Ideação suicida entre estudantes universitários durante a pandemia de COVID-19: uma revisão sistemática rápida com meta-análise
DOI:
https://doi.org/10.33448/rsd-v11i4.26426Palavras-chave:
Ideação suicida; Saúde mental; Estudantes; Pandemia; COVID-19.Resumo
A pandemia da COVID-19 trouxe várias alterações comportamentais nas esferas social, acadêmica e profissional, provocou inúmeras mortes e, devido à ausência de tratamento, impôs o isolamento social e uma adaptação das atividades diárias, restritas ao formato remoto, provocando instabilidade emocional e mental na sociedade. Dessa forma, esse trabalho teve como objetivo investigar a prevalência de ideação suicida e fatores associados entre estudantes universitários durante a pandemia de COVID-19. Uma Revisão Sistemática Rápida foi realizada usando vários bancos de dados. Foram considerados estudos observacionais avaliando a ideação suicida entre estudantes universitários durante a pandemia de COVID-19. Os artigos foram avaliados quanto ao risco de viés pelo Joanna Briggs Institute Instrument. Os dados foram extraídos para análise dos fatores associados e metanálise da prevalência. Onze artigos foram incluídos. A prevalência de ideação suicida entre universitários variou de 1,7 a 19,6%, com prevalência combinada de 12,1% (IC 95%:9,6-15,0%). Os fatores associados à ideação suicida foram tempo excessivo de tela, isolamento social, distúrbios do sono, sintomas de depressão, ansiedade, estresse pós-traumático e ser do sexo feminino. A qualidade dos artigos variou de alto a baixo risco de viés. A prevalência combinada de ideação suicida entre universitários no período da pandemia de COVID-19 foi alta, tendo o isolamento social e o tempo de tela como fatores associados ao novo contexto da pandemia. Os achados indicam que medidas de suporte devem ser disponibilizadas aos estudantes durante a pandemia para garantir a saúde mental.
Referências
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
Publicado
Como Citar
Edição
Seção
Licença
Copyright (c) 2022 Karlayle de Oliveira Martins Teixeira; Jonathan Lopes de Lisboa; Bárbara Magalhães Figueiredo Dias; Raquel Conceição Ferreira; Patricia Maria Pereira de Araujo Zarzar; Aline Araujo Sampaio
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
Autores que publicam nesta revista concordam com os seguintes termos:
1) Autores mantém os direitos autorais e concedem à revista o direito de primeira publicação, com o trabalho simultaneamente licenciado sob a Licença Creative Commons Attribution que permite o compartilhamento do trabalho com reconhecimento da autoria e publicação inicial nesta revista.
2) Autores têm autorização para assumir contratos adicionais separadamente, para distribuição não-exclusiva da versão do trabalho publicada nesta revista (ex.: publicar em repositório institucional ou como capítulo de livro), com reconhecimento de autoria e publicação inicial nesta revista.
3) Autores têm permissão e são estimulados a publicar e distribuir seu trabalho online (ex.: em repositórios institucionais ou na sua página pessoal) a qualquer ponto antes ou durante o processo editorial, já que isso pode gerar alterações produtivas, bem como aumentar o impacto e a citação do trabalho publicado.
