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

作　　者：Hyesu Jo Jaeyu Park Hyeri Lee Kyeongmin Lee Hayeon Lee Yejun Son Jiseung Kang Sooji Lee Yujin Choi Jun Hyuk Lee Guillaume Fond Laurent Boyer Lee Smith Jinseok Lee Guillermo Felipe López Sánchez Elena Dragioti Mark A.Tully Masoud Rahmati Ho Geol Woo Selin Woo Dong Keon Yon 

机构地区：[1]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 [2]Department of Regulatory Science,Kyung Hee University,Seoul,South Korea [3]Department of Electronics and Information Convergence Engineering,Kyung Hee University,Yongin,South Korea [4]Department of Precision Medicine,Kyung Hee University College of Medicine,Seoul,South Korea [5]Department of Anesthesia,Critical Care and Pain Medicine,Massachusetts General Hospital,Boston,MA,USA [6]Division of Sleep Medicine,Harvard Medical School,Boston,MA,USA [7]Department of Medicine,Kyung Hee University College of Medicine,Seoul,South Korea [8]Department of Korean Medicine,Kyung Hee University College of Korean Medicine,Seoul,South Korea [9]Health and Human Science,University of Southern California,Los Angeles,CA,USA [10]CEReSS Health Service Research and Quality of Life Center,Assistance Publique-Hôpitaux de Marseille(AP-HM),Aix-Marseille University,Marseille,France [11]Centre for Health,Performance and Wellbeing,Anglia Ruskin University,Cambridge,UK [12]Division of Preventive Medicine and Public Health,Department of Public Health Sciences,School of Medicine,University of Murcia,Murcia,Spain [13]Research Laboratory Psychology of Patients,Families,and Health Professionals,Department of Nursing,School of Health Sciences,University of Ioannina,Ioannina,Greece [14]School of Medicine,Ulster University,Londonderry,Northern Ireland,UK [15]Department of Physical Education and Sport Sciences,Faculty of Literature and Human Sciences,Lorestan University,Khoramabad,Iran [16]Department of Physical Education and Sport Sciences,Faculty of Literature and Humanities,Vali-E-Asr University of Rafsanjan,Rafsanjan,Iran [17]Department of Neurology,Kyung Hee University Medical Center,Kyung Hee University College of Medicine,23 Kyungheedae-ro,Dongdaemun-gu,Seoul,02447,South Korea [18]Department of Pediatrics,Kyung Hee University Medical Center,Kyung He

出　　处：《World Journal of Pediatrics》2024年第12期1249-1269,共21页世界儿科杂志(英文版)

基　　金：supported by the National Research Foundation of Korea(NRF)grant funded by the Korean Government(MSIT,RS-2023-00248157);the MSIT(Ministry of Science and ICT),Korea,under the ITRC(Information Technology Research Center)support program(IITP-2024-RS-2024-00438239)supervised by the IITP(Institute for Information&Communications Technology Planning&Evaluation).

摘　　要：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.

关 键 词：COVID-19 Multicultural adolescents South Korea SADNESS Suicidal ideation Suicide attempts 

分 类 号：R57[医药卫生—消化系统]