DOI QR코드

DOI QR Code

The Effects of Household Financial Difficulties Caused by COVID-19 on Suicidal Tendencies of Adolescents: Application of Propensity Score Matching Analysis

COVID-19로 인한 가정경제 악화가 청소년의 자살경향성에 미치는 효과 분석: 성향점수매칭 분석의 적용

  • Lee, Mi-Sun (Hallym University Suicide and School Mental Health Institute) ;
  • Han, Seunghui (Hallym University Suicide and School Mental Health Institute) ;
  • Kang, Jooyeon (Hallym University Suicide and School Mental Health Institute) ;
  • Kim, Joonbeom (Hallym University Suicide and School Mental Health Institute)
  • 이미선 (한림대학교 자살과 학생정신건강연구소) ;
  • 한승희 (한림대학교 자살과 학생정신건강연구소) ;
  • 강주연 (한림대학교 자살과 학생정신건강연구소) ;
  • 김준범 (한림대학교 자살과 학생정신건강연구소)
  • Received : 2021.04.29
  • Accepted : 2021.05.23
  • Published : 2021.05.31

Abstract

Objectives: The study aimed to analyze the effects of household financial difficulties caused by COVID-19 (2019 coronavirus disease) on suicidal tendencies of adolescents. Methods: We selected 54,948 middle and high school students who were surveyed based on the Korean Youth Risk Behavior Web-based Survey 2020. To analyze the data, we used the STATA 16.0 program to conduct propensity score matching (PSM). Results: After controlling for selection effects by using PSM, the household financial difficulties caused by COVID-19 maintained a significant predictive effect on increasing suicidal ideation, suicide attempts, and decreasing tendency in hospital-treated after suicide attempts. However, depressive symptoms and suicide plan did not show a significant correlation with household financial difficulties associated with COVID-19. Conclusions: It was found that the rate of suicidal ideation and suicide attempts among adolescents who experienced a household financial difficulties due to COVID-19. Therefore, It can provide empirical evidence for estimating the impact of COVID-19 on adolescent suicide rates.

Keywords

References

  1. 교육부, 보건복지부, 질병관리청. (2021). 제16차 (2020년) 청소년건강행태조사 통계. 세종: 교육부.
  2. 김태완. (2020). 코로나 19 로 인한 영향 및 사회정책 대응 방안. 보건.복지 Issue & Focus, 385, 1-8.
  3. 보건사회연구원. (2020). 코로나 19의 노숙인.쪽방주민에 대한 영향 및 정책 방안 연구. 세종: 보건사회연구원
  4. 생명보험사회공헌위원회. (2020). 생명에 사랑을 더하다. 생명보험사회공원위원회 연차보고서 2020, 서울: 생명보험사회공헌위원회.
  5. 여성가족부. (2021). 위기 청소년 특별지원. Retrieved from http://www.mogef.go.kr/sp/yth/sp_yth_f009.do
  6. 이봉주, 김광혁. (2007). 가족빈곤과 가족구조가 아동학대와 방임에 미치는 영향. 아동권리연구, 11(3), 333-359.
  7. 이정연, 박미희, 소미영, 안수현. (2020). 코로나19와 교육: 학교구성원의 생활과 인식을 중심으로. 경기: 경기도교육연구원.
  8. 정여원, 김인홍, 박영희. (2021). 청소년의 비자살적 자해 상담 및 사례관리의 어려움: 지역사회 요인을 중심으로. 지역사회간호학회지, 32(1), 1-11.
  9. 청소년상담복지개발원. (2020). 비대면 시대 청소년 화상상담 경험과 발전방향. 청소년상담 이슈페이퍼, (4), 1-15.
  10. 최지욱. (2021). 코로나 19가 성인 및 소아청소년에 미치는 영향과 지원 방안. 신경정신의학, 60(1), 2-10.
  11. 최진희, 전진아. (2017). 청소년의 정신건강 현황과 건강행태와의 관련성. 보건복지포럼, 245, 72-83.
  12. Abernathy TJ, Webster G, Vermeulen M. (2002). Relationship between poverty and health among adolescents. Adolescence, 37(145), 55-68.
  13. Akematsu Y, Tsuji M. (2012). Measuring the effect of telecare on medical expenditures without bias using the propensity score matching method. Telemedicine and e-Health, 18(10), 743-747. https://doi.org/10.1089/tmj.2012.0019
  14. Aquila I, Sacco MA, Ricci C, Gratteri S, Ricci, P. (2020). Quarantine of the Covid-19 pandemic in suicide: A psychological autopsy. Medico-Legal Journal, 88(4), 182-184. https://doi.org/10.1177/0025817220923691
  15. Balachandran AK, Alagarsamy S, Mehrolia S. (2020). Suicide among children during Covid-19 pandemic: An alarming social issue. Asian Journal of Psychiatry, 54, 102420. https://doi.org/10.1016/j.ajp.2020.102420
  16. Becker, M., & Correll, C. U. (2020). Suicidality in childhood and adolescence. Deutsches Arzteblatt International, 117(15), 261-267.
  17. Brenner MH, & Bhugra D. (2020). Acceleration of Anxiety, Depression, and Suicide: Secondary Effects of Economic Disruption Related to COVID-19. Front Psychiatry, 11, 592467. https://doi.org/10.3389/fpsyt.2020.592467
  18. Burnett D, Eapen, V, Lin PI. (2020). Time Trends of the Public's Attention Toward Suicide During the COVID-19 Pandemic: Retrospective, Longitudinal Time-Series Study. JMIR Public Health Surveill, 6(4), e24694. https://doi.org/10.2196/24694
  19. Caballero-Dominguez CC, Jimenez-Villamizar MP, Campo-Arias A. (2020). Suicide risk during the lockdown due to coronavirus disease (COVID-19) in Colombia. Death Studies, 1-6.
  20. Dashiff C, DiMicco W, Myers B, Sheppard K. (2009). Poverty and adolescent mental health. Journal of Child and Adolescent Psychiatric Nursing, 22(1), 23-32. https://doi.org/10.1111/j.1744-6171.2008.00166.x
  21. Isumi A, Doi S, Yamaoka Y, Takahashi K, Fujiwara T. (2020). Do suicide rates in children and adolescents change during school closure in Japan? The acute effect of the first wave of COVID-19 pandemic on child and adolescent mental health. Child Abuse & Neglect, 110(2), 104680. https://doi.org/10.1016/j.chiabu.2020.104680
  22. Juan W 외 5명. (2015). Non-medical use of psychoactive drugs in relation to suicide tendencies among Chinese adolescents. Addictive Behaviors, 51, 31-37. https://doi.org/10.1016/j.addbeh.2015.07.003
  23. Kolves K. (2010). Child suicide, family environment, and economic crisis. Crisis, 31(3), 115-117 https://doi.org/10.1027/0227-5910/a000040
  24. McLoughlin LT, Spears BA, Taddeo CM, Hermens DF. (2019). Remaining connected in the face of cyberbullying: why social connectedness is important for mental health. Psychology in the Schools, 56(6), 945-958. https://doi.org/10.1002/pits.22232
  25. Reger MA, Stanley IH, Joiner TE. (2020). Suicide mortality and coronavirus disease 2019-a perfect storm?. JAMA Psychiartry, 77(11), 1093-1094. https://doi.org/10.1001/jamapsychiatry.2020.1060
  26. Salameh, P 외 5명. (2020). Mental health outcomes of the CoViD-19 pandemic and a collapsing economy: perspectives from a developing country. Psychiatry Research, 294, 113520. https://doi.org/10.1016/j.psychres.2020.113520
  27. Szlyk HS, Berk M, Peralta AO, Miranda R. (2020). COVID-19 Takes Adolescent Suicide Prevention to Less Charted Territory. Journal of Adolescent Health, 67(2), 161-163. https://doi.org/10.1016/j.jadohealth.2020.05.046
  28. UNICEF Thailand. (2020). 8 in 10 youth worried about their family income due to COVID-19, Retrieved from https://www.unicef.org/thailand/press-releases/8-10-youth-worried-about-their-family-income-due-covid-19
  29. World Economic Forum (2020). COVID-19 is Hurting Children's Mental Health. Here are 3 ways we can Help. Retrieved from https://www.weforum.org/agenda/2020/05/covid-19-is-hurting-childrens-mental-health
  30. YoungMinds (2020). Coronavirus: Impact on Young People with Mental Health Needs. Retrieved from https://youngminds.org.uk/about-us/reports/coronavirus-impact-on-young-people-with-mental-health-needs/#covid-19-march-2020-survey