COVID-19 Related Daily Stressors, Coping, and Suicidal Ideation in Psychiatrically Hospitalized Youth
Open accessAbstract
Background Given reports of the adverse effects of COVID-19 on adolescent mental health, it is critical to understand how it impacts psychiatrically hospitalized youth who may be particularly vulnerable to its effects.Objective This study aimed to advance our understanding of high-risk adolescents' experiences of COVID-19, including COVID-19-related stress, changes in daily functioning, and coping as they relate to suicidal ideation (SI).Method Participants were 107 youth (ages 11-18; M = 15.06, SD = 1.79) admitted to an adolescent psychiatric inpatient unit during the time when the initial COVID-19 safety measures (i.e., school closure, stay-at-home- order) and reopening initiatives (Phase I, II, and III) were implemented in Rhode Island between March 13th and July 19th 2020. Adolescents completed measures of COVID-19-related stress, coping, functioning, and SI at the time of admission.Results Nearly half of the sample (43%) reported a negative impact of COVID-19 on daily functioning. Youth who endorsed COVID-19-related decline in functioning evidenced higher levels of SI compared to youth with no change or improvement in functioning due to COVID-19. Overall levels of stress were not associated with SI. Greater coping repertoire, but not the use of specific coping strategies was associated with higher levels of SI.Conclusions Findings demonstrate the importance of examining COVID-19-related changes in functioning and broadening repertoire of coping strategies among adolescents at high risk for SI.Supplementary information The online version contains supplementary material available at 10.1007/s10566-021-09641-1.
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The COVID-19 pandemic has further exacerbated the youth mental health crisis, intensifying urgency as hospitals respond to higher volumes of psychiatric emergencies.
“The COVID-19 pandemic has further exacerbated the youth mental health crisis, intensifying urgency as hospitals respond to higher volumes of psychiatric emergencies.”
From Experiences of Child and Adolescent Psychiatric Patients Boarding in the Emergency Department from Staff Perspectives: Patient Journey Mapping (2023) · cites this paper as Kudinova et al., 2021
Rates of child and adolescent anxiety, depression, and suicidal thoughts and behaviors have risen substantially over the course of the COVID-19 pandemic.
“Rates of child and adolescent anxiety, depression, and suicidal thoughts and behaviors have risen substantially over the course of the COVID-19 pandemic (Kudinova et al., 2021; Power et al., 2020; Thompson et al., 2021).”
From Experiences of Child and Adolescent Psychiatric Patients Boarding in the Emergency Department from Staff Perspectives: Patient Journey Mapping (2023) · cites this paper as Kudinova et al., 2021
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- Authors
- Kudinova, A. Y., Bettis, A. H., Thompson, E. C., Thomas, S. A., Nesi, J., Erguder, L., MacPherson, H. A., Burke, T. A., & Wolff, J. C.
- Affiliations
- Brown University (US)
- Vanderbilt University Medical Center (US)
- Corresponding author
- Kudinova, Anastacia Y.
- ORCID
- Venue
- Child & Youth Care Forum
- Published
- 2021-07-19
- Volume
- 51
- Issue
- 3
- Pages
- 579-592
- ISSN
- 1053-1890 (ISSN-L)
- 1573-3319
- PMC
- PMC8288833
- OpenAlex
- W3183942849
- Cited by
- 12
- References
- 39
- Citations by year
- 2026: 2 · 2024: 4 · 2023: 2 · 2022: 3 · 2021: 1
- FWCI
- 1.71
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Child & Youth Care Forum (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (K23MH122587, K23122737, K23MH119211, T32 MH019927, K23MH122669)
- American Foundation for Suicide Prevention (PDF-010517)
- Topics
- Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- COVID-19 pandemic, suicidal ideation, adolescents, psychiatric inpatient care, daily functioning, coping strategies, coping repertoire, daily hassles, school closures, stay-at-home orders, adolescent mental health
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