Identifying the Bridge Between Anxiety Response to COVID-19 and Depression Symptoms in General Population: A Network Analysis.

BACKGROUND: Previous studies have suggested links between anxiety response to the novel coronavirus (COVID-19) and depression symptoms in general population. However, a symptom-level investigation has not been reported. OBJECTIVE: This study aimed to use network analysis to identify central symptoms and bridge symptoms that link COVID-19 anxiety and depression. METHODS: Data from 1788 participants were analyzed. Coronavirus anxiety and depression symptoms were measured using the Stress and Anxiety to Viral Epidemics-6 Items Scale and the Patient Health Questionnaire-9, respectively. Network analysis was performed using R. RESULTS: The results revealed 'thoughts of suicide or self-harm' from Patient Health Questionnaire-9 and 'worry about others avoiding me' from Stress and Anxiety to Viral Epidemics-6 Items Scale as bridge symptoms. Findings suggest direct relationship between fear of social isolation and thoughts of suicide or self-harm. 'Feeling tired with little energy' and 'trouble concentrating' are strongly linked to 'thoughts of suicide or self-harm', suggesting these symptoms as risk factors for suicidal or self-injurious thoughts during the pandemic. CONCLUSIONS: The findings suggest fear of social isolation as a risk factor for developing thoughts of suicide or self-harm. These results should be taken into account during evaluation of risk of suicide or mental health interventions for the pandemic.

Psychological effects of confinement by COVID-19 in rowing competitors

The period of confinement due to the Covid-19 virus has not only affected the general population, but also sport in general. The objective of this study was to investigate the emotional and adaptive consequences of rowers who compete nationally and internationally. A quantitative descriptive study was carried out with a non-probabilistic sample, based on convenience sampling, known as a snowball. One hundred and ninety-three rowers who competed nationally and internationally participated in the study, with an average age of 19.49 years. The results showed that the rowers reacted with more unpleasant moods than the rowers. It was also found that stressful thoughts were associated with states of greater anxiety, anger or depressive feelings, while the best training conditions and the acceptance of confinement rules were inversely associated with negative mood states. Linear regression analysis showed that stressful thoughts, along with behavior and motivation problems during lockdown, predicted the level of total mood disturbance.

Drug abuse and suicidal thoughts among employees: an emerging economy perspective

Purpose: Anchored with turbulence emanating from the COVID-19 pandemic, the work environment has become more stressful with debilitating effects on the well-being of employees. Employees rely on varying means of coping including drug abuse. However, the association between drug abuse and suicidal thoughts among employees in Ghana is unknown. Therefore, this study sought to examine the relationship between drug abuse and suicidal thoughts among employees in Ghana. Design/methodology/approach: In a cross-sectional survey, this study purposively sampled 470 employees from three sectors of the Ghanaian economy (telecommunication, banking and manufacturing). The data was analysed using the multivariate analysis (MANOVA), Pearson's r test and hierarchical regression. Findings: Analysis of data revealed a positive relationship between drug abuse and suicidal thoughts, indicating that drug abuse is a risk factor for suicidal thoughts. Besides, it was also revealed that banking sector employees have a higher risk of having suicidal thoughts than employees in the telecommunication and manufacturing sectors. Practical implications: Managers of organisations need to redesign work to embrace the challenging circumstances brought about as a result of COVID-19 and post-COVID implications. The work environment needs to be more supportive to shield employees from the physical and emotional demands of work during and after this period of the COVID-19 pandemic. Today than ever, investment in the implementation of employee-assisted programmes (EAPs) and employee well-being programmes (EWPs) to equip employees with the needed skills to cope with stressful conditions has been more than justified. Originality/value: From a broader perspective, this study identifies drug abuse as a key risk factor for suicidal thoughts among employees, thereby highlighting the fact that smoking cessation programs and drug management therapies are an integral part of well-being programmes aimed at establishing equilibrium and gradually creating a wide gap between employees and suicidal thoughts. © 2023, Emerald Publishing Limited.

Suicide Risk in Individuals With and Without Mental Disorders Before and During the COVID-19 Pandemic: An Analysis of Three Nationwide Cross-Sectional Surveys in Czechia.

OBJECTIVE: The impact of the coronavirus disease 2019 (COVID-19) pandemic on suicidal thoughts and behavior has been widely hypothesized but remains largely unexplored at the population-level. We aimed to assess changes in suicide risk (SR) in people with and without mental disorders, before and during the COVID-19 pandemic in Czechia. METHODS: We analyzed data from three nationwide cross-sectional surveys of Czech adults (November 2017, May and November 2020). For the 2017 data collection, we employed paper and pencil interviewing, while for the two 2020 data collections, we used a mixed computer-assisted web interviewing and computer-assisted telephone interviewing approach. All samples were representative in terms of age, gender, education, and area of residence for the Czech adult population (18+). We used the Mini International Neuropsychiatric Interview to screen for mental disorders and SR. We calculated weighted prevalence rates with 95% confidence intervals (95% CI). RESULTS: When compared to baseline, we found a 4% and 6% increase in SR in individuals without mental disorders in pandemic surveys (1.95% (1.45%; 2.44%) vs. 6.29% (5.28%; 7.30%) and 8.42% (7.19%; 9.65%)). Relative to baseline, SR in people with major depressive episode or anxiety disorders was elevated in May and November 2020 (22.35% (17.64%; 27.06%) vs. 36.68% (32.45%; 40.91%) and 38.88% (34.51%; 43.25%)). CONCLUSIONS: We found substantially increased SR in both people with and without mental disorders, however, these changes could be partially related to differing data collection methods used in the baseline and subsequent surveys. Ongoing prevention, monitoring and evaluation of nationwide suicidality is warranted.HIGHLIGHTSWe found that suicide risk substantially increased during the pandemicSuicide risk was elevated in both individuals with and without mental disordersOur findings support increased suicide monitoring and prevention.

Relevance of Duties in the Contemporary World: With Special Emphasis on Gandhian Thought

This book reflects on the significance of duties in creating an egalitarian society by collating and contextualizing the relevant literature. It particularly focuses on an appreciation of Gandhi's views on duty to showcase how they remain pertinent to create a cohesive, responsible and value-based society in the present right-dominated world. A viable solution to the current real world problems could be found in exploring the philosophy on duties and the book provides relevant literature in this regard. It undertakes jurisprudential analysis of duty in a rights-dominated world, identifying the gaps in realising the potential of duty to address the critical issues of the present times. It argues that enforcement of rights depends heavily on the observance of duties and proposes coherence in right-duty relationship. Gandhian thought on duty recognises duty as a precursor to rights and emphasises that the observance of duties guarantees the enforcement of rights. The relevance of duties and Gandhian thoughts on the same is not restricted to India but transcends borders with profound appeal. Gandhian thoughts have become even more relevant in the current times to examine the situation of COVID-19 pandemic, racial discrimination (BLM), environmental crises, digital divide, health care and medical care crises, refugee and migrant labour problems and it can offer promising solutions based on the nuances of social solidarity, self realisation of duties/responsibilities, local governance, compassion and humanity. © The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd. 2022.

An analysis of the impact of school closings on gifted services: Recommendations for meeting gifted students' needs in a post-COVID-19 world

Gifted support services were directly impacted by the COVID-19 shutdown in Spring 2020. This qualitative research study consisting of parents (n = 110) and gifted support teachers (n = 53) explored the impact on gifted students' services and instruction. Utilizing surveys, open-ended response questions, and in-depth interviews, teachers and parents shared their thoughts and perceptions about challenge, enrichment, and students' social-emotional health throughout the shutdown. Data analysis found that gifted services were directly impacted by the COVID-19 shutdown and parents and teachers shared that challenge and enrichment were lacking. However, data collected also showed that there is much potential to meet students' academic and social-emotional needs virtually. Utilizing the data collected, a model was created to help teachers, parents, and school districts provide challenge, enrichment, and acceleration, as well as address social-emotional concerns in a virtual environment. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

The Impact of the COVID-19 Pandemic on Pregnant Women: A Qualitative Approach

BACKGROUND: Pregnant women are one of the special groups most affected by the COVID-19 pandemic. The aim of this study was to analyze how the COVID-19 pandemic influenced the feelings, thoughts, and behaviors of pregnant women. METHOD: A descriptive phenomenological approach was employed to explore the experiences of 15 pregnant women. Data were gathered by using semi-structured interviews focusing on pregnant women's feelings, thoughts and behaviors. Word cloud analysis and content analysis were performed. FINDINGS: Data analysis revealed three main themes: emotions, hardships, and coping. Emotions were grouped into five categories: fear, anxiety, disappointment, loneliness, and regret. Hardships were grouped into two categories: physical and financial. Coping was grouped into four categories: social support, normalization, religious practices, and positive thinking. According to word cloud analysis, the most frequently mentioned words were pregnant, COVID-19, anxiety, fear, positive thinking, hardships, regret, stress, affect, and alone. CONCLUSIONS: Women experienced feelings of fear, anxiety, disappointment, loneliness, and regret in the prenatal period. They also faced physical and financial hardships and benefited from social sup-port, normalization, religious practices, and positive thinking to cope with these hardships. © 2023 Springer Publishing Company, LLC.

Psychological wellbeing, memories, and future thoughts during the Covid-19 pandemic.

The Covid-19 pandemic led countries to place restrictions on the general public in order to protect their safety. These restrictions, however, may have negative psychological consequences as people are restricted in their social and leisure activities and facing daily life stressors. Investigating the relationship between how people are remembering pandemic events and thinking about their futures is important in order to begin to examine the psychological consequences - cognitive and emotional - of the Covid-19 pandemic. The present study examined how characteristics of past and future thinking relate to psychological wellbeing during the Covid-19 pandemic. In an online questionnaire study, 904 participants in Germany and the USA recalled and predicted negative and positive events related to the pandemic. Participants completed a series of questionnaires measuring cognitions and psychological symptoms. Participants' current psychological wellbeing related to how they remembered events and thought of their future. Participants reported a greater sense of reliving for past compared to future events. However, future events were more rehearsed than past events. Additionally, the emotional impact of positive and negative events differed for the past and the future. Participants seem to be strongly future oriented during the Covid-19 pandemic, but have a negative view of future events.

Suicidal thoughts and burnout among physicians during the first wave of the COVID-19 pandemic in Spain.

BACKGROUND: The exact mechanisms through which the impact of the SARS-CoV-2 pandemic could influence the prevalence of suicidal thoughts are not yet known, both in the general population and in health workers. The objectives of the present study are to determine the prevalence of suicidal thoughts in the physician population and to detect sociodemographic and clinical variables associated with presenting suicidal thoughts during the first wave of COVID-19. METHODS: Cross-sectional observational study via an online survey distributed in Spain in June 2020 via 52 Official Medical Associations. The sample is made up of all practicing and registered physicians in Spain (3,140 of the 270,235 registered physicians in Spain). An online questionnaire which included sociodemographic, professional and work variables, variables related to the pandemic, work data in relation to COVID-19 and clinical variables (medical-psychiatric history and previous suicidal behaviour) was distributed. RESULTS: In our sample, the prevalence of serious suicidal thoughts was 6.31% and up to 17.32% of the subjects reported thoughts about killing themselves during the pandemic. Being female (Exp (B)= 1.989, p=0.001), presence of previous suicide attempts (Exp(B)= 6.127, p=<0.001), taking a psychotropic drug (Exp(B)= 2.470, p=<0.001) and working in a different area during the pandemic (Exp(B)= 1.751, p= 0.037) were associated with a higher risk of suicidal ideation. Cohabiting was a protective factor in the development of suicidal ideation although not in all our measures (Exp(B)=0.940, p=0.850 Vs Exp (B)= 0.620, p=0.018). LIMITATIONS: The main limitation of this study is its cross-sectional nature, which prevents establishing a causal relationship. As a strength, it stands out that it is a large sample of the population studied and in a particularly complex context of the pandemic. CONCLUSIONS: Suicidal thoughts among the Spanish registered physician population during the pandemic is high and mainly associated with socio-demographic factors, clinical mental health variables, and aspects of job satisfaction.

Text4Hope Effectiveness in Reducing Psychological Symptoms among Young Adults in Canada: Longitudinal and Naturalistic Controlled Program Evaluation.

BACKGROUND: Chronic stress, anxiety, and depression are psychological problems that can hurt young adults, interfering with their everyday function, academic achievement, and interpersonal relationships. This study aimed to assess the impact of Text4Hope, an online mental health service, on the psychological well-being of young adults. METHODS: This study adopted both longitudinal and naturalistic controlled trial designs. It examined clinical outcomes in young adult (≤26 years old) subscribers of Text4Hope who completed surveys at baseline and six weeks and compared clinical parameters in two groups of subscribers. The first group comprised the intervention group (IG) (young adult subscribers who received once-daily supportive text messages for six weeks and completed sixth-week evaluation measures between 26 April and 12 July 2020), and the second group was the control group (CG) (young adult subscribers who joined Text4Hope in the same time frame and completed a baseline survey and were yet to receive any text messages). The prevalence of moderate to high stress, anxiety, and depression was measured at baseline and six weeks in the longitudinal study and between the two groups for the naturalistic controlled study using the Perceived Stress Scale (PSS-10), Generalized Anxiety Disorder 7-item (GAD-7), and Patient Health Questionnaire-9 (PHQ-9). Inferential statistics, including the t-test, McNemar test, chi-square, and binary logistic regression analyses, were used to evaluate the differences in the prevalence and severity of the psychological symptoms. RESULTS: In the longitudinal study, of the 9214 subscribers to Text4Hope who completed the baseline survey, 1047 (11.4%) were identified as youth. For the young adult subscribers who completed both the baseline and sixth-week surveys (n = 114), a significant reduction in the prevalence of moderate to high stress (8%) and likely GAD (20%) from baseline to six weeks was reported. Similarly, there was a significant reduction in the mean scores on the PSS-10, GAD-7, and Composite Mental Health score but not the PHQ-9 from baseline to six weeks. The largest reduction in mean scores was for the GAD-7 scale (18.4%), with a small effect size overall. For the naturalistic study, the IG included 173 young adult subscribers of Text4Hope who completed the sixth-week survey compared to 92 subscribers in the CG who completed the baseline survey during the designated period. There was a significantly lower prevalence for likely Moderate Depressive Disorder (MDD) (25.2%) and suicidal thoughts/thoughts of self-harm (48.4%), with a small effect size in the IG compared to the CG. Similarly, lower mean scores were reported for all outcome variables in the IG compared to the CG, with a small to medium effect size. The receipt of daily supportive text messages for six weeks resulted in significantly lower odds of both likely GAD and experiencing thoughts of self-harm or death wish while controlling for sociodemographic characteristics. CONCLUSIONS: The Text4Hope service is an effective tool for mental health support for young adult subscribers. Young adults receiving the service exhibited a reduction in psychological symptoms, including thoughts of self-harm or death wish. This population-level intervention program can be used to effectively support young adult mental health and in suicide prevention programs.

Psychological consequences of experiencing the COVID-19 coronavirus pandemic: early maladaptive schemas and mental health and quality of life.

The research presented here aimed to determine the psychological consequences of experiencing Poland's coronavirus disease 2019 (COVID-19) pandemic. We focused on changes in mental health (anxiety and depression symptoms, morbid thoughts, and suicidal ideation) and quality of life. Our retrospective study included 499 adults comprising 316 women and 173 men (aged 18-72, Me = 27, SD = 12.48). We employed the following research tools: the General Health Questionnaire (GHQ-30), the shortened version of the World Health Organization Quality of Life Questionnaire (WHOQOL-BREF), and the abridged version of the Harkavy Asnis Suicide Survey (HASS-BREF) scale to assess the severity of suicidal ideations and behaviors, as well as the Young Schema Questionnaire (YSQ-S3-PL). The questionnaires' instructions for the subjects were modified to obtain information for three specific periods: before the pandemic, at the most difficult time of the pandemic for individuals, and in the last two weeks (the time period preceding data collection; January/February 2021). It emerged that both mental health and quality of life had deteriorated significantly in the studied population. In addition, early maladaptive schemas (Abandonment, Vulnerability to Harm, and Insufficient Self-Control) were likely predictors of mental health deterioration at the most difficult time of the COVID-19 pandemic. The schema of Defectiveness was likely predictor of a lower severity of symptoms of mental health disturbances. If psychological diagnosis covered the identification of thinking patterns typical of maladaptive schemas, which may be a risk factor for mental health deterioration, psychologists could better adapt forms and ways of psychological assistance to the patient's needs.

Examining Hurricane Ida's Impact on Mental Health: Results From a Quasi-Experimental Analysis.

Limited research has evaluated the mental health effects during compounding disasters (e.g., a hurricane occurring during a pandemic), and few studies have examined post-disaster mental health with alternative data sources like crisis text lines. This study examined changes in crisis help-seeking for individuals in Louisiana, USA, before and after Hurricane Ida (2021), a storm that co-occurred during the COVID-19 pandemic. An interrupted time series analysis and difference-in-difference analysis for single and multiple group comparisons were used to examine pre-and post-changes in crisis text volume (i.e., any crisis text, substance use, thoughts of suicide, stress/anxiety, and bereavement) among help-seeking individuals in communities that received US Federal Emergency Management Agency individual and public assistance following a presidential disaster declaration. Results showed a significant increase in crisis texts for any reason, thoughts of suicide, stress/anxiety, and bereavement in the four-week, three-month, and four-month post-impact period. Findings highlight the need for more mental health support for residents directly impacted by disasters like Hurricane Ida.

Suicidal ideation in men during COVID-19: an examination of protective factors.

BACKGROUND: Men account for three-quarters of all suicide deaths in many Western nations including Australia. Whilst extensive research has examined risk factors for suicidal ideation and behaviour in men, protective factors remain underexplored, particularly social support, resilience and coping behaviours. Such factors are important to examine particularly in the context of COVID-19, where enforced isolation (among other negative lifestyle effects) has created widespread risk for the development of suicidal ideation. This mixed-methods study aimed to examine associations of various protective factors with suicidal ideation in men, using data from an online survey conducted during the COVID-19 pandemic. In addition, we aimed to qualitatively investigate men's self-reported protective strategies when experiencing suicidal thoughts and behaviour. METHODS: A convenience sample of 700 men (age M = 50.3 years; SD = 15.2 years) responded to an online survey including quantitative measures of suicidal ideation, planning and attempt, alongside employment and relationship status, coping, social support, resilience, and a qualitative free-text item gauging men's self-reported protective strategies. Multinomial logistic regression was applied to compare odds of sub-categories of suicide risk (ideation; planning) according to protective factors. Qualitative responses were analysed via thematic analysis. RESULTS: Men in a relationship, and those lower in emotion-focused and avoidant coping reported lower odds of suicidal ideation. Maintaining employment throughout the pandemic was protective against suicidal ideation and planning; as was greater perceived social support from friends. Greater self-reported resilience was protective against suicidal ideation and planning. Qualitative analyses led to the development of two themes: coping and connecting, reflecting men's intra- and interpersonal management strategies; and sustaining selflessness, where men's imaginings of the collateral damage of their suicidal behaviour was protective against action on suicidal thoughts or plans. CONCLUSIONS: Findings of this study speak to the nuanced roles of interpersonal connections, resilience and coping behaviours in protecting against suicidal ideation and planning in men. In addition, qualitative insights further cement men's identification with familial protector and/or provider roles as protective against suicidal action.

Reductive mechanisms for unwanted intrusive thoughts: exploring affectivity in clinical and non-clinical samples

Purpose>Unwanted intrusive thoughts (UITs) are a major public health concern (Nock et al., 2008;Bentum et al., 2017), and they are key to the development of a variety of dysregulated behaviours (Jungmann et al., 2016;Bergen et al., 2012). Thus, this study aims to investigate reductive mechanisms for unwanted intrusive thoughts by analysing aspects of affectivity in clinical and non-clinical samples.Design/methodology/approach>Quantitative means of data collection and analysis were used to explore UITs and affectivity. In total, 530 adults took part in this study (236 males, 253 females and 15 transgenders). Participants consisted of clinical (N = 168) and non-clinical samples (N = 336) who completed the Midlife in the United States sense of control scale (Lachman and Weaver, 1998), 20-item neuroticism scale (Goldberg, 1999), self-compassion scale (Neff, 2003a), flourishing scale (Diener et al., 2009), Positive and Negative Affect Schedule - Negative Scale (Watson et al., 1988), generalised anxiety disorder seven-item (Spitzer et al., 2006) and repetitive thinking questionnaire-10 (McEvoy et al., 2010).Findings>Participants who experienced high levels of psychological flourishing, emotional stability, self-compassion, perceived control and affective well-being were prone to experience minimal UITs. Anxiety was positively related to UITs. These findings suggest that these aspects of affectivity may aid the reduction or management of clinical and non-clinical unwanted intrusive thoughts.Originality/value>This study has addressed gaps in knowledge and the literature on UITs by demonstrating that psychological flourishing, emotional stability, self-compassion, perceived control and affective well-being as aspects of affectivity can be implemented as a reductive mechanism for UITs, and such implementation may have a high probability of effective reduction or management of clinical and non-clinical unwanted intrusive thoughts.

Psychological mediators of the associations between pandemic-related stressors and suicidal ideation across three periods of the COVID-19 pandemic in Canada.

BACKGROUND: The COVID-19 pandemic's mental health impact is well-established. While early evidence suggested suicide deaths remained stable or declined, suicidal ideation (SI) became more prevalent than before the pandemic. Our study: (1) examined the prevalence and distribution of SI among Canadian adults, (2) compared SI among those with and without pre-existing mental illnesses, and (3) evaluated associations between pandemic-related stressors (i.e., unemployment, insecure employment, loss of income, medical vulnerability, COVID-19 exposure) with SI, and whether such associations were mediated by depression, thwarted belongingness, perceived burdensomeness, or perceived discrimination. METHODS: The sample was comprised of data gathered at three timepoints (Wave 1 08/18/2020-10/01/2020, n = 6629; Wave 2 12/21/2020-03/31/2021, n = 5920; Wave 3 09/07/2021-12/07/2021, n = 7354). Quota-based responses from survey research panels which matched the geographic, age, and sex distribution of the Canadian population were supplemented with convenience-sampled responses. RESULTS: The prevalence of SI was 4.1 % (Wave 1), 5.3 % (Wave 2), and 5.8 % (Wave 3). Odds of SI were higher for respondents under the age of 35 years and with pre-existing mental illnesses. SI was associated with quarantining due to suspected or confirmed COVID-19 exposure, potential COVID-19 exposure at work, medical vulnerability toward COVID-19, insecure employment or unemployment, and income loss. These associations were mediated by psychological experiences, particularly depression and thwarted belongingness. LIMITATIONS: This cross-sectional, observational study cannot establish temporality or causality. CONCLUSION: Results highlight groups who may benefit from enhanced screening for depression and suicide risk. Reducing depression and increasing sense of belonging should be prioritized.

The Fiqhal-?Aw?Ri' Thoughts of 'Abd Allah Bin Bayyah on the Management of Worship during the Covid-19 Pandemic

The COVID-19 pandemic that struck the world recently had left a huge impact on all sectors of life. The outbreak of the virus resulted in a no-physical contact form of human interaction as a measure of curbing its cycle of transmission. The impact was also felt in religious practice and worship due to the closure of mosques which resulted in the suspension of congregational prayers and other religious activities. This state of affairs led to discord in the religious spirit of the community since the new rulings conflicted with their religious interests. There were public disputes over the provisions of Islamic primary rulings, especially in matters of worship, albeit these were declared by the authorities such as the fatwa institution. Thus, the purpose of this study was to identify the principles of Islamic primary rulings during an epidemic using the fiqh al-?awari' discourse framework of Shaykh 'Abd Allah bin Bayyah. Based on these principles, an assessment was conducted on the conflicting Islamic primary rulings in Malaysia during the epidemic. To achieve the objective, library data from the Fiqh al-tawari' Discourse held in 2020 was fully used. Data were analysed inductively, deductively and comparatively using the content analysis method. It was concluded that thefiqh al tawari' framework was not based on the circumstances of the epidemic, instead it was the outcome of an ijtihad which had a reliable source and methodology in Sharia.

E-cigarettes and non-suicidal self-injury: Prevalence of risk behavior and variation by substance inhaled.

Background: Nicotine and cannabis inhalation through vaping or electronic delivery systems has surged among young adults in the United States, particularly during the coronavirus disease pandemic. Tobacco and marijuana use are associated with select adverse mental health outcomes, including symptoms of major depressive disorder and suicidal behaviors. Given the need for addiction specialists to treat problematic substance use with an integrated approach, the association between non-suicidal self-injury (NSSI) and use of e-cigarettes, tobacco, marijuana, and alcohol was examined among a diverse sample of college students. Methods: Healthy Minds Study data from 47,016 weighted observations, collected from college students in the 2018-2019 academic year, was used to explore associations between NSSI-related behaviors and past 30-day use of a vaping product (nicotine or marijuana). These relationships were assessed among those using vaping products only, and then among individuals using vaping products and alcohol, conventional cigarettes, and/or marijuana. Hierarchical logistic regression models estimating the relationship between vaping and NSSI were computed to adjust for the effects of demographic factors, symptomatology of psychiatric disorders, and concurrent use of other substances. Results: A fifth (22.9%) of respondents disclosed past 12-month NSSI; they were significantly more likely to screen positive for depression or anxiety compared to young adults without NSSI. Rates of using vaping products, conventional cigarettes, marijuana, or other substances were higher among students with NSSI even after controlling for potential cofounders. Additionally, students who used a THC-based liquid in their e-cigarettes were more likely to endorse NSSI in comparison to those who used "just flavoring." However, young adults who vaped were less likely to disclose frequent NSSI-related behaviors than their peers who did not vape. Conclusions: These findings revealed an association between past 12-month NSSI and past 30-day vaping in a sample of young adults. Further surveillance among college populations and examination of potential sociodemographic confounders is necessary to confirm these findings and advance the substance use and addiction field.

Mask wearing and self-harming thoughts among international students in the United States during COVID-19: The moderating role of discrimination.

Objective: This study examined associations among discrimination, mask-wearing behavior, and self-harming thoughts among international students in the United States during COVID-19. Participants: Undergraduate and graduate international students enrolled in universities during the 2020 summer semester participated in the online survey (N = 103). Methods: Perceived discrimination, mask-wearing behavior, and self-harming thoughts during COVID-19 were assessed by self-reports. Multivariable logistic regressions examined the association among discrimination, mask-wearing behavior, and self-harming thoughts and explored the potential moderation effect of discrimination on the association between mask-wearing and self-harming thoughts. Results: 18.6% of participants reported self-harming thoughts. Increased discrimination was significantly associated with increased odds of self-harming thoughts. Discrimination significantly moderated the association between mask wearing and self-harming thoughts. Conclusions: The findings highlight the importance of increased availability of culturally appropriate mental health services for international students and the need for increased advocacy to decrease discrimination against international students in the current societal context.

Factors associated to emotional impact of COVID-19 pandemic on health professional

The aim of this study was to explore the emotional impact of Covid-19 on healthcare professionals at the Clinical and University Hospital of Valencia (Spain), and to identify the associated variables. A total of 228 professionals completed an ad hoc online survey in May 2020. The healthcare professionals experienced symptoms of stress (32%), depression (26%), anxiety (14%) and intrusive memories (7.5%). A higher frequency of sadness and anxiety was observed in women and in professionals who had presented Covid-19 symptoms. The professional category with the most frequent emotional symptoms was that of auxiliary nurses, and for stress also nurses and residents. The most affected were the first line units. The psychological variables that were negatively associated with the frequency of all symptomatic manifestations were: self-care, self-esteem, resilience and use of active coping strategies, together with self-efficacy and social support for stress and depression. Despite the limitations of the study, the results may contribute to guide preventive programs for health professionals in future health crises. (PsycInfo Database Record (c) 2022 APA, all rights reserved) (Spanish) El objetivo de este trabajo fue explorar el impacto emocional de la Covid-19 en profesionales sanitarios del Hospital Clinico Universitario de Valencia, e identificar las variables asociadas. Participaron 228 profesionales que cumplimentaron en mayo de 2020 una encuesta online elaborada ad hoc. Los profesionales sanitarios experimentaron sintomas de estres (32%), depresion (26%), ansiedad (14%) y recuerdos intrusos (7,5%). Se observo mayor frecuencia de tristeza y ansiedad en mujeres y en profesionales que habian presentado sintomas de Covid-19. La categoria profesional con sintomas emocionales mas frecuentes fue el de auxiliar de enfermeria, y para estres tambien enfermeros y residentes. Las unidades con mayor afectacion fueron las de primera linea. Las variables psicologicas que se asociaron negativamente con la frecuencia de todas las manifestaciones sintomaticas fueron: autocuidado, autoestima, resiliencia y uso de estrategias de afrontamiento activas, junto a autoeficacia y apoyo social para estres y depresion. Pese a las limitaciones del estudio, los resultados pueden contribuir a orientar programas preventivos para profesionales sanitarios en futuras crisis sanitarias. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

Global trends of suicidal thought, suicidal ideation, and self-harm during COVID-19 pandemic: a systematic review

BackgroundSuicide is one of the leading causes of death. The current systematic review is done to know the trend of suicidal thoughts, suicidal ideation, and self-harm during COVID-19 pandemic.Main textThe search was done by using PubMed, ScienceDirect, and Google Scholar databases. With the help of Mendeley portal, articles were retrieved on the basis of inclusion criteria like to know the risk factors, vulnerable group, complete article PDFs, prevention strategies, aims, results, and limitations. The shortlisted data from search was tabulated, and the PRISMA chart was framed based on the inclusion and exclusion criteria.ResultSixteen studies that satisfied the inclusion criteria were organized and selected. The variables and global scenario were considered in databases. It has been noticed that trends of suicidal thoughts, suicidal ideation, and self-harm remains the same in some countries like Japan, whereas in some countries like Bangladesh and France, trends of suicides had increased during the pandemic period. The probable cause could be lockdown, social isolation, and stoppage of recreational activities.ConclusionsThe trends of suicidal ideation, suicidal thoughts, and self-harm are more in vulnerable categories like health care professionals, university students, elderly individuals, and psychiatrically ill patients. In health care professional, it is due to the increased risk of contagion and watching deaths closely. In university students, it is due to the lack of recreational activities and social isolation. Among elderly, it is due to thinking themselves as overburden. The increase in suicidality in psychiatric ill patient admitted during COVID-19 pandemic is due to unknown cause.