TY  - JOUR
PY  - 2024//
TI  - Barriers and risk factors associated with non-treatment-seeking for suicidality onset during the COVID-19 pandemic among young adults
JO  - Psychiatry research
A1  - Woolverton, G. Alice
A1  - Rastogi, Ritika
A1  - Brieger, Katharine K.
A1  - Wong, Sylvia H. M.
A1  - Keum, Brian TaeHyuk
A1  - Hahm, Hyeouk Chris
A1  - Liu, Cindy H.
SP  - e116095
EP  - e116095
VL  - 340
IS  - 
N2  - 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., "symptoms are not serious enough for treatment"); 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 "foot-in-the-door" 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>
LA  - en
SN  - 0165-1781
UR  - http://dx.doi.org/10.1016/j.psychres.2024.116095
ID  - ref1
ER  -