Data_Sheet_1_Prevalence and Risk Factors of Mental Health Symptoms and Suicidal Behavior Among University Students in Wuhan, China During the COVID-19 Pandemic.docx

Background: University students who are exposed to coronavirus disease 2019 (COVID-19) could be mentally distressed. We aimed to evaluate the pattern and risk factors of mental health and suicidal behavior among students who experienced long-term school closure due to the COVID-19 pandemic.Methods: This large-sample, cross-sectional, online survey was conducted from June 29, 2020, to July 18, 2020. Eleven thousand two hundred fifty four participants were recruited from 30 universities located in Wuhan, Hubei Province, China. The prevalence of symptoms of depression, anxiety, insomnia, and posttraumatic stress disorder (PTSD) and suicidal behavior was evaluated using the Patient Health Questionnaire-9, Generalized Anxiety Disorder-7, Insomnia Severity Index, Posttraumatic Stress Disorder Checklist for DSM-5, and questions about suicidal ideation and attempts, respectively. Logistic regression was used to explore risk factors for mental health problems and suicidal behavior.Results: The prevalence of mental health problems was 41.5% for depressive symptoms, 32.6% for anxiety symptoms, 35.0% for insomnia symptoms, 8.5% for PTSD symptoms, and 2.0% for suicidal behavior. Participants with high stress during the pandemic were at higher risk of symptoms of depression [adjusted odds ratio (OR) = 1.67, 95% confidence interval (CI) = 1.43–1.95, p < 0.01), anxiety (adjusted OR = 1.90, 95% CI = 1.63–2.23, p < 0.01), insomnia (adjusted OR = 1.64, 95% CI = 1.44–1.87, p < 0.01), PTSD (adjusted OR = 1.71, 95% CI = 1.38–2.11, p < 0.01) and suicidal behavior (adjusted OR = 3.51, 95% CI = 2.28–5.40, p < 0.01). Distant relationship with parents, changes in lifestyle and alcohol use during the pandemic were associated with higher risk of mental health symptoms and suicidal behavior, whereas regular physical exercise reduced the risk of mental health problems.Conclusions: The psychological symptoms and suicidal behavior were relatively high among students who attended university in Wuhan, China after 6 months of the COVID-19 outbreak in China. Comprehensive mental health services and suicide prevention strategies are essential for university students during the COVID-19 pandemic.

背景：受2019冠状病毒病（COVID-19）影响的大学生可能存在心理困扰。本研究旨在评估因COVID-19疫情导致长期学校停课的大学生中，心理健康状况及自杀行为的发生模式和风险因素。方法：本研究于2020年6月29日至7月18日进行，是一项大样本、横断面、在线调查。共招募来自中国湖北省武汉市30所大学的11,254名参与者。采用患者健康问卷-9、广泛性焦虑障碍-7、失眠严重程度指数、DSM-5创伤后应激障碍筛查表以及关于自杀意念和尝试的问题，分别评估抑郁症状、焦虑症状、失眠症状、创伤后应激障碍症状及自杀行为的患病率。通过逻辑回归分析探索心理健康问题和自杀行为的风险因素。结果：心理健康问题的患病率分别为：抑郁症状41.5%，焦虑症状32.6%，失眠症状35.0%，创伤后应激障碍症状8.5%，自杀行为2.0%。在疫情期间承受高压力的参与者，其抑郁症状（调整后的优势比[OR] = 1.67，95%置信区间[CI] = 1.43–1.95，p < 0.01）、焦虑症状（调整后的OR = 1.90，95% CI = 1.63–2.23，p < 0.01）、失眠症状（调整后的OR = 1.64，95% CI = 1.44–1.87，p < 0.01）、创伤后应激障碍症状（调整后的OR = 1.71，95% CI = 1.38–2.11，p < 0.01）及自杀行为（调整后的OR = 3.51，95% CI = 2.28–5.40，p < 0.01）的风险更高。与父母的疏远关系、疫情期间生活方式的改变以及酒精摄入量增加与心理健康症状和自杀行为的风险增加相关，而规律的身体锻炼则能降低心理健康问题的风险。结论：在中国武汉就读的大学生，在COVID-19疫情爆发6个月后，其心理症状和自杀行为的发生率相对较高。在COVID-19疫情期间，为大学生提供全面的心理健康服务和自杀预防策略至关重要。