COVID-19 pandemic amplified mortality rates among adolescents with bipolar disorder through family-related factors  

作　　者：Zhuo-Fan Ye Yi-Han Hong Jian-Lin Yang Meng-Qing Tan Ju-Min Xie Zu-Cai Xu 

机构地区：[1]Department of Neurology,The Affiliated Hospital of Zunyi Medical University,Zunyi 563000,Guizhou Province,China [2]Hubei Key Laboratory of Renal Disease Occurrence and Intervention,Medical School,Hubei Polytechnic University,Huangshi 435003,Hubei Province,China [3]Psychological Children's Ward,Mental Health Center of Huangshi,Huangshi 435111,Hubei Province,China [4]The Collaborative Innovation Center of Tissue Damage Repair and Regeneration Medicine,Zunyi Medical University,Zunyi 563000,Guizhou Province,China

出　　处：《World Journal of Clinical Cases》2024年第11期1929-1935,共7页世界临床病例杂志

基　　金：Local Special Projects in Major Health of Hubei Provincial Science and Technology Department,No.2022BCE054;Key Scientific Research Projects of Hubei Polytechnic University,No.23xjz08A.

摘　　要：BACKGROUND Recently,a growing number of adolescents have been afflicted with mental disorders,with annual morbidity rates on the rise.This trend has been exacerbated by the global coronavirus disease 2019(COVID-19)pandemic,leading to a surge in suicide and self-harm rates among this demographic.AIM To investigate the impact of the COVID-19 pandemic on adolescent bipolar disorder(BD),along with the underlying factors contributing to heightened rates of suicide and self-harm among adolescents.METHODS A comprehensive statistical analysis was conducted utilizing clinical interviews and self-reports obtained from patients or their guardians.Diagnostic criteria for BDs were based on the Diagnostic and statistical manual of mental disorders,international classification of diseases-11,and the National institute of mental health research domain criteria.Statistical analyses were performed using SPSS 26.0 software,with significance set at P<0.05.RESULTS A cohort of 171 adolescents diagnosed with BD between January 1,2018,and December 31,2022,was included in the analysis.The gender distribution was 2.8:1(female to male),with ages ranging from 11 to 18 years old.Major factors contributing to adolescent BDs included familial influences,academic stress,genetic predisposition and exposure to school-related violence.Notably,a significant increase in suicide attempts and self-harm incidents was observed among adolescents with BD during the COVID-19 pandemic.Statistical analysis indicated that the pandemic exacerbated familial discord and heightened academic stress,thereby amplifying the prevalence of suicidal behavior and self-harm among adolescents.CONCLUSION The COVID-19 pandemic has exacerbated familial tensions and intensified the incidence of suicide and self-harm among adolescents diagnosed with BD.This study underscores the urgent need for societal,familial and educational support systems to prioritize the well-being of adolescents and offers valuable insights and guidelines for the prevention,diagnosis and treatment of ad

关 键 词：Adolescents Bipolar disorder COVID-19 SUICIDE SELF-HARM 

分 类 号：R587.1[医药卫生—内分泌]