@article{ref1,
title="Barriers and risk factors associated with non-treatment-seeking for suicidality onset during the COVID-19 pandemic among young adults",
journal="Psychiatry research",
year="2024",
author="Woolverton, G. Alice and Rastogi, Ritika and Brieger, Katharine K. and Wong, Sylvia H. M. and Keum, Brian TaeHyuk and Hahm, Hyeouk Chris and Liu, Cindy H.",
volume="340",
number="",
pages="e116095-e116095",
abstract="INTRODUCTION: Researchers predict long-term increases in suicide deaths following the COVID-19 pandemic. Little is known about risk factors for suicidal ideation (SI) and suicidal attempts (SA) or treatment barriers and promoters during the pandemic. We examine these factors in a young adult sample. <br><br>METHODS: Analyses used a 2022 cross-sectional survey dataset (N = 1,956). Logistic regression identified factors associated with pandemic suicidality (i.e., SI, SA). Non-treatment seekers reported barriers to seeking treatment. Logistic regression identified promotive factors associated with treatment-seeking. <br><br>RESULTS: 28.6 % of our sample developed suicidality during the pandemic, of whom 49.6 % did not seek treatment. Asian race and sexual minority status were strongly associated with increased odds of pandemic suicidality. Among SI non-treatment-seekers, barriers were primarily attitudinal (e.g., &quot;symptoms are not serious enough for treatment&quot;); among non-treatment-seekers with SA, barriers were mostly structural (e.g., insufficient funds). Previous depression treatment was strongly associated with increased odds of treatment-seeking. <br><br>CONCLUSION: Asian American individuals were at increased risk for pandemic suicidality, which may reflect interpersonal risks related to COVID-19-related anti-Asian racism. Our findings point to a &quot;foot-in-the-door&quot; effect: past treatment-seeking was positively associated with future treatment-seeking. To promote this effect and decrease barriers, we suggest integrated mental health screening and referrals in primary care.<p /> <p>Language: en</p>",
language="en",
issn="0165-1781",
doi="10.1016/j.psychres.2024.116095",
url="http://dx.doi.org/10.1016/j.psychres.2024.116095"
}