Suicidal ideation during the COVID-19 pandemic among a large-scale Iranian sample: the roles of generalized trust, insomnia, and fear of COVID-19

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Lin, C-Y, Alimoradi, Z, Ehsani, N, Ohayon, MM, Chen, S-H, Griffiths, MD ORCID: https://orcid.org/0000-0001-8880-6524 and Pakpour, AH, 2022. Suicidal ideation during the COVID-19 pandemic among a large-scale Iranian sample: the roles of generalized trust, insomnia, and fear of COVID-19. Healthcare, 10 (1): 93. ISSN 2227-9032

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Official URL: https://doi.org/10.3390/healthcare10010093

Abstract

The novel 2019 coronavirus disease (COVID-19) is still not under control globally. The pandemic has caused mental health issues among many different cohorts and suicidal ideation in relation to COVID-19 has been reported in a number of recent studies. Therefore, the present study proposed a model to explain the associations between generalized trust, fear of COVID-19, insomnia , and suicidal ideation during the COVID-19 pandemic among a large-scale Iranian sample. Utilizing cluster sampling with multistage stratification, residents from Qazvin province in Iran were invited to participate in the present study. Adults aged over 18 years (n = 10,843; 6751 [62.3%] females) completed 'paper-and-pencil' questionnaires with the assistance of a trained research assistant. Structural equation modeling (SEM) was applied to understand the associations between generalized trust, fear of COVID-19, insomnia, and suicidal ideation. Slightly over one-fifth of the participants (n = 2252; 20.8%) reported suicidal ideation. Moreover, the SEM results indicated that generalized trust was indirectly associated with suicidal ideation via fear of COVID-19 and insomnia. Furthermore, generalized trust was not directly associated with suicidal ideation. The proposed model was invariant across gender groups, age groups, and participants residing in different areas (i.e., urban vs. rural). Generalized trust might reduce individuals' suicidal ideation during the COVID-19 pandemic period via reduced levels of fear of COVID-19 and insomnia. Healthcare providers and policymakers may want to assist individuals in developing their generalized trust, reducing fear of COVID-19, and improving insomnia problems to avoid possible suicidal behaviors.

Item Type:	Journal article
Publication Title:	Healthcare
Creators:	Lin, C.-Y., Alimoradi, Z., Ehsani, N., Ohayon, M.M., Chen, S.-H., Griffiths, M.D. and Pakpour, A.H.
Publisher:	MDPI
Date:	4 January 2022
Volume:	10
Number:	1
ISSN:	2227-9032
Identifiers:	Number Type 10.3390/healthcare10010093 DOI 1505621 Other
Rights:	© 2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
Divisions:	Schools > School of Social Sciences
Record created by:	Laura Ward
Date Added:	06 Jan 2022 10:34
Last Modified:	06 Jan 2022 10:34
URI:	https://irep.ntu.ac.uk/id/eprint/45177