Nationwide trends in sadness, suicidal ideation, and suicide attempts among multicultural and monocultural adolescents in South Korea during the COVID-19 pandemic, 2011-2022.

Autor: Jo H; Center for Digital Health, Medical Science Research Institute, Kyung Hee University Medical Center, Kyung Hee University College of Medicine, 23 Kyungheedae-ro, Dongdaemun-gu, Seoul, 02447, South Korea.; Department of Regulatory Science, Kyung Hee University, Seoul, South Korea., Park J; Center for Digital Health, Medical Science Research Institute, Kyung Hee University Medical Center, Kyung Hee University College of Medicine, 23 Kyungheedae-ro, Dongdaemun-gu, Seoul, 02447, South Korea.; Department of Regulatory Science, Kyung Hee University, Seoul, South Korea., Lee H; Center for Digital Health, Medical Science Research Institute, Kyung Hee University Medical Center, Kyung Hee University College of Medicine, 23 Kyungheedae-ro, Dongdaemun-gu, Seoul, 02447, South Korea.; Department of Regulatory Science, Kyung Hee University, Seoul, South Korea., Lee K; Center for Digital Health, Medical Science Research Institute, Kyung Hee University Medical Center, Kyung Hee University College of Medicine, 23 Kyungheedae-ro, Dongdaemun-gu, Seoul, 02447, South Korea.; Department of Regulatory Science, Kyung Hee University, Seoul, South Korea., Lee H; Center for Digital Health, Medical Science Research Institute, Kyung Hee University Medical Center, Kyung Hee University College of Medicine, 23 Kyungheedae-ro, Dongdaemun-gu, Seoul, 02447, South Korea.; Department of Electronics and Information Convergence Engineering, Kyung Hee University, Yongin, South Korea., Son Y; Center for Digital Health, Medical Science Research Institute, Kyung Hee University Medical Center, Kyung Hee University College of Medicine, 23 Kyungheedae-ro, Dongdaemun-gu, Seoul, 02447, South Korea.; Department of Precision Medicine, Kyung Hee University College of Medicine, Seoul, South Korea., Kang J; Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, MA, USA.; Division of Sleep Medicine, Harvard Medical School, Boston, MA, USA., Lee S; Center for Digital Health, Medical Science Research Institute, Kyung Hee University Medical Center, Kyung Hee University College of Medicine, 23 Kyungheedae-ro, Dongdaemun-gu, Seoul, 02447, South Korea.; Department of Medicine, Kyung Hee University College of Medicine, Seoul, South Korea., Choi Y; Center for Digital Health, Medical Science Research Institute, Kyung Hee University Medical Center, Kyung Hee University College of Medicine, 23 Kyungheedae-ro, Dongdaemun-gu, Seoul, 02447, South Korea.; Department of Korean Medicine, Kyung Hee University College of Korean Medicine, Seoul, South Korea., Lee JH; Health and Human Science, University of Southern California, Los Angeles, CA, USA., Fond G; CEReSS Health Service Research and Quality of Life Center, Assistance Publique-Hôpitaux de Marseille (AP-HM), Aix-Marseille University, Marseille, France., Boyer L; CEReSS Health Service Research and Quality of Life Center, Assistance Publique-Hôpitaux de Marseille (AP-HM), Aix-Marseille University, Marseille, France., Smith L; Centre for Health, Performance and Wellbeing, Anglia Ruskin University, Cambridge, UK., Lee J; Department of Electronics and Information Convergence Engineering, Kyung Hee University, Yongin, South Korea., López Sánchez GF; Division of Preventive Medicine and Public Health, Department of Public Health Sciences, School of Medicine, University of Murcia, Murcia, Spain., Dragioti E; Research Laboratory Psychology of Patients, Families, and Health Professionals, Department of Nursing, School of Health Sciences, University of Ioannina, Ioannina, Greece., Tully MA; School of Medicine, Ulster University, Londonderry, Northern Ireland, UK., Rahmati M; CEReSS Health Service Research and Quality of Life Center, Assistance Publique-Hôpitaux de Marseille (AP-HM), Aix-Marseille University, Marseille, France.; Department of Physical Education and Sport Sciences, Faculty of Literature and Human Sciences, Lorestan University, Khoramabad, Iran.; Department of Physical Education and Sport Sciences, Faculty of Literature and Humanities, Vali-E-Asr University of Rafsanjan, Rafsanjan, Iran., Woo HG; Center for Digital Health, Medical Science Research Institute, Kyung Hee University Medical Center, Kyung Hee University College of Medicine, 23 Kyungheedae-ro, Dongdaemun-gu, Seoul, 02447, South Korea. nr85plasma@naver.com.; Department of Neurology, Kyung Hee University Medical Center, Kyung Hee University College of Medicine, 23 Kyungheedae-ro, Dongdaemun-gu, Seoul, 02447, South Korea. nr85plasma@naver.com., Woo S; Center for Digital Health, Medical Science Research Institute, Kyung Hee University Medical Center, Kyung Hee University College of Medicine, 23 Kyungheedae-ro, Dongdaemun-gu, Seoul, 02447, South Korea. dntpfls@naver.com.; Department of Medicine, Kyung Hee University College of Medicine, Seoul, South Korea. dntpfls@naver.com., Yon DK; Center for Digital Health, Medical Science Research Institute, Kyung Hee University Medical Center, Kyung Hee University College of Medicine, 23 Kyungheedae-ro, Dongdaemun-gu, Seoul, 02447, South Korea. yonkkang@gmail.com.; Department of Regulatory Science, Kyung Hee University, Seoul, South Korea. yonkkang@gmail.com.; Department of Electronics and Information Convergence Engineering, Kyung Hee University, Yongin, South Korea. yonkkang@gmail.com.; Department of Precision Medicine, Kyung Hee University College of Medicine, Seoul, South Korea. yonkkang@gmail.com.; Department of Medicine, Kyung Hee University College of Medicine, Seoul, South Korea. yonkkang@gmail.com.; Department of Pediatrics, Kyung Hee University Medical Center, Kyung Hee University College of Medicine, 23 Kyungheedae-ro, Dongdaemun-gu, Seoul, 02447, South Korea. yonkkang@gmail.com.
Jazyk: angličtina
Zdroj: World journal of pediatrics : WJP [World J Pediatr] 2024 Dec; Vol. 20 (12), pp. 1249-1269. Date of Electronic Publication: 2024 Nov 30.
DOI: 10.1007/s12519-024-00858-3
Abstrakt: Background: Researches on the mental health of Korean adolescents during COVID-19 have largely focused on those from monocultural families, but there is limited data on sadness, suicidal ideation, and suicide attempts in multicultural adolescents.
Methods: This nationwide serial cross-sectional study included 688,708 adolescents aged 12-18 years who participated in the Korean Youth Risk Behavior Web-based Survey from 2011 to 2022. We compared and analyzed the prevalence of sadness, suicidal ideation, and suicide attempts among multicultural and monocultural adolescents. Multicultural adolescents were defined as those with at least one non-Korean parent.
Results: In 2021, the prevalence of sadness among multicultural adolescents was 31.86% [95% confidence interval (CI) 30.00-33.71], suicidal ideation 17.17% (15.74-18.61), and suicide attempts 4.25% (3.51-4.99). Among monocultural adolescents, the prevalence rates were 26.09% (25.50-26.69) for sadness, 12.41% (11.97-12.85) for suicidal ideation, and 1.92% (1.76-2.67) for suicide attempts. Adolescents from multicultural backgrounds were found to have higher rates of sadness, suicidal ideation, and suicide attempts. In the general population, these rates had decreased during the pre-pandemic period but increased after the onset of the pandemic then stabilized from 2020 to 2021. Female gender, smoking, alcohol use, and low school performance emerged as significant risk factors. However, no distinct risk factors specifically linked to suicide attempts were identified. Joinpoint regression analysis results aligned with the beta slope values in the main findings, reflecting a consistent pattern across both analyses.
Conclusions: This study revealed that sadness, suicidal ideation, and suicide attempts increased during the pandemic, reversing a pre-pandemic decline. Multicultural adolescents faced these issues more than monocultural ones, underlining the need for targeted public health measures to support at-risk adolescents during pandemics.
Competing Interests: Declarations. Conflict of interest: No financial or non-financial benefits have been received or will be received from any party related directly or indirectly to the subject of this article.  Author YDK is a member of the editorial board for World Journal of Pediatrics. The paper was handled by the other editor and has undergone rigorous peer review process. Author YDK was not involved in the journal’s review of, or decision related to this manuscript. Ethical approval: The KYRBS data were anonymous and the study protocol was approved by the Korean Disease Control and Prevention Agency (KDCA) and the Institutional Review Board of Kyung Hee University. All the participants (or their parents or legal guardians in the case of children under 16) provided written informed consent. The study was conducted by the principles of the Declaration of Helsinki.
(© 2024. Children's Hospital, Zhejiang University School of Medicine.)
Databáze: MEDLINE
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