Background: Research indicates that the COVID-19 pandemic caused increases in psychological distress and suicidal ideation. Aims: To describe the ways suicidal callers to the National Suicide Prevention Lifeline (Lifeline) perceived COVID-19 to have impacted them and assess whether these callers perceived COVID-19-related stress as contributing to their suicidal thoughts. Method: Telephone interviews were conducted with 412 suicidal callers to 12 Lifeline centers. Logistic regression analyses were used to examine the associations between demographic factors and individual COVID-19 stressors and to determine whether callers who endorsed COVID-19-related stress as contributing to their suicidal thoughts differed from those who did not regarding demographics, current suicide risk, history of suicidality, Lifeline use, or individual COVID-19 stressors. Results: Over half of callers reported that COVID-19-related stress contributed to their suicidal ideation (CRSSI). Callers who endorsed CRSSI had higher odds than those who did not of mentioning financial difficulties when asked how COVID-19 impacted them. The two groups of callers did not differ on the other factors examined. Limitations: Interviewed callers may not be representative of all Lifeline callers. Conclusion: Despite the subjective burden of COVID-19-related stress on suicidal Lifeline callers, this was not associated with new suicidality or heightened suicide risk.

中文翻译：

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国家自杀预防生命线呼叫者对 COVID-19 的感知影响。

背景：研究表明，COVID-19 大流行导致心理困扰和自杀意念增加。目的：描述国家自杀预防生命线 (Lifeline) 的自杀呼叫者如何看待 COVID-19 对他们的影响，并评估这些呼叫者是否认为与 COVID-19 相关的压力会导致他们产生自杀念头。方法：对 12 个生命线中心的 412 名自杀者进行电话采访。Logistic 回归分析用于检查人口统计因素与个人 COVID-19 压力源之间的关联，并确定那些认可与 COVID-19 相关的压力会导致其自杀念头的来电者是否与那些不考虑人口统计、当前自杀风险、自杀史、使用生命线或个人 COVID-19 压力源。结果：超过一半的来电者表示，与 COVID-19 相关的压力导致了他们的自杀意念 (CRSSI)。当被问及 COVID-19 对他们有何影响时，支持 CRSSI 的来电者比那些没有提及财务困难的来电者更有可能。两组来电者在检查的其他因素上没有差异。局限性：接受采访的来电者可能无法代表所有生命线来电者。结论：尽管与 COVID-19 相关的压力给自杀生命热线呼叫者带来了主观负担，但这与新的自杀倾向或自杀风险升高无关。