Predictors of increased affective symptoms and suicidal ideation during the COVID-19 pandemic: results from a large-scale study of 14 271 Thai adults
Background Increasing data suggest emergent affective symptoms during the COVID-19 pandemic.Objectives To study the impact of the COVID-19 pandemic on affective symptoms and suicidal ideation in Thai adults.Methods The Collaborative Outcomes Study on Health and Functioning during Infection Times use...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2024-05-01
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| Series: | BMJ Mental Health |
| Online Access: | https://ebmh.bmj.com/content/27/1/e300982.full |
| _version_ | 1827153777442947072 |
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| author | Jing Li Marco Solmi Bo Zhou Michael Maes Trevor Thompson Christoph Correll Sorawit Wainipitapong Thitiporn Supasitthumrong Chavit Tunvirachaisakul Teerayuth Rungnirundorn Anchalita Ratanajaruraks Chaichana Nimnuan Buranee Kanchanatawan |
| author_facet | Jing Li Marco Solmi Bo Zhou Michael Maes Trevor Thompson Christoph Correll Sorawit Wainipitapong Thitiporn Supasitthumrong Chavit Tunvirachaisakul Teerayuth Rungnirundorn Anchalita Ratanajaruraks Chaichana Nimnuan Buranee Kanchanatawan |
| author_sort | Jing Li |
| collection | DOAJ |
| description | Background Increasing data suggest emergent affective symptoms during the COVID-19 pandemic.Objectives To study the impact of the COVID-19 pandemic on affective symptoms and suicidal ideation in Thai adults.Methods The Collaborative Outcomes Study on Health and Functioning during Infection Times uses non-probability sampling (chain referring and voluntary response sampling) and stratified probability sampling to identify risk factors of mental health problems and potential treatment targets to improve mental health outcomes during pandemics.Findings Analysing 14 271 adult survey participants across all four waves of the COVID-19 pandemic in Thailand, covering all 77 provinces from 1 June 2020 to 30 April 2022, affective symptoms and suicidality increased during COVID-19 pandemic. Affective symptoms were strongly predicted by pandemic (feelings of isolation, fear of COVID-19, loss of social support, financial loss, lack of protective devices) and non-pandemic (female sex, non-binary individuals, adverse childhood experiences (ACEs), negative life events, student status, multiple mental health and medical conditions, physical pain) risk factors. ACEs, prior mental health conditions and physical pain were the top three risk factors associated with both increased affective symptoms and suicidal ideation during the COVID-19 pandemic. Partial least squares analysis showed that ACEs were the most important risk factor as they impacted most pandemic and non-pandemic risk factors.Clinical implications Rational policymaking during a pandemic should aim to identify the groups at highest risk (those with ACEs, psychiatric and medical disease, women, non-binary individuals) and implement both immediate and long-term strategies to mitigate the impact of ACEs, while effectively addressing associated psychiatric and medical conditions. |
| first_indexed | 2024-03-07T23:44:30Z |
| format | Article |
| id | doaj.art-add27822a96144319e261d7d1a821d78 |
| institution | Directory Open Access Journal |
| issn | 2755-9734 |
| language | English |
| last_indexed | 2025-03-20T22:27:09Z |
| publishDate | 2024-05-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Mental Health |
| spelling | doaj.art-add27822a96144319e261d7d1a821d782024-08-08T08:00:11ZengBMJ Publishing GroupBMJ Mental Health2755-97342024-05-0127110.1136/bmjment-2023-300982Predictors of increased affective symptoms and suicidal ideation during the COVID-19 pandemic: results from a large-scale study of 14 271 Thai adultsJing Li0Marco Solmi1Bo Zhou2Michael Maes3Trevor Thompson4Christoph Correll5Sorawit Wainipitapong6Thitiporn Supasitthumrong7Chavit Tunvirachaisakul8Teerayuth Rungnirundorn9Anchalita Ratanajaruraks10Chaichana Nimnuan11Buranee Kanchanatawan125 Sichuan Provincial Center for Mental Health, Sichuan Provincial People`s Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China11 Department of Mental Health, The Ottawa Hospital, Ottawa, Ontario, Canada5 Sichuan Provincial Center for Mental Health, Sichuan Provincial People`s Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China1 Department of Psychiatry, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Bangkok, Thailand8 Cente for Chronic Illness and Ageing, University of Greenwich, London, UK9 Department of Child and adolescent Psychiatry, Charité Universitätsmedizin, Berlin, Germany1 Department of Psychiatry, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Bangkok, Thailand1 Department of Psychiatry, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Bangkok, Thailand1 Department of Psychiatry, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Bangkok, Thailand1 Department of Psychiatry, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Bangkok, Thailand1 Department of Psychiatry, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Bangkok, Thailand1 Department of Psychiatry, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Bangkok, Thailand1 Department of Psychiatry, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Bangkok, ThailandBackground Increasing data suggest emergent affective symptoms during the COVID-19 pandemic.Objectives To study the impact of the COVID-19 pandemic on affective symptoms and suicidal ideation in Thai adults.Methods The Collaborative Outcomes Study on Health and Functioning during Infection Times uses non-probability sampling (chain referring and voluntary response sampling) and stratified probability sampling to identify risk factors of mental health problems and potential treatment targets to improve mental health outcomes during pandemics.Findings Analysing 14 271 adult survey participants across all four waves of the COVID-19 pandemic in Thailand, covering all 77 provinces from 1 June 2020 to 30 April 2022, affective symptoms and suicidality increased during COVID-19 pandemic. Affective symptoms were strongly predicted by pandemic (feelings of isolation, fear of COVID-19, loss of social support, financial loss, lack of protective devices) and non-pandemic (female sex, non-binary individuals, adverse childhood experiences (ACEs), negative life events, student status, multiple mental health and medical conditions, physical pain) risk factors. ACEs, prior mental health conditions and physical pain were the top three risk factors associated with both increased affective symptoms and suicidal ideation during the COVID-19 pandemic. Partial least squares analysis showed that ACEs were the most important risk factor as they impacted most pandemic and non-pandemic risk factors.Clinical implications Rational policymaking during a pandemic should aim to identify the groups at highest risk (those with ACEs, psychiatric and medical disease, women, non-binary individuals) and implement both immediate and long-term strategies to mitigate the impact of ACEs, while effectively addressing associated psychiatric and medical conditions.https://ebmh.bmj.com/content/27/1/e300982.full |
| spellingShingle | Jing Li Marco Solmi Bo Zhou Michael Maes Trevor Thompson Christoph Correll Sorawit Wainipitapong Thitiporn Supasitthumrong Chavit Tunvirachaisakul Teerayuth Rungnirundorn Anchalita Ratanajaruraks Chaichana Nimnuan Buranee Kanchanatawan Predictors of increased affective symptoms and suicidal ideation during the COVID-19 pandemic: results from a large-scale study of 14 271 Thai adults BMJ Mental Health |
| title | Predictors of increased affective symptoms and suicidal ideation during the COVID-19 pandemic: results from a large-scale study of 14 271 Thai adults |
| title_full | Predictors of increased affective symptoms and suicidal ideation during the COVID-19 pandemic: results from a large-scale study of 14 271 Thai adults |
| title_fullStr | Predictors of increased affective symptoms and suicidal ideation during the COVID-19 pandemic: results from a large-scale study of 14 271 Thai adults |
| title_full_unstemmed | Predictors of increased affective symptoms and suicidal ideation during the COVID-19 pandemic: results from a large-scale study of 14 271 Thai adults |
| title_short | Predictors of increased affective symptoms and suicidal ideation during the COVID-19 pandemic: results from a large-scale study of 14 271 Thai adults |
| title_sort | predictors of increased affective symptoms and suicidal ideation during the covid 19 pandemic results from a large scale study of 14 271 thai adults |
| url | https://ebmh.bmj.com/content/27/1/e300982.full |
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