Associations between periods of COVID-19 quarantine and mental health in Canada

Psychiatry Res. 2021 Jan:295:113631. doi: 10.1016/j.psychres.2020.113631. Epub 2020 Dec 5.

Abstract

Since the onset of the COVID-19 pandemic, many jurisdictions, including Canada, have made use of public health measures such as COVID-19 quarantine to reduce the transmission of the virus. To examine associations between these periods of quarantine and mental health, including suicidal ideation and deliberate self-harm, we examined data from a national survey of 3000 Canadian adults distributed between May 14-29, 2020. Notably, participants provided the reason(s) for quarantine. When pooling all reasons for quarantine together, this experience was associated with higher odds of suicidal ideation and deliberate self-harm in the two weeks preceding the survey. These associations remained even after controlling for age, household income, having a pre-existing mental health condition, being unemployed due to the pandemic, and living alone. However, the associations with mental health differed across reasons for quarantine; those who were self-isolating specifically due to recent travel were not found to have higher odds of suicidal ideation or deliberate self-harm. Our research suggests the importance of accounting for the reason(s) for quarantine in the implementation of this critical public health measure to reduce the mental health impacts of this experience.

Keywords: COVID-19; Mental health; Public Health; Quarantine; Self-isolation; Suicide; self-harm.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • COVID-19* / prevention & control
  • Canada / epidemiology
  • Female
  • Humans
  • Male
  • Mental Disorders / epidemiology*
  • Mental Health / statistics & numerical data*
  • Quarantine / statistics & numerical data*
  • Self-Injurious Behavior / epidemiology*
  • Socioeconomic Factors*
  • Suicidal Ideation*
  • Unemployment / statistics & numerical data*