放计划（第一、二和三阶段）。青少年在入院时完成了与 COVID-19 相关的压力、应对、功能和 SI 的测量。