Suicidal ideation among university students during the COVID-19 pandemic: a rapid systematic review with meta-analysis

Authors

DOI:

https://doi.org/10.33448/rsd-v11i4.26426

Keywords:

Suicidal ideation; Mental Health; Students; Pandemics; COVID-19.

Abstract

The COVID-19 pandemic brought several behavioral changes in the social, academic and professional spheres, caused numerous deaths and, due to the lack of treatment, imposed social isolation and an adaptation of daily activities, restricted to the remote format, causing emotional and mental instability. in society. Thus, this study aimed to investigate the prevalence of suicidal ideation and associated factors among university students during the COVID-19 pandemic. A Rapid Systematic Review was performed using several databases. Observational studies evaluating suicidal ideation among college students during the COVID-19 pandemic were considered. Articles were assessed for risk of bias by the Joanna Briggs Institute Instrument. Data were extracted for analysis of associated factors and prevalence meta-analysis. Eleven articles were included. The prevalence of suicidal ideation among university students ranged from 1.7 to 19.6%, with a combined prevalence of 12.1% (95% CI: 9.6-15.0%). Factors associated with suicidal ideation were excessive screen time, social isolation, sleep disorders, symptoms of depression, anxiety, post-traumatic stress and being female. The quality of articles ranged from high to low risk of bias. The combined prevalence of suicidal ideation among university students in the period of the COVID-19 pandemic was high, with social isolation and screen time as factors associated with the new context of the pandemic. The findings indicate that support measures should be made available to students during the pandemic to ensure mental health.

Author Biographies

Karlayle de Oliveira Martins Teixeira, Federal University of Minas Gerais

Department of Preventive and Social Dentistry. Federal University of Minas Gerais. Belo Horizonte, Minas Gerais, Brazil.

 

Jonathan Lopes de Lisboa, Federal University of Minas Gerais

Department of Child and Adolescent Oral Health. Federal University of Minas Gerais. Belo Horizonte, Minas Gerais, Brazil.

Bárbara Magalhães Figueiredo Dias, Federal University of Minas Gerais

Department of Preventive and Social Dentistry. Federal University of Minas Gerais. Belo Horizonte, Minas Gerais, Brazil.

Raquel Conceição Ferreira, Federal University of Minas Gerais

Department of Preventive and Social Dentistry. Federal University of Minas Gerais. Belo Horizonte, Minas Gerais, Brazil.

Patricia Maria Pereira de Araujo Zarzar, Federal University of Minas Gerais

Department of Child and Adolescent Oral Health. Federal University of Minas Gerais. Belo Horizonte, Minas Gerais, Brazil.

 

References

Abreu, M. R. P., Tejeda, J. J. G., Velázquez, O. T., Tamayo, A. E. I. & Arjona, E. D. B. (2020). Alteraciones psicológicas en estudiantes de medicina durante la pesquisa activa de la COVID-19. Medisan, 24(4):537-540.

Aquino, E. M. L., Silveira, I. H., Pescarini, J. M., Aquino, R., Souza-Filho, J. A., Rocha, A. S., et al. (2020). Social distancing measures to control the COVID-19 pandemic: potential impacts and challenges in Brazil. Cien Saude Colet 25(suppl 1):2423-2446.

Arafat, S. M. Y. (2019). Females are dying more than males by suicide in Bangladesh. Asian J Psychiatr; 40:124-125.

Arnett, J. J., Žukauskiene, R. & Sugimura, K. (2014) The new life stage of emerging adulthood at ages 18-29 years: implications for mental health. Lancet

Psychiat; 1:569-576.

Auerbach, R. P., Alonso, J., Axinn, W. G., Cuijpers, P., Ebert, D. D., Green, J. G., et al. (2016). Mental disorders among college students in the World Health Organization World Mental Health Surveys. Psychol Med; 46(14):2955-2970.

Calvo-Sanz, J. A., Tapia-Ayuga, C. E. (2020). Blue light emission spectra of popular mobile devices: The extent of user protection against melatonin suppression by built-in screen technology and light filtering software systems. Chronobiol Int; 37(7):1016-1022.

Cha, C. B., Franz, P. J. M., Guzmán, E., Glenn, C. R., Kleiman, E. M, Nock, M. K. (2018). Annual Research Review: Suicide among youth-epidemiology, (potential) etiology, and treatment. Journal of Child Psychology and Psichiatry; 59(4), 460-482.

Chen, R. N., Liang, S. W., Peng, Y., Li, X. G., Chen, J. B., Tang, S. Y., Zhao, J. B. (2020). Mental health status and change in living rhythms among college students in China during the COVID-19 pandemic: A large-scale survey. J Psychosom Res; 137:110219.

Christensen, M. A., Bettencourt, L., Kaye, L., Moturu, S. T., Nguyen, K. T., Olgin, J. E., Pletcher, M. J., Marcus, G. M. (2016). Direct Measurements of Smartphone Screen-Time: Relationships with Demographics and Sleep. PLoS One; 11(11): e0165331.

Debowska, A., Horeczy, B., Boduszek, D., Dolinski, D. (2020). A repeated cross-sectional survey assessing university students’ stress, depression, anxiety, and suicidality in the early stages of the COVID-19 pandemic in Poland. Psychological Medicine; 2:1–4.

Dusselier, L., Dunn, B., Wang, Y., Shelley, M. C. 2nd, Whalen, D. F. (2005). Personal, health, academic, and environmental predictors of stress for residence hall students. J Am Coll Health; 54(1):15-24.

Elmer, T., Mepham, K. & Stadtfeld, C. (2020) Students under lockdown: Comparisons of students' social networks and mental health before and during the COVID-19 crisis in Switzerland. PLoS One; 15(7): e0236337.

Eskin, M., Sun, J. M., Abuidhail, J., Yoshimasu, K., Kujan, O., Janghorbani, M., Flood. C, Carta, M. G., et al. (2016). Suicidal Behavior and Psychological Distress in University Students: A 12-nation Study. Arch Suicide Res; v.20, n.3, p. 369-388.

Faro, A., Bahiano, M. A., Nakano, T. C., Reis, C., Silva, B. F. P., Vitti, L. S. (2020). COVID-19 and mental health: the emergence of care. Psychol Stud; 37: e200074.

Ge, F., Zhang, D., Wu, L. & Mu, H. (2020). Predicting Psychological State Among Chinese Undergraduate Students in the COVID-19 Epidemic: A Longitudinal Study Using a Machine Learning. Neuropsychiatr Dis Treat; 16: 2111-2118.

Gentry, L. A., Chung, J. J., Aung, N., Keller, S., Heinrich, K. M., Maddock, E. (2007). Gender differences in stress and coping among adults living in Hawaii. Calif J Health Promot; 5(2):89-102.

Gundim, V. A., Encarnação, J. P., Santos, F. C., Santos, J. E., Vasconcellos, E. A., Souza, R. C. (2021). Mental health of university students during the covid-19 pandemic. Rev Baiana Enferm; 35: e37293.

Hammen, C. (2018). Risk factors for depression: an autobiographical review. Annu Rev Clin Psychol; 14:1-28.

Hollenstein, T. & Lougheed, J. P. (2013). Beyond storm and stress: Typicality, transactions, timing, and temperament to account for adolescent change. American Psychologist, 68(6), 444-454.

Huang, Y. & Zhao, N. (2020). Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: a web-based cross-sectional survey. Psychiatry Res; 288:112954.

Kim, S. W. & Su, K. P. (2020). Using psychoneuroimmunity against COVID-19. Brain Behav Immun; 87:4-5.

Li, W., Yang, Y, Liu, Z. H., Zhao, Y. J., Zhang, Q., Zhang, L., Cheung, T., Xiang, Y. T. (2020). Progression of Mental Health Services during the COVID-19 Outbreak in China. Int J Biol Sci; 16(10):1732-1738.

Li, Z. Z., Li, Y. M., Lei, X. Y., Zhang, D., Liu, L, Tang, S. Y., et al. (2014). Prevalence of suicidal ideation in Chinese college students: a meta-analysis. PLoS One, v.9, n.10, p. e104368.

Lindsey, M. A., Sheftall, A. H., Xiao, Y., Joe, S. (2017). Trends of suicidal behaviors among high school students in the United States: 1991-2017.Pediatrics; 144(5), e20191187.

Maia, B. R. & Dias, P. C. (2020). Anxiety, depression, and stress in university students: the impact of COVID-19. Psychol Stud; 37: e200067.

Mamun, M. A., Misti, J. M., & Griffiths, M. D. (2020). Suicide of Bangladeshi medical students: Risk factor trends based on Bangladeshi press reports. Asian J Psychiatr; 48:101905.

Moher, D., Schulz, K. F., Simera, I., Altman, D. G. (2010). Guidance for developers of health research reporting guidelines. PLoS Med; 7(2): e1000217.

Moola, S., Munn, Z., Tufanaru, C., Aromataris, E., Sears, K., Sfetcu, R., Currie, M., et al. (2020). Chapter 7: Systematic reviews of etiology and risk. In: Aromataris E, Munn Z (Editors). Explanation of Cohort Studies Critical Appraisal. JBI Manual for Evidence Synthesis.

Nelson, B. W., Pettitt, A., Flannery, J. E., Allen, N. B. (2020). Rapid assessment of psychological and epidemiological correlates of COVID-19 concern, financial strain, and health-related behavior change in a large online sample. PLoS One; 15(11): e0241990.

Patsali, M. E., Mousa, D. V., Papadopoulou, E. V. K, Papadopoulou KKK, Kaparounaki CK, Diakogiannis I, Fountoulakis KN. (2020). University students' changes in mental health status and determinants of behavior during the COVID-19 lockdown in Greece. Psychiatry Res; 292:113298.

Peltzer K, Yi S & Pengpid S. (2017). Suicidal behaviors and associated factors among university students in six countries in the Association of Southeast Asian Nations (ASEAN). Asian J Psychiatr, p.26:32-38.

Perez, W. V. (2005). The relationship between seriously considering, planning, and attempting suicide in the youth risk behavior survey. Suicide and Lifethreatening Behavior; 35: 35–49.

Phillips, M. R., Li, X. & Zhang, Y. (2002). Suicide rates in China, 1995-99. Lancet; v.360, n.9329, p.344.

Pigeon, W. R., Bishop, T. M., Krueger, K. M. (2017). Insomnia as a Precipitating Factor in New Onset Mental Illness: a Systematic Review of Recent Findings. Curr Psychiatry Rep; 19(8):44.

Pramukti, I., Strong, C., Sitthimongkol, Y., Setiawan, A., Pandin, M. G. R., Yen, C. F., et al. (2020). Anxiety and Suicidal Thoughts During the COVID-19 Pandemic: Cross-Country Comparative Study Among Indonesian, Taiwanese, and Thai University Students. J Med Internet Res; 22(12): e24487.

Rahman, M. E., Saiful, M. I., Mamun, M. A., Moonajilin, M. S., Yi, S. (2020). Prevalence and Factors Associated with Suicidal Ideation Among University Students in Bangladesh. Arch Suicide Res.

Reger, M. A., Piccirillo, M. L., Buchman-Schmitt, J. M. (2020). COVID-19, Mental Health, and Suicide Risk Among Health Care Workers: Looking Beyond the Crisis. J Clin Psychiatry; 81(5):20com13381.

Sohrabi, C., Alsafi, Z., O'Neill, N., Khan, M., Kerwan, A., Al-Jabir, A., Iosifidis, C., Agha, R. (2020). World Health Organization declares global emergency: A review of the 2019 novel coronavirus (COVID-19). Int J Surg; 76:71-76.

Son, C., Hegde, S., Smith, A., Wang, X., Sasangohar, F. (2020). Effects of COVID-19 on College Students' Mental Health in the United States: Interview Survey Study. J Med Internet Res; 22(9):e21279.

Suh, S., Kim, H., Yang, H. C., Cho, E. R., Lee, S. K., Shin, C. (2013). Longitudinal course of depression scores with and without insomnia in non-depressed individuals: a 6-year follow-up longitudinal study in a Korean cohort. Sleep; 36(3):369-376.

Sun, S., Goldberg, S. B., Lin, D., Qiao, S., Operario, D. (2021). Psychiatric symptoms, risk, and protective factors among university students in quarantine during the COVID-19 pandemic in China. Global Health; 17(1):15.

Tang, W., Hu, T., Hu, B., Jin, C., Wang, G., Xie, C., Chen, S., Xu, J. (2020). Prevalence and correlates of PTSD and depressive symptoms one month after the outbreak of the COVID-19 epidemic in a sample of home-quarantined Chinese university students. J Affect Disord; 274:1-7.

Tasnim, R, Islam, M. S., Sujan, M. S. H., Sikder, M. T., Potenza, M. N. (2020). Suicidal ideation among Bangladeshi university students early during the COVID-19 pandemic: Prevalence estimates and correlates. Child Youth Serv Rev; 119:105703.

Tricco, A. C., Langlois, E. V. & Straus, S. E. (2017). Rapid reviews to strengthen health policy and systems: a practical guide. Geneva: World Health Organization.

United Nations educational, scientific and cultural organization. (2020). COVID-19 educational disruption and response. Paris: UNESCO; 2020.

Vallance, J. K., Buman, M. P., Stevinson, C., Lynch, B. M. (2015). Associations of overall sedentary time and screen time with sleep outcomes. Am J Health Behav; 39(1):62-67.

Wang, X., Hegde, S., Son, C., Keller, B., Smith, A., Sasangohar, F. (2020). Investigating Mental Health of US College Students During the COVID-19 Pandemic: Cross-Sectional Survey Study. J Med Internet Res; 22(9):e22817.

Wathelet, M., Duhem, S., Vaiva, G., Baubet, T., Habran, E., Veerapa, E., et al. (2020). Factors Associated With Mental Health Disorders Among University Students in France Confined During the COVID-19 Pandemic. JAMA Netw Open; 3(10): e2025591.

Werlang, B. S. G., Borges, V. R. & Fensterseifer, L. (2005). Risk and Protection Factors in Suicide Ideation Adolescents. Interamerican Journal of Psychology; v. 39, n.2, p.259- 266.

Wilcox, H. C., Arria, A. M., Caldeira, K. M., Vincent, K. B., Pinchevsky, G. M., O'GRADY, K. E. (2010). Prevalence and predictors of persistent suicide ideation, plans, and attempts during college. J Affect Disord; v. 127, n.1-3, p. 287-294.

World Health Organization. (2021). WHO Director-General’s opening remarks at the media briefing on COVID-19 - 25 June 2021. Geneva: WHO. 2021.

Xin, M., Luo, S., She, R., Yu, Y., Li, L., Wang, S., et al. (2020). Negative cognitive and psychological correlates of mandatory quarantine during the initial COVID-19 outbreak in China. Am Psychol; 75(5):607-617.

Zhai, H., Ba, B., Chen, L., Han, D., Wang, L., Qiao, Z., et al. (2015). Correlation between family environment and suicidal ideation in university students in China. Int J Environ Res Public Health; v.12, n.2, p. 1412-1424.

Downloads

Published

09/03/2022

How to Cite

TEIXEIRA, K. de O. M. .; LISBOA, J. L. de; DIAS, B. M. F.; FERREIRA, R. C. .; ZARZAR, P. M. P. de A. .; SAMPAIO, A. A. . Suicidal ideation among university students during the COVID-19 pandemic: a rapid systematic review with meta-analysis. Research, Society and Development, [S. l.], v. 11, n. 4, 2022. DOI: 10.33448/rsd-v11i4.26426. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/26426. Acesso em: 20 apr. 2024.

Issue

Section

Review Article