Loneliness and suicide risks in the general population before and during first-year COVID-19 in Taiwan

Purpose: Loneliness is a critical issue affecting the general population. Current evidence from national surveys of loneliness is scarce. The study aimed to examine the impact of COVID-19 pandemic on the prevalence of loneliness and its associating suicide risks in Taiwan. Methods: Four annual telep...

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Main Authors: Wei-Chieh Hung, Chia-Yi Wu, Ming-Been Lee, Chia-Ta Chan, Chun-Ying Chen
Format: Article
Language:English
Published: Elsevier 2024-04-01
Series:Journal of the Formosan Medical Association
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0929664623004941
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author Wei-Chieh Hung
Chia-Yi Wu
Ming-Been Lee
Chia-Ta Chan
Chun-Ying Chen
author_facet Wei-Chieh Hung
Chia-Yi Wu
Ming-Been Lee
Chia-Ta Chan
Chun-Ying Chen
author_sort Wei-Chieh Hung
collection DOAJ
description Purpose: Loneliness is a critical issue affecting the general population. Current evidence from national surveys of loneliness is scarce. The study aimed to examine the impact of COVID-19 pandemic on the prevalence of loneliness and its associating suicide risks in Taiwan. Methods: Four annual telephone interview surveys were performed by the Taiwan Suicide Prevention Center in 2015–2017 and 2020 during COVID outbreak. Each year the sample was randomly selected by stratifying the general public in different geographical areas and fulfilled a questionnaire collecting information including loneliness, psychological distress, and suicide risk assessment. All the data were analyzed using SPSS25 analysis. Results: A total of 8460 participants were recruited. The average prevalence of loneliness was 12.6 %. Feelings of loneliness was significantly correlated with psychological distress and most risk factors relating to suicide. The odds of loneliness for lifetime suicidal ideation, lifetime suicide attempt, and future suicide intent were 4.9, 5.1, and 9.2, respectively. During the COVID-19 period, loneliness and suicidality demonstrated a noteworthy decline trend, whereas “no one trustworthy to talk to” was the only item that showed significant increase under the pandemic and also impacted on loneliness. Conclusion: Nearly one in ten Taiwanese people felt lonely before and during COVID-19. Loneliness was closely linked with various suicide risk factors such as lifetime suicide ideation and attempt or future intention. Although psychological distress and suicide risk were not increased during COVID-19, maintaining trustful relationships to seek support appeared to be critical to prevent the risks of loneliness or suicide.
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spelling doaj.art-5ed3b9d46259434bb27022233a0cbad02024-04-10T04:28:34ZengElsevierJournal of the Formosan Medical Association0929-66462024-04-011234510516Loneliness and suicide risks in the general population before and during first-year COVID-19 in TaiwanWei-Chieh Hung0Chia-Yi Wu1Ming-Been Lee2Chia-Ta Chan3Chun-Ying Chen4School of Nursing, College of Medicine, National Taiwan University, Taipei, Taiwan; Department of Nursing, Far Eastern Memorial Hospital, New Taipei City, TaiwanSchool of Nursing, College of Medicine, National Taiwan University, Taipei, Taiwan; Department of Nursing, National Taiwan University Hospital, Taipei, Taiwan; Taiwanese Society of Suicidology & Taiwan Suicide Prevention Center, Taipei, Taiwan; Corresponding author. 100233 No.1 Jen Ai road section 1 Taipei 100, Taiwan.Taiwanese Society of Suicidology & Taiwan Suicide Prevention Center, Taipei, Taiwan; Department of Psychiatry, Shin Kong Wu Ho Su Memorial Hospital, Taipei, TaiwanTaiwanese Society of Suicidology & Taiwan Suicide Prevention Center, Taipei, Taiwan; Department of Psychiatry, Shin Kong Wu Ho Su Memorial Hospital, Taipei, TaiwanTaiwanese Society of Suicidology & Taiwan Suicide Prevention Center, Taipei, TaiwanPurpose: Loneliness is a critical issue affecting the general population. Current evidence from national surveys of loneliness is scarce. The study aimed to examine the impact of COVID-19 pandemic on the prevalence of loneliness and its associating suicide risks in Taiwan. Methods: Four annual telephone interview surveys were performed by the Taiwan Suicide Prevention Center in 2015–2017 and 2020 during COVID outbreak. Each year the sample was randomly selected by stratifying the general public in different geographical areas and fulfilled a questionnaire collecting information including loneliness, psychological distress, and suicide risk assessment. All the data were analyzed using SPSS25 analysis. Results: A total of 8460 participants were recruited. The average prevalence of loneliness was 12.6 %. Feelings of loneliness was significantly correlated with psychological distress and most risk factors relating to suicide. The odds of loneliness for lifetime suicidal ideation, lifetime suicide attempt, and future suicide intent were 4.9, 5.1, and 9.2, respectively. During the COVID-19 period, loneliness and suicidality demonstrated a noteworthy decline trend, whereas “no one trustworthy to talk to” was the only item that showed significant increase under the pandemic and also impacted on loneliness. Conclusion: Nearly one in ten Taiwanese people felt lonely before and during COVID-19. Loneliness was closely linked with various suicide risk factors such as lifetime suicide ideation and attempt or future intention. Although psychological distress and suicide risk were not increased during COVID-19, maintaining trustful relationships to seek support appeared to be critical to prevent the risks of loneliness or suicide.http://www.sciencedirect.com/science/article/pii/S0929664623004941LonelinessPrevalenceSuicide risk factorsPsychological distressGeneral populationCOVID-19
spellingShingle Wei-Chieh Hung
Chia-Yi Wu
Ming-Been Lee
Chia-Ta Chan
Chun-Ying Chen
Loneliness and suicide risks in the general population before and during first-year COVID-19 in Taiwan
Journal of the Formosan Medical Association
Loneliness
Prevalence
Suicide risk factors
Psychological distress
General population
COVID-19
title Loneliness and suicide risks in the general population before and during first-year COVID-19 in Taiwan
title_full Loneliness and suicide risks in the general population before and during first-year COVID-19 in Taiwan
title_fullStr Loneliness and suicide risks in the general population before and during first-year COVID-19 in Taiwan
title_full_unstemmed Loneliness and suicide risks in the general population before and during first-year COVID-19 in Taiwan
title_short Loneliness and suicide risks in the general population before and during first-year COVID-19 in Taiwan
title_sort loneliness and suicide risks in the general population before and during first year covid 19 in taiwan
topic Loneliness
Prevalence
Suicide risk factors
Psychological distress
General population
COVID-19
url http://www.sciencedirect.com/science/article/pii/S0929664623004941
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