National Trends in Sadness, Suicidality, and COVID-19 Pandemic-Related Risk Factors Among South Korean Adolescents From 2005 to 2021
Despite the COVID-19 pandemic's effect on daily life, limited research exists on the prevalence and risk factors of suicidality and sadness among South Korean adolescents. To examine whether the observed sadness and suicidality in the early to middle periods of the COVID-19 pandemic differed fr...
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| Veröffentlicht in: | JAMA network open 2023-05, Vol.6 (5), p.e2314838-e2314838 |
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| creator | Woo, Ho Geol Park, Sangil Yon, Hyunju Lee, Seung Won Koyanagi, Ai Jacob, Louis Smith, Lee Cho, Wonyoung Min, Chanyang Lee, Jinseok Lee, Hayeon Kwon, Rosie Fond, Guillaume Boyer, Laurent Joo, Yoonie Yoonjung Choi, Yong Sung Yeo, Seung-Geun Rhee, Sang Youl Shin, Jae Il Yon, Dong Keon |
| description | Despite the COVID-19 pandemic's effect on daily life, limited research exists on the prevalence and risk factors of suicidality and sadness among South Korean adolescents.
To examine whether the observed sadness and suicidality in the early to middle periods of the COVID-19 pandemic differed from the expected level and to investigate changes in risk factors for sadness and suicidality.
This nationwide serial cross-sectional survey study used data on 1 109 776 Korean adolescents aged 13 to 18 years from the Korea Youth Risk Behavior Web-based Survey from 2005 to 2021.
The COVID-19 pandemic.
The pattern of changes in the percentage or proportion of sadness or suicidality, as well as the risk factors for sadness or suicidality. The transitional effect of the COVID-19 pandemic was assessed using weighted odds ratios (wORs) or weighted beta coefficients with 95% CIs.
Between 2005 and 2021, 1 109 776 adolescents (mean [SD] age, 15.0 [1.7] years; 51.5% male adolescents; and 51.7% in grades 7-9 and 48.3% in grades 10-12) were included in the Korea Youth Risk Behavior Web-based Survey. The slope of the long-term trends in sadness and suicidality decreased in the prepandemic period (sadness: from 37.8% [95% CI, 37.4%-38.2%] in 2005-2007 to 26.1% [95% CI, 25.9%-26.4%] in 2016-2019; suicidality: from 23.0% [95% CI, 22.7%-23.3%] in 2005-2007 to 12.3% [95% CI, 12.1%-12.5%] in 2016-2019), whereas the slope increased during the COVID-19 pandemic (sadness: from 25.0% [95% CI, 24.5%-25.6%] in 2020 to 26.6% [95% CI, 26.1%-27.1%] in 2021; trend difference in β, 0.249 [95% CI, 0.236-0.262]; suicidality: from 10.7% [95% CI, 10.3%-11.1%] in 2020 to 12.5% [95% CI, 12.1%-12.9%] in 2021; trend difference in β, 0.328 [95% CI, 0.312-0.344]). The trends presented a similar tendency in the subgroups according to sex, school grade, residential area, smoking status, and current alcohol use. Compared with the prepandemic period, the risk factors associated with sadness during the pandemic were younger age (wOR, 0.907; 95% CI, 0.881-0.933), female sex (wOR, 1.031; 95% CI, 1.001-1.062), urban residence (wOR, 1.120; 95% CI, 1.087-1.153), current smoking status (wOR, 1.134; 95% CI, 1.059-1.216), and current alcohol use (wOR, 1.051; 95% CI, 1.002-1.102). Female sex (wOR, 1.064; 95% CI, 1.021-1.109), urban residence (wOR, 1.117; 95% CI, 1.074-1.162), and low economic status (wOR, 1.286; 95% CI, 1.180-1.403) were the risk factors significantly associated with suicidality after the COVID-19 pande |
| doi_str_mv | 10.1001/jamanetworkopen.2023.14838 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10209749</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2818746866</sourcerecordid><originalsourceid>FETCH-LOGICAL-a508t-23344f88b7b50267dda2fef0e84a9e825733eec04b4ef1e65d8b00133d5ec9f43</originalsourceid><addsrcrecordid>eNpdUk1v1DAQjRCIVqV_AVlwAalZ_JXE4YJWS5dWrCjqFq6WN550vU3sxXZa9c4Px2FLVfY0_njzZubNy7I3BE8IxuTDRvXKQrxz_sZtwU4opmxCuGDiWXZIi4rnTODi-ZPzQXYcwgZjTDFhdVm8zA5YRSmrMT3Mfn9T0TirOnTlweqAjEVLpS2EcIKWg2mMVp2J9ydIWY1mFz_PP-ekRt_TDXrT5JfQqQgaXZpwg-aqic4HNO2dvUZLN8Q1-uo8KIum2nUQGrAxoLl3PaIYFyi6FCl5lb1oVRfg-CEeZT_mp1ezs3xx8eV8Nl3kqsAi5pQxzlshVtWqwLSstFa0hRaD4KoGkQZmDKDBfMWhJVAWWqySZIzpApq65ewo-7Tj3Q6rHvTYjVed3HrTK38vnTLy_x9r1vLa3UqStKsrXieG9zuG9V7e2XQhxzfMU5e0LG5Jwr57qObdrwFClL1JCnRd2p8bgqSCiIqXoiwT9O0edOMGn7YyopJCgpWYJdTHHarxLgQP7WMHBMvRHHLPHHI0h_xrjpT8-unsj6n_rMD-AAFmuIY</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2820283603</pqid></control><display><type>article</type><title>National Trends in Sadness, Suicidality, and COVID-19 Pandemic-Related Risk Factors Among South Korean Adolescents From 2005 to 2021</title><source>MEDLINE</source><source>DOAJ Directory of Open Access Journals</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>Alma/SFX Local Collection</source><creator>Woo, Ho Geol ; Park, Sangil ; Yon, Hyunju ; Lee, Seung Won ; Koyanagi, Ai ; Jacob, Louis ; Smith, Lee ; Cho, Wonyoung ; Min, Chanyang ; Lee, Jinseok ; Lee, Hayeon ; Kwon, Rosie ; Fond, Guillaume ; Boyer, Laurent ; Joo, Yoonie Yoonjung ; Choi, Yong Sung ; Yeo, Seung-Geun ; Rhee, Sang Youl ; Shin, Jae Il ; Yon, Dong Keon</creator><creatorcontrib>Woo, Ho Geol ; Park, Sangil ; Yon, Hyunju ; Lee, Seung Won ; Koyanagi, Ai ; Jacob, Louis ; Smith, Lee ; Cho, Wonyoung ; Min, Chanyang ; Lee, Jinseok ; Lee, Hayeon ; Kwon, Rosie ; Fond, Guillaume ; Boyer, Laurent ; Joo, Yoonie Yoonjung ; Choi, Yong Sung ; Yeo, Seung-Geun ; Rhee, Sang Youl ; Shin, Jae Il ; Yon, Dong Keon</creatorcontrib><description>Despite the COVID-19 pandemic's effect on daily life, limited research exists on the prevalence and risk factors of suicidality and sadness among South Korean adolescents.
To examine whether the observed sadness and suicidality in the early to middle periods of the COVID-19 pandemic differed from the expected level and to investigate changes in risk factors for sadness and suicidality.
This nationwide serial cross-sectional survey study used data on 1 109 776 Korean adolescents aged 13 to 18 years from the Korea Youth Risk Behavior Web-based Survey from 2005 to 2021.
The COVID-19 pandemic.
The pattern of changes in the percentage or proportion of sadness or suicidality, as well as the risk factors for sadness or suicidality. The transitional effect of the COVID-19 pandemic was assessed using weighted odds ratios (wORs) or weighted beta coefficients with 95% CIs.
Between 2005 and 2021, 1 109 776 adolescents (mean [SD] age, 15.0 [1.7] years; 51.5% male adolescents; and 51.7% in grades 7-9 and 48.3% in grades 10-12) were included in the Korea Youth Risk Behavior Web-based Survey. The slope of the long-term trends in sadness and suicidality decreased in the prepandemic period (sadness: from 37.8% [95% CI, 37.4%-38.2%] in 2005-2007 to 26.1% [95% CI, 25.9%-26.4%] in 2016-2019; suicidality: from 23.0% [95% CI, 22.7%-23.3%] in 2005-2007 to 12.3% [95% CI, 12.1%-12.5%] in 2016-2019), whereas the slope increased during the COVID-19 pandemic (sadness: from 25.0% [95% CI, 24.5%-25.6%] in 2020 to 26.6% [95% CI, 26.1%-27.1%] in 2021; trend difference in β, 0.249 [95% CI, 0.236-0.262]; suicidality: from 10.7% [95% CI, 10.3%-11.1%] in 2020 to 12.5% [95% CI, 12.1%-12.9%] in 2021; trend difference in β, 0.328 [95% CI, 0.312-0.344]). The trends presented a similar tendency in the subgroups according to sex, school grade, residential area, smoking status, and current alcohol use. Compared with the prepandemic period, the risk factors associated with sadness during the pandemic were younger age (wOR, 0.907; 95% CI, 0.881-0.933), female sex (wOR, 1.031; 95% CI, 1.001-1.062), urban residence (wOR, 1.120; 95% CI, 1.087-1.153), current smoking status (wOR, 1.134; 95% CI, 1.059-1.216), and current alcohol use (wOR, 1.051; 95% CI, 1.002-1.102). Female sex (wOR, 1.064; 95% CI, 1.021-1.109), urban residence (wOR, 1.117; 95% CI, 1.074-1.162), and low economic status (wOR, 1.286; 95% CI, 1.180-1.403) were the risk factors significantly associated with suicidality after the COVID-19 pandemic began.
In this nationwide serial cross-sectional survey study of South Korean adolescents, the slope of the prevalence of sadness and suicidality increased during the COVID-19 pandemic after a decrease prior to the pandemic. The findings suggest that public health measures are needed to recognize vulnerable groups with risk factors and to prevent an increase in sadness and suicidality among adolescents during the COVID-19 pandemic.</description><identifier>ISSN: 2574-3805</identifier><identifier>EISSN: 2574-3805</identifier><identifier>DOI: 10.1001/jamanetworkopen.2023.14838</identifier><identifier>PMID: 37223902</identifier><language>eng</language><publisher>United States: American Medical Association</publisher><subject>Adolescent ; Alcohol use ; Coronaviruses ; COVID-19 ; COVID-19 - epidemiology ; Cross-Sectional Studies ; Female ; Humans ; Life Sciences ; Male ; Online Only ; Original Investigation ; Pandemics ; Pediatrics ; Republic of Korea - epidemiology ; Risk Factors ; Sadness ; Suicide ; Teenagers ; Trends</subject><ispartof>JAMA network open, 2023-05, Vol.6 (5), p.e2314838-e2314838</ispartof><rights>2023. This work is published under https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Attribution</rights><rights>Copyright 2023 Woo HG et al. .</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a508t-23344f88b7b50267dda2fef0e84a9e825733eec04b4ef1e65d8b00133d5ec9f43</citedby><cites>FETCH-LOGICAL-a508t-23344f88b7b50267dda2fef0e84a9e825733eec04b4ef1e65d8b00133d5ec9f43</cites><orcidid>0000-0003-3249-2030 ; 0000-0001-6489-0100 ; 0000-0003-0119-5818 ; 0000-0002-5340-9833 ; 0000-0003-1071-1239 ; 0000-0002-8580-490X ; 0000-0003-1628-9948</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,777,781,861,882,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37223902$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://hal.science/hal-04233265$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Woo, Ho Geol</creatorcontrib><creatorcontrib>Park, Sangil</creatorcontrib><creatorcontrib>Yon, Hyunju</creatorcontrib><creatorcontrib>Lee, Seung Won</creatorcontrib><creatorcontrib>Koyanagi, Ai</creatorcontrib><creatorcontrib>Jacob, Louis</creatorcontrib><creatorcontrib>Smith, Lee</creatorcontrib><creatorcontrib>Cho, Wonyoung</creatorcontrib><creatorcontrib>Min, Chanyang</creatorcontrib><creatorcontrib>Lee, Jinseok</creatorcontrib><creatorcontrib>Lee, Hayeon</creatorcontrib><creatorcontrib>Kwon, Rosie</creatorcontrib><creatorcontrib>Fond, Guillaume</creatorcontrib><creatorcontrib>Boyer, Laurent</creatorcontrib><creatorcontrib>Joo, Yoonie Yoonjung</creatorcontrib><creatorcontrib>Choi, Yong Sung</creatorcontrib><creatorcontrib>Yeo, Seung-Geun</creatorcontrib><creatorcontrib>Rhee, Sang Youl</creatorcontrib><creatorcontrib>Shin, Jae Il</creatorcontrib><creatorcontrib>Yon, Dong Keon</creatorcontrib><title>National Trends in Sadness, Suicidality, and COVID-19 Pandemic-Related Risk Factors Among South Korean Adolescents From 2005 to 2021</title><title>JAMA network open</title><addtitle>JAMA Netw Open</addtitle><description>Despite the COVID-19 pandemic's effect on daily life, limited research exists on the prevalence and risk factors of suicidality and sadness among South Korean adolescents.
To examine whether the observed sadness and suicidality in the early to middle periods of the COVID-19 pandemic differed from the expected level and to investigate changes in risk factors for sadness and suicidality.
This nationwide serial cross-sectional survey study used data on 1 109 776 Korean adolescents aged 13 to 18 years from the Korea Youth Risk Behavior Web-based Survey from 2005 to 2021.
The COVID-19 pandemic.
The pattern of changes in the percentage or proportion of sadness or suicidality, as well as the risk factors for sadness or suicidality. The transitional effect of the COVID-19 pandemic was assessed using weighted odds ratios (wORs) or weighted beta coefficients with 95% CIs.
Between 2005 and 2021, 1 109 776 adolescents (mean [SD] age, 15.0 [1.7] years; 51.5% male adolescents; and 51.7% in grades 7-9 and 48.3% in grades 10-12) were included in the Korea Youth Risk Behavior Web-based Survey. The slope of the long-term trends in sadness and suicidality decreased in the prepandemic period (sadness: from 37.8% [95% CI, 37.4%-38.2%] in 2005-2007 to 26.1% [95% CI, 25.9%-26.4%] in 2016-2019; suicidality: from 23.0% [95% CI, 22.7%-23.3%] in 2005-2007 to 12.3% [95% CI, 12.1%-12.5%] in 2016-2019), whereas the slope increased during the COVID-19 pandemic (sadness: from 25.0% [95% CI, 24.5%-25.6%] in 2020 to 26.6% [95% CI, 26.1%-27.1%] in 2021; trend difference in β, 0.249 [95% CI, 0.236-0.262]; suicidality: from 10.7% [95% CI, 10.3%-11.1%] in 2020 to 12.5% [95% CI, 12.1%-12.9%] in 2021; trend difference in β, 0.328 [95% CI, 0.312-0.344]). The trends presented a similar tendency in the subgroups according to sex, school grade, residential area, smoking status, and current alcohol use. Compared with the prepandemic period, the risk factors associated with sadness during the pandemic were younger age (wOR, 0.907; 95% CI, 0.881-0.933), female sex (wOR, 1.031; 95% CI, 1.001-1.062), urban residence (wOR, 1.120; 95% CI, 1.087-1.153), current smoking status (wOR, 1.134; 95% CI, 1.059-1.216), and current alcohol use (wOR, 1.051; 95% CI, 1.002-1.102). Female sex (wOR, 1.064; 95% CI, 1.021-1.109), urban residence (wOR, 1.117; 95% CI, 1.074-1.162), and low economic status (wOR, 1.286; 95% CI, 1.180-1.403) were the risk factors significantly associated with suicidality after the COVID-19 pandemic began.
In this nationwide serial cross-sectional survey study of South Korean adolescents, the slope of the prevalence of sadness and suicidality increased during the COVID-19 pandemic after a decrease prior to the pandemic. The findings suggest that public health measures are needed to recognize vulnerable groups with risk factors and to prevent an increase in sadness and suicidality among adolescents during the COVID-19 pandemic.</description><subject>Adolescent</subject><subject>Alcohol use</subject><subject>Coronaviruses</subject><subject>COVID-19</subject><subject>COVID-19 - epidemiology</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Humans</subject><subject>Life Sciences</subject><subject>Male</subject><subject>Online Only</subject><subject>Original Investigation</subject><subject>Pandemics</subject><subject>Pediatrics</subject><subject>Republic of Korea - epidemiology</subject><subject>Risk Factors</subject><subject>Sadness</subject><subject>Suicide</subject><subject>Teenagers</subject><subject>Trends</subject><issn>2574-3805</issn><issn>2574-3805</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpdUk1v1DAQjRCIVqV_AVlwAalZ_JXE4YJWS5dWrCjqFq6WN550vU3sxXZa9c4Px2FLVfY0_njzZubNy7I3BE8IxuTDRvXKQrxz_sZtwU4opmxCuGDiWXZIi4rnTODi-ZPzQXYcwgZjTDFhdVm8zA5YRSmrMT3Mfn9T0TirOnTlweqAjEVLpS2EcIKWg2mMVp2J9ydIWY1mFz_PP-ekRt_TDXrT5JfQqQgaXZpwg-aqic4HNO2dvUZLN8Q1-uo8KIum2nUQGrAxoLl3PaIYFyi6FCl5lb1oVRfg-CEeZT_mp1ezs3xx8eV8Nl3kqsAi5pQxzlshVtWqwLSstFa0hRaD4KoGkQZmDKDBfMWhJVAWWqySZIzpApq65ewo-7Tj3Q6rHvTYjVed3HrTK38vnTLy_x9r1vLa3UqStKsrXieG9zuG9V7e2XQhxzfMU5e0LG5Jwr57qObdrwFClL1JCnRd2p8bgqSCiIqXoiwT9O0edOMGn7YyopJCgpWYJdTHHarxLgQP7WMHBMvRHHLPHHI0h_xrjpT8-unsj6n_rMD-AAFmuIY</recordid><startdate>20230501</startdate><enddate>20230501</enddate><creator>Woo, Ho Geol</creator><creator>Park, Sangil</creator><creator>Yon, Hyunju</creator><creator>Lee, Seung Won</creator><creator>Koyanagi, Ai</creator><creator>Jacob, Louis</creator><creator>Smith, Lee</creator><creator>Cho, Wonyoung</creator><creator>Min, Chanyang</creator><creator>Lee, Jinseok</creator><creator>Lee, Hayeon</creator><creator>Kwon, Rosie</creator><creator>Fond, Guillaume</creator><creator>Boyer, Laurent</creator><creator>Joo, Yoonie Yoonjung</creator><creator>Choi, Yong Sung</creator><creator>Yeo, Seung-Geun</creator><creator>Rhee, Sang Youl</creator><creator>Shin, Jae Il</creator><creator>Yon, Dong Keon</creator><general>American Medical Association</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>COVID</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>1XC</scope><scope>VOOES</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-3249-2030</orcidid><orcidid>https://orcid.org/0000-0001-6489-0100</orcidid><orcidid>https://orcid.org/0000-0003-0119-5818</orcidid><orcidid>https://orcid.org/0000-0002-5340-9833</orcidid><orcidid>https://orcid.org/0000-0003-1071-1239</orcidid><orcidid>https://orcid.org/0000-0002-8580-490X</orcidid><orcidid>https://orcid.org/0000-0003-1628-9948</orcidid></search><sort><creationdate>20230501</creationdate><title>National Trends in Sadness, Suicidality, and COVID-19 Pandemic-Related Risk Factors Among South Korean Adolescents From 2005 to 2021</title><author>Woo, Ho Geol ; Park, Sangil ; Yon, Hyunju ; Lee, Seung Won ; Koyanagi, Ai ; Jacob, Louis ; Smith, Lee ; Cho, Wonyoung ; Min, Chanyang ; Lee, Jinseok ; Lee, Hayeon ; Kwon, Rosie ; Fond, Guillaume ; Boyer, Laurent ; Joo, Yoonie Yoonjung ; Choi, Yong Sung ; Yeo, Seung-Geun ; Rhee, Sang Youl ; Shin, Jae Il ; Yon, Dong Keon</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a508t-23344f88b7b50267dda2fef0e84a9e825733eec04b4ef1e65d8b00133d5ec9f43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Adolescent</topic><topic>Alcohol use</topic><topic>Coronaviruses</topic><topic>COVID-19</topic><topic>COVID-19 - epidemiology</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Humans</topic><topic>Life Sciences</topic><topic>Male</topic><topic>Online Only</topic><topic>Original Investigation</topic><topic>Pandemics</topic><topic>Pediatrics</topic><topic>Republic of Korea - epidemiology</topic><topic>Risk Factors</topic><topic>Sadness</topic><topic>Suicide</topic><topic>Teenagers</topic><topic>Trends</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Woo, Ho Geol</creatorcontrib><creatorcontrib>Park, Sangil</creatorcontrib><creatorcontrib>Yon, Hyunju</creatorcontrib><creatorcontrib>Lee, Seung Won</creatorcontrib><creatorcontrib>Koyanagi, Ai</creatorcontrib><creatorcontrib>Jacob, Louis</creatorcontrib><creatorcontrib>Smith, Lee</creatorcontrib><creatorcontrib>Cho, Wonyoung</creatorcontrib><creatorcontrib>Min, Chanyang</creatorcontrib><creatorcontrib>Lee, Jinseok</creatorcontrib><creatorcontrib>Lee, Hayeon</creatorcontrib><creatorcontrib>Kwon, Rosie</creatorcontrib><creatorcontrib>Fond, Guillaume</creatorcontrib><creatorcontrib>Boyer, Laurent</creatorcontrib><creatorcontrib>Joo, Yoonie Yoonjung</creatorcontrib><creatorcontrib>Choi, Yong Sung</creatorcontrib><creatorcontrib>Yeo, Seung-Geun</creatorcontrib><creatorcontrib>Rhee, Sang Youl</creatorcontrib><creatorcontrib>Shin, Jae Il</creatorcontrib><creatorcontrib>Yon, Dong Keon</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Coronavirus Research Database</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><collection>Hyper Article en Ligne (HAL) (Open Access)</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>JAMA network open</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Woo, Ho Geol</au><au>Park, Sangil</au><au>Yon, Hyunju</au><au>Lee, Seung Won</au><au>Koyanagi, Ai</au><au>Jacob, Louis</au><au>Smith, Lee</au><au>Cho, Wonyoung</au><au>Min, Chanyang</au><au>Lee, Jinseok</au><au>Lee, Hayeon</au><au>Kwon, Rosie</au><au>Fond, Guillaume</au><au>Boyer, Laurent</au><au>Joo, Yoonie Yoonjung</au><au>Choi, Yong Sung</au><au>Yeo, Seung-Geun</au><au>Rhee, Sang Youl</au><au>Shin, Jae Il</au><au>Yon, Dong Keon</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>National Trends in Sadness, Suicidality, and COVID-19 Pandemic-Related Risk Factors Among South Korean Adolescents From 2005 to 2021</atitle><jtitle>JAMA network open</jtitle><addtitle>JAMA Netw Open</addtitle><date>2023-05-01</date><risdate>2023</risdate><volume>6</volume><issue>5</issue><spage>e2314838</spage><epage>e2314838</epage><pages>e2314838-e2314838</pages><issn>2574-3805</issn><eissn>2574-3805</eissn><abstract>Despite the COVID-19 pandemic's effect on daily life, limited research exists on the prevalence and risk factors of suicidality and sadness among South Korean adolescents.
To examine whether the observed sadness and suicidality in the early to middle periods of the COVID-19 pandemic differed from the expected level and to investigate changes in risk factors for sadness and suicidality.
This nationwide serial cross-sectional survey study used data on 1 109 776 Korean adolescents aged 13 to 18 years from the Korea Youth Risk Behavior Web-based Survey from 2005 to 2021.
The COVID-19 pandemic.
The pattern of changes in the percentage or proportion of sadness or suicidality, as well as the risk factors for sadness or suicidality. The transitional effect of the COVID-19 pandemic was assessed using weighted odds ratios (wORs) or weighted beta coefficients with 95% CIs.
Between 2005 and 2021, 1 109 776 adolescents (mean [SD] age, 15.0 [1.7] years; 51.5% male adolescents; and 51.7% in grades 7-9 and 48.3% in grades 10-12) were included in the Korea Youth Risk Behavior Web-based Survey. The slope of the long-term trends in sadness and suicidality decreased in the prepandemic period (sadness: from 37.8% [95% CI, 37.4%-38.2%] in 2005-2007 to 26.1% [95% CI, 25.9%-26.4%] in 2016-2019; suicidality: from 23.0% [95% CI, 22.7%-23.3%] in 2005-2007 to 12.3% [95% CI, 12.1%-12.5%] in 2016-2019), whereas the slope increased during the COVID-19 pandemic (sadness: from 25.0% [95% CI, 24.5%-25.6%] in 2020 to 26.6% [95% CI, 26.1%-27.1%] in 2021; trend difference in β, 0.249 [95% CI, 0.236-0.262]; suicidality: from 10.7% [95% CI, 10.3%-11.1%] in 2020 to 12.5% [95% CI, 12.1%-12.9%] in 2021; trend difference in β, 0.328 [95% CI, 0.312-0.344]). The trends presented a similar tendency in the subgroups according to sex, school grade, residential area, smoking status, and current alcohol use. Compared with the prepandemic period, the risk factors associated with sadness during the pandemic were younger age (wOR, 0.907; 95% CI, 0.881-0.933), female sex (wOR, 1.031; 95% CI, 1.001-1.062), urban residence (wOR, 1.120; 95% CI, 1.087-1.153), current smoking status (wOR, 1.134; 95% CI, 1.059-1.216), and current alcohol use (wOR, 1.051; 95% CI, 1.002-1.102). Female sex (wOR, 1.064; 95% CI, 1.021-1.109), urban residence (wOR, 1.117; 95% CI, 1.074-1.162), and low economic status (wOR, 1.286; 95% CI, 1.180-1.403) were the risk factors significantly associated with suicidality after the COVID-19 pandemic began.
In this nationwide serial cross-sectional survey study of South Korean adolescents, the slope of the prevalence of sadness and suicidality increased during the COVID-19 pandemic after a decrease prior to the pandemic. The findings suggest that public health measures are needed to recognize vulnerable groups with risk factors and to prevent an increase in sadness and suicidality among adolescents during the COVID-19 pandemic.</abstract><cop>United States</cop><pub>American Medical Association</pub><pmid>37223902</pmid><doi>10.1001/jamanetworkopen.2023.14838</doi><orcidid>https://orcid.org/0000-0003-3249-2030</orcidid><orcidid>https://orcid.org/0000-0001-6489-0100</orcidid><orcidid>https://orcid.org/0000-0003-0119-5818</orcidid><orcidid>https://orcid.org/0000-0002-5340-9833</orcidid><orcidid>https://orcid.org/0000-0003-1071-1239</orcidid><orcidid>https://orcid.org/0000-0002-8580-490X</orcidid><orcidid>https://orcid.org/0000-0003-1628-9948</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 2574-3805 |
| ispartof | JAMA network open, 2023-05, Vol.6 (5), p.e2314838-e2314838 |
| issn | 2574-3805 2574-3805 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10209749 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | Adolescent Alcohol use Coronaviruses COVID-19 COVID-19 - epidemiology Cross-Sectional Studies Female Humans Life Sciences Male Online Only Original Investigation Pandemics Pediatrics Republic of Korea - epidemiology Risk Factors Sadness Suicide Teenagers Trends |
| title | National Trends in Sadness, Suicidality, and COVID-19 Pandemic-Related Risk Factors Among South Korean Adolescents From 2005 to 2021 |
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