COVID-19 Related Daily Stressors, Coping, and Suicidal Ideation in Psychiatrically Hospitalized Youth

Kudinova, Anastacia Y.; Bettis, Alexandra H.; Thompson, Elizabeth; Thomas, Sarah A.; Nesi, Jacqueline; Erguder, Leyla; MacPherson, Heather A.; Burke, Taylor A.; Wolff, Jennifer C.

doi:10.1007/s10566-021-09641-1

Cited by 7 publications

(6 citation statements)

References 39 publications

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“…Once these feelings become overwhelming after individuals assess their situation as life-threatening and struggle to cope with their stress as much as possible, but to no avail, they could develop suicidal thoughts and attempt to end their lives, thinking that this is the only solution to their problem (Briere et al, 2019 ). This is consistent with the results of the study by Kudinova et al ( 2022 ) found that problem confrontation was associated with higher-level suicidal thoughts in youth admitted to a psychiatric hospital. Therefore, health personnel must regularly and thoroughly assess the problems of their patients who have become unemployed due to the COVID-19 pandemic so that they can help these patients adopt proper stress-coping behaviors, which can reduce their suicidal risk.…”

Section: Discussionsupporting

confidence: 93%

The relationships between stress, stress-coping behaviors, and suicidal risk among Thais who had become unemployed due to the COVID-19 pandemic: A cross-sectional study

Kajai¹,

Suksatan²,

Promkunta³

et al. 2022

Belitung Nurs J

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Background: The COVID-19 pandemic has resulted in severe mental health problems worldwide. Thus, in addition to the high number of people who have died from infection with complications, some have committed suicide. Objective: This study aimed to determine the relationships between stress, stress-coping behaviors, and suicidal risk among those who had become unemployed in Thailand due to the COVID-19 pandemic. Methods: This study had a cross-sectional correlational design and included 447 unemployed Thais at least 18 years of age who had become unemployed due to the COVID-19 pandemic. The participants were selected through multistage sampling. A self-administered questionnaire was used for data collection. The data were then analyzed using frequency, percentage, and Spearman’s correlation coefficient. Results: Most participants had moderate-level stress (73.16%) and stress-coping behaviors (71.81%). Almost all the participants had no suicidal risk (76.73%). The stress level and overall stress-coping behavior were positively correlated with suicidal risk (r = 0.305, p <0.01 and r = 0.352, p <0.01, respectively). Conclusion: Stress and stress-coping behaviors were associated with suicidal risk among Thais who had become unemployed due to the COVID-19 pandemic. Hence, nurses must screen patients with psychological problems, especially those who have become unemployed due to the COVID-19 pandemic, for suicide risk. Developing interventions to reduce such patients’ stress and promote appropriate stress-coping behaviors is essential.

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Section: Discussionsupporting

confidence: 93%

The relationships between stress, stress-coping behaviors, and suicidal risk among Thais who had become unemployed due to the COVID-19 pandemic: A cross-sectional study

Kajai¹,

Suksatan²,

Promkunta³

et al. 2022

Belitung Nurs J

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“…Since the onset of the COVID-19 pandemic, the boarding crisis has continued to grow due to a confluence of strained healthcare systems and increasing mental health concerns. Rates of child and adolescent anxiety, depression, and suicidal thoughts and behaviors have risen substantially over the course of the COVID-19 pandemic (Kudinova et al, 2021 ; Power et al, 2020 ; Thompson et al, 2021 ). Increased suicidal ideation and attempts among adolescents correspond with elevated distress due to COVID-related stressors and heightened community responses (Hill et al, 2021 ; Yard et al, 2021 ).…”

Section: Rising Numbers Of Psychiatric Ed Presentationsmentioning

confidence: 99%

Experiences of Child and Adolescent Psychiatric Patients Boarding in the Emergency Department from Staff Perspectives: Patient Journey Mapping

Wolff

Maron

Chou

et al. 2023

Adm Policy Ment Health

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Over the past decade, healthcare providers nationwide have contended with a growing boarding crisis as pediatric patients await psychiatric treatment in emergency departments (EDs). COVID-19 has exacerbated this urgent youth mental health crisis, driving EDs to act as crisis units. Journey mapping is a robust methodology with which to examine strengths and challenges in patient care workflows such as boarding and emergency psychiatric care. Psychiatric, emergency medicine, and hospitalist providers serving patients boarding at a northeastern children’s hospital participated in semi-structured qualitative interviews. Investigators conducted directed content analysis with an inductive approach to identify facilitators, barriers, and persistent needs of boarding patients, which were summarized in a patient journey map. Findings were presented to participants for feedback and further refinement. Quantitative data showed a three-fold increase in the number of patients who boarded over the past three years and a 60% increase in the average time spent boarding in the ED. Emergent qualitative data indicated three stages in the boarding process: Initial Evaluation, Admitted to Board, and Discharge. Data highlighted positive and negative factors affecting patient safety, availability of beds in pediatric hospital and psychiatric inpatient settings, high patient-provider ratios that limited staffing support, and roadblocks in care coordination and disposition planning. Patient journey mapping provided insight into providers’ experiences serving patients boarding for psychiatric reasons. Findings described bright points and pain points at each stage of the boarding process with implications for psychiatric care and systemic changes to reduce boarding volume and length of stay. Supplementary Information The online version contains supplementary material available at 10.1007/s10488-022-01249-4.

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“…When considering life challenges related to COVID-19, evidence suggests that COVID-19-related stressors have strained families and negatively influenced adolescent mental health [ 29 ]. Additionally, studies on psychiatrically hospitalized adolescents experiencing suicide ideation and behavior have demonstrated the negative impact of COVID-19 stressors on their daily functioning, suggesting the significant impact of the pandemic on adolescent mental health [ [30] , [31] , [32] ]. In sum, the current study adds to a growing body of literature linking COVID-19 stressors to adolescent mental health challenges as measured by both suicidality and depression.…”

Section: Discussionmentioning

confidence: 99%

COVID-19 Stress, Religious Affiliation, and Mental Health Outcomes Among Adolescents

Dyer

Crandall

Hanson

2023

Journal of Adolescent Health

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COVID-19 Related Daily Stressors, Coping, and Suicidal Ideation in Psychiatrically Hospitalized Youth

Cited by 7 publications

References 39 publications

The relationships between stress, stress-coping behaviors, and suicidal risk among Thais who had become unemployed due to the COVID-19 pandemic: A cross-sectional study

The relationships between stress, stress-coping behaviors, and suicidal risk among Thais who had become unemployed due to the COVID-19 pandemic: A cross-sectional study

Experiences of Child and Adolescent Psychiatric Patients Boarding in the Emergency Department from Staff Perspectives: Patient Journey Mapping

COVID-19 Stress, Religious Affiliation, and Mental Health Outcomes Among Adolescents

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