Mental Health Treatment Programs Research Articles

Family cumulative risk, life satisfaction, and anxiety and depression in adolescents: A developmental cascades model.

Family cumulative risk (FCR) is predominantly regarded as an antecedent for adolescent mental health, as the prevailing perspective continues to emphasize the influential role of parents, despite recognizing the child's influence. To identify the interplay between family adversity (FCR, process-related FCR, and sociodemographic-related FCR), life satisfaction (LS), and anxiety and depression (AD), this study examined the cascade effects among these constructs. Participants (N = 707; 52.9% male; grades 10 and 11) from four high schools in Wuhan, China, were recruited to participate, and they completed the measures in October 2018, April 2019, and November 2019. Family sociodemographic risk (e.g., single parenthood) and family process risk (e.g., low family cohesion) were simulated in the models for FCR, sociodemographic-related FCR, and process-related FCR. The random intercept cross-lagged panel models (RI-CLPMs) revealed a lagged effect from LS to FCR; lagged effects from LS and AD to process-related FCR at the within-person level; and significant associations between LS, AD, and family adversity at the between-person level. The lagged effects provide evidence for the influential child perspective and suggest that FCR and family process risk are sensitive to adolescent well-being and psychopathological symptoms. School mental health prevention and intervention programs that take a complete mental health approach to enhance children's well-being and alleviate symptoms would help prevent increases in family risk.

Critical Gaps in Assisted Outpatient Treatment Research in the United States.

In 2023, the White House included the implementation and improvement of assisted outpatient treatment in a list of under-researched strategies to support recovery and long-term treatment engagement for people with serious mental illness. Assisted outpatient treatment is a community-based, court-ordered, mental health treatment program for a subset of individuals with serious mental illness who have a history of difficulty adhering to treatment and staying well while living in the community. There is research supporting the use of assisted outpatient treatment for this specific population, however, the majority focuses on limited geographic regions, specific program organizations, and is outdated. Meanwhile, assisted outpatient treatment programs have increasingly been adopted by counties and states across the country. More research is needed to ensure that assisted outpatient treatment programs are being implemented in the most effective and equitable way possible. In this paper, the authors identify several key gaps in the current literature base relating to the effectiveness and implementation of assisted outpatient treatment.

Đánh giá tình trạng sức khoẻ tâm thần của người đang điều trị Methadone có HIV tham gia chương trình tư vấn can thiệp “băng ghế tình bạn” tại một số cơ sở điều trị Methadone ở Hà Nội, giai đoạn 2022-2023

Introduction: Mental health intervention counseling helps improve common mental disorders in people with HIV and/or substance abuse. However, there are very few mental health intervention programs for this population in Vietnam. This study was conducted to assess mental health in people who are on methadone maintenance treatment and live with HIV participating in the “Friendship Bench” intervention counseling program in some Methadone clinics in Hanoi in the period 2022-2023. Research subjects and methods: This is a randomized controlled trial. 75 people on methadone maintenance treatment and with HIV were individually randomized 1:1:1 to one of three arms: intervention by health providers, or intervention by lay counselors, or standard of care. Results: The intervention was effective immediately after 6 weeks of intervention in both intervention groups. The problems of depression, anxiety, and stress of subjects in all three study groups did not change much at 3 and 6 months after intervention. Conclusion: Mental health of all study subjects was improved after participating in the “Friendship Bench” program. Keywords: Common mental disorders, Methadone, HIV, intervention counseling.

Literature Review: Opioid Crisis in South West, Nigeria

The opioid crisis in Southwest Nigeria has significantly increased, with socioeconomic factors such as lack of healthcare access, unemployment, and poverty exacerbating the problem. The review explores the interactions between biological variables, cutting-edge technologies, financial constraints, and environmental factors that contribute to drug abuse and substance use disorders. It also analyzes the major classes of opioids and distinguishes between medicinal and non-medical uses. The epidemic has negative impacts on personal well-being, healthcare infrastructure, and societal cohesion. The research suggests a multifaceted strategy, including interventions and policy implications. It suggests reducing poverty as a first step in treating the underlying causes, increasing access to mental health services, early detection and intervention programs, and public awareness initiatives to prevent disease. Medication-assisted treatment (MAT) is also emphasized as a recovery strategy. The evaluation advocates for policy changes, tighter guidelines for opioid prescriptions, and public awareness initiatives to inform people about opiate abuse risks and encourage cautious use.

Suicidal ideation, attempt and associated factors among prisoners in Northwest Ethiopia: A cross-sectional study.

Suicide is a prominent source of harm and death globally, and it is the leading cause of premature death among prisoners. Therefore, the main aim of this study was to determine the prevalence and factors associated with suicidal ideation and attempt among prisoners in Northwest Ethiopia. An institution-based cross-sectional study design was performed from May 23 to June 22, 2022. After proportional allocation to the three correctional institutions, a total of 788 study participants were randomly recruited. The World Health Organization Composite International Diagnostic Interview (CIDI) was used to evaluate suicide ideation and attempt. To determine factors associated with suicidal ideation and attempt, multivariate logistic regression analyses were conducted. At a 95% confidence interval (CI) of P-value <0.05, statistical significance was declared. The prevalence of suicidal ideation and attempt among prisoners was 23.6% and 10.7%, with 95% CI (20.76, 26.70) and (8.68, 13.02), respectively. Female sex (AOR = 2.38, 95% CI: 1.12, 5.05), family history of mental illness (AOR = 3.09, 95% CI: 1.93, 4.88), depression (AOR = 2.04, 95% CI: 1.43, 2.98), poor social support (AOR = 2.76, 95% CI: 1.56, 4.85) and previous incarceration (AOR = 1.84, 95% CI: 1.18, 2.86) were significantly associated with suicidal ideation. However, being single (AOR = 2.58, 95% CI: 1.47, 4.54), family history of suicide (AOR = 2.43, 95% CI: 1.18, 5.01), depression (AOR = 2.62, 95% CI: 1.59, 4.31) and previous imprisonments (AOR = 2.11, 95% CI: 1.20, 3.69) were associated with suicidal attempt. The prevalence of suicidal ideation and attempt among prisoners were found to be high. Therefore, the findings of this study recommend that early detection and design of prison mental health services should be delivered to develop mental health care, prevention, and intervention programs for incarcerated people to improve suicidal behavior in prison.

The impact of coping strategies and positive resources on post-traumatic stress symptoms among bereaved families of the Sewol ferry disaster.

This study investigated the long-term prevalence of, and factors associated with, post-traumatic stress disorder (PTSD) among the bereaved families of the Sewol ferry disaster, in which 250 students lost their lives during a school excursion. Eight years after the disaster, 181 family members were surveyed, and the prevalence of clinical PTSD symptoms was estimated. The Positive Resources Test (POREST), the Duke-UNC Functional Social Support Questionnaire, and the Brief COPE were evaluated using self-report measures. The multivariable binomial logistic regression was used to identify protective and risk factors for PTSD. PTSD symptoms were present in 49.7% of the family members 8 years after the incident. A one-point increase in the score on the optimism subscale of the POREST was associated with a 20.1% decreased likelihood of having clinical PTSD symptoms (OR = 0.799; p = 0.027; 95% CI = 0.655-0.975). Conversely, a one-point increase in the score on the avoidant subscale of Brief COPE was associated with a 13.2% increased likelihood of having clinical PTSD symptoms (OR = 1.132; p = 0.041; 95% CI = 1.005-1.274). Our results provide evidence of the need for long-term mental health monitoring of bereaved families of disaster victims, along with valuable insights for the development of mental health intervention programs.

Memahami Dampak Media Sosial terhadap Kesehatan Mental Mahasiswa

This study aims to explore the impact of social media use on the mental health of university students. Utilizing a qualitative approach, this study analyzes data from in-depth interviews with 10 students from various universities in Indonesia. Thematic analysis reveals that social media use contributes to various aspects of mental health, including anxiety, depression, and self-image disorders. The study identifies that interactions on social media often trigger social comparison and unrealistic expectations about personal life, contributing to a decline in psychological well-being. However, the results also indicate that social media can be a useful tool for supporting mental health, particularly through support communities and awareness of mental health issues. The researchers suggest a need to increase awareness of healthy and constructive social media use among students. This study also emphasizes the importance of mental health education and intervention programs in educational institutions. These results provide insights for policymakers, educators, and mental health practitioners in developing effective strategies to support the mental health of students in the digital era. This study paves the way for further research on the specific impact of social media features and algorithms on student mental health.

The Prevalence of Sexually Transmitted Infections and Subsequent Association with Exposure to Childhood Violence and Mental Health Outcomes for Adolescents and Young Adults in Zimbabwe

Sexually transmitted infections (STIs) represent a major public health concern for young people in developing nations, impacting approximately two-thirds of individuals below the age of 25. This study examined the prevalence and the association between self-reported STIs, childhood violence exposure, and mental health outcomes among adolescents and young adults (13-24 years old) in Zimbabwe. Secondary data from the 2017 Zimbabwe Violence Against Children and Youth Survey (n=8,715) was utilized. Data analysis was performed using chisquare to determine the prevalence estimates for bivariate. Seven logistic regression models were used to examine the significant association between independent variables and outcomes for multivariate. About 45.5% of adolescents and young adults with self-reported STIs were exposed to multiple forms of childhood violence, 49.8% reported lifetime suicide risk, and 44.9% reported moderate-to-severe mental distress in the past 30 days. Furthermore, logistic regression results indicated that adolescents and young adults with self-reported STI diagnoses were more likely to be exposed to multiple forms of childhood violence, including physical, emotional, and sexual violence, as well as mental distress in the past 30 days and lifetime suicide risk compared to those without STIs. Therefore, this study underscores the importance of implementing comprehensive public health strategies to protect the wellbeing of adolescents and young adults with STIs. Interventions should also prioritize raising awareness, destigmatizing STIs, implementing and strengthening violence prevention policies, and addressing mental health problems through community mental health treatment programs in Zimbabwe. Keywords: Childhood violence, Emotional violence, Exposure, Mental distress, Physical violence, Sexual violence, Sexually transmitted infections (STIs), Suicide risk, Zimbabwe.

Suicide Prevention Mechanism Survey: Basis for Mental Health Intervention Program

To answer the call for a race against suicide, the study was conducted in pursuit of identifying the situation of the learners in their mental well-being as a key in determining a school’s mental health intervention program. The study used a mixed method research design, which utilized convergent parallel mixed method using an adopted and modified survey questionnaire for quantitative data and data triangulation for qualitative data and assessing whether the data converge or diverge. The study involves one hundred (100) pupil respondents chosen through purposive sampling. The study used descriptive statistics to analyze and interpret the data using weighted mean and standard deviation. Meanwhile, Colizzi’s 1978 method of analysis and interpretation was adopted for qualitative data. Results revealed a high prevalence of mental health problems experienced in terms of education, physical body, sexuality, and depression, which needs an intervention plan. However, there is a low prevalence of mental health problems among respondents in terms of home, violence, and drugs, which does not need an intervention plan. Meanwhile, the challenges encountered by the learners’ themes, such as education, stress/depression, and violence, emerged. For the impact, the emergent themes are mentally disturbed, low academic performance, and personal growth. On the other hand, prayer and communication emerged for coping mechanisms and positivity, and stress tolerance and communication emerged for insights. The study found that mental health fosters huge problems, especially for vulnerable individuals like children. They are the ones who cannot handle the anxiety and depression surrounded by many factors. Learners have experienced mental health issues, specifically in education, physical body, sexuality, and depression, which should not be disregarded because this can greatly affect their mental well-being. The study recommended having a school’s mental health intervention plan focusing on education, physical body, sexuality, and depression.

Psychological Distress, Adaptive Coping Mechanism, and Well-Being of Junior High School Students in Public Schools

This study investigated various aspects of psychological distress, adaptive coping mechanisms, and well-being among junior high school students in public schools within General Santos City. The researchers employed a descriptive-correlational research design, administering a researcher-developed questionnaire to students from four prominent public high schools. Statistical analyses included the use of mean, standard deviation, and Pearson's r correlation. The findings indicate that junior high school students experience high levels of psychological distress. Although the overall impact of contributing factors is low, specific factors such as excessive use of technology or social media and concerns about post-junior high school futures were notably significant. Despite experiencing high levels of psychological distress, students reported using adaptive coping mechanisms and maintaining a high level of well-being. A significant relationship was also identified between psychological distress and student well-being. Based on these findings, the researchers recommend the implementation of tailored mental health intervention programs to address the specific challenges faced by students in public high schools. Such programs could enhance student well-being, mitigate long-term issues, and provide support for school counselors, teachers, and mental health advocates. The study's results offer a foundation for developing practical interventions to improve the mental well-being of junior high school students in public schools, thereby promoting a healthier and more supportive educational environment.

Effects of a school-based, post-pandemic recovery intervention on Canadian educators

Although copious research has documented elevated stress and burnout in teachers worldwide during the COVID-19 pandemic, few studies have provided empirical evidence of effective interventions to support post-pandemic educator recovery and resilience. Attention to educator well-being is essential not only to healthy schools, but also to preventing teacher shortages. In the current study, Canadian educators (n = 621) who participated in a school-based mental health intervention program offered by a national mental health organization demonstrated significantly higher levels of well-being and recovery post-intervention than pre-intervention. Moreover, when compared with a control group (n = 86), the intervention group demonstrated significantly higher levels of connectedness, recovery, well-being, and resilience, although no differences in organizational commitment were demonstrated. Implications on teacher attrition and shortages are discussed.

Mental health treatment programs for children and young people in secure settings: A systematic review

BackgroundWhile there are mental health treatment programs for children and young people in secure settings (i.e., secure treatment programs) in many countries, there is a lack of transparency and consistency across these that causes confusion for stakeholders and challenges for the design and delivery of high-quality, evidence-based programs. This systematic review addresses two questions: What do mental health treatment programs for children and young people in secure community settings look like across jurisdictions? What is the evidence underlying the various components of these programs?MethodsTwelve databases were searched in November 2021: CINAHL, EMBASE, MEDLINE, PsycINFO, PubMed, Scopus, Science Direct, Academic Search Complete, Psychology and Behavioral Sciences Collection, Google Scholar, OpenDOAR, and GreyLit.org. To be included, publications had to be empirical literature or a report on mental health treatment within a secure setting for people under the age of 25; contain pre-identified keywords; be based on a research or evaluation study conducted since 2000; and be assessed as low risk of bias using an adaptation of the Critical Appraisal Skills Programme qualitative research checklist. The systematic review included 63 publications. Data were collected and analyzed in NVivo qualitative software using a coding framework.ResultsThere are secure treatment programs in Australia, Belgium, Canada, New Zealand, the Netherlands, England and Wales, Scotland, and the United States. Although there are inconsistencies across programs in terms of the systems in which they are embedded, client profiles, treatments provided, and lengths of stays, most share commonalities in their governance, definitions, designs, and intended outcomes.ConclusionsThe commonalities across secure treatment programs appear to stem from them being designed around a need for treatment that includes a mental disorder, symptom severity and salience involving significant risk of harm to self and/or others, and a proportionality of the risks and benefits of treatment. Most share a common logic; however, the evidence suggested that this logic may not to lead to sustained outcomes. Policymakers, service providers, and researchers could use the offered recommendations to ensure the provision of high-quality secure treatment programming to children and young people with serious and complex mental health needs.

Strategies and Adaptations to an Integrated Substance Use and Infant Mental Health Treatment Program During COVID-19.

The COVID-19 pandemic resulted in increased parenting stress and substance use. At the same time that mental health and social service needs increased, access to services, including among those receiving treatment, decreased due to stay-at-home orders. Few programs were equipped or prepared to translate their interventions to a virtual format at the start of the pandemic. There is a critical need to identify effective adaptations to substance use and family-focused treatment during the COVID-19 pandemic. Effective program adaptations have continued relevance for the expansion of access to family-focused addiction services beyond the pandemic itself, particularly for rural or other hard to reach populations. Seventy-three semi-structured interviews were conducted with the five agencies participating in the implementation of the In-Home Recovery Program (IHRP), an in-home, substance use disorder (SUD) treatment program. Using a rapid analysis approach two coders analyzed interviews for recurring concepts and themes. Facilitators for adapting services included: (1) the introduction of virtual toxicology screens, (2) helping parents access technology, (3) assisting parents with non-identified children to decrease their stress, and (4) anticipating reoccurrences of substances during the pandemic. Barriers to adapting services included: (1) engaging young children in virtual treatment, (2) privacy, and (3) engaging in telehealth with parents experiencing domestic violence or reoccurrence of substances. Findings reveal virtual substance use treatment is possible. Facilitators to adaptation such as providing access to technology and virtual toxicology screens demonstrate the feasibility and acceptability of utilizing telehealth interventions for substance use. Barriers to adaptations were primarily related to the infant mental health component. Telehealth is likely not appropriate for children below the age of five. Individual sessions focusing on caregiving, rather than dyadic treatment may be more suitable to virtual formats.

Tai Chi as a Complementary Therapy for Depression and Anxiety Among U.S. Veterans in a Mental Health Inpatient Setting.

Depression and anxiety are two of the top five mental illnesses veterans report. Treatment for depression and anxiety includes medications and psychiatric treatment in inpatient, outpatient, and residential treatment programs; the use of complementary and alternative medicine (CAM) can have beneficial results by decreasing symptoms, recognize patients' preference for CAM, and be cost-effective. This study aimed to evaluate the effects of Tai Chi on depression and anxiety symptoms on inpatient psychosocial or substance use disorder (SUD) rehabilitation treatment program residents since little evidence exists regarding the effectiveness of Tai Chi on participants in residential mental health treatment programs. METHOD: A mixed-method, cohort design with 88 participants (41 usual treatment without Tai Chi, 47 intervention) used a demographic survey, Hamilton Anxiety Scale, Quick Inventory of Depressive Symptomatology, self-report, and the Patient Health Questionnaire-9 at Weeks 1 and 4 of the treatment program. After Week 4, the intervention group responded to six open-ended questions about Tai Chi's effects on their overall depression and anxiety. The anxiety level of the intervention group was significantly decreased, as evidenced by the Hamilton Anxiety Scale scores (p = .02). However, the measures of depression did not differ between the groups. Two themes, mindfulness and satisfaction, were identified from the written responses regarding the Tai Chi intervention. Tai Chi effectively reduced symptoms of anxiety that varied by age and ethnicity. This study increased the insight regarding the benefit of including Tai Chi as a complementary therapy for those participating in residential treatment programs.

The influence of socioeconomic indicators on a senior’s self-esteem

The influence of socioeconomic indicators on a senior’s self-esteem

The causal impact of mental health on tobacco and alcohol consumption: an instrumental variables approach

The reciprocal relationship between psychiatric and substance use disorders is well-known, yet it remains largely unknown whether mental health morbidity causally leads to addictive behaviours. This paper utilises a fixed effects instrumental variables model, which is identified by time-varying sources of plausibly exogenous variations in mental health, and a nationally representative panel dataset from Australia to present robust evidence on the causal impact of mental distress on cigarette smoking and alcohol drinking behaviours. We find that mental distress significantly increases the prevalence and intensity of either cigarette or alcohol consumption. Further analysis reveals that mental distress also substantially increases household monetary expenditures on either tobacco or alcohol. The impact is greater for lower educated individuals or children of smokers, and is slightly higher for males. Our findings highlight the importance of mental health screening and treatment programs, especially among lower educated individuals or children of smokers, to assist in the prevention of addictive activities.

Reducing sickness absence and stigma due to mental health difficulties: a randomised control treatment trial (RCT) of a low intensity psychological intervention and stigma reduction programme for common mental disorder (Prevail)

BackgroundCommon mental disorders are the leading cause of workplace absences. The Prevail intervention programme aims to reduce stigma and to educate staff and managers about evidence-based low intensity psychological interventions for common mental disorders (depression, anxiety, stress, and distress). Prevail is innovative in taking a public health approach. It is designed to be given to all employees irrespective of their past or current mental health. Prevail was evaluated in three studies examining: (1) the acceptability of the intervention and perceived usefulness; (2) whether the intervention altered stigmatic attitudes and motivation to seek help; and (3) whether the intervention reduced sickness absence, both overall and due to mental health problems.MethodsA two-armed cluster randomised control trial (RCT) evaluated the effectiveness of Prevail. Employees (N = 1051) at a large UK government institution were randomised to an active intervention or control arm in teams identified by their managers (n = 67). Employees in the active arm received the Prevail Staff Intervention. The managers in the active arm also received the Prevail Managers Intervention. Participants’ satisfaction and analysis of the Prevail Intervention were gathered by a bespoke questionnaire. Questionnaire measures of attitudes to mental health and mental health stigma were taken 1–2 weeks prior to the intervention and approximately 4 weeks post-intervention. Data relating to sickness absence were gathered via the official records in the time period 3-month post-intervention and for the same period 12 months earlier.ResultsPrevail was evaluated highly favourably by both the staff and their managers. Prevail produced significant reductions in self-stigma and anticipated stigma due to mental health difficulties. Crucially, sickness absence was significantly reduced by the Prevail Intervention.DiscussionPrevail achieved its goals of producing a palatable and engaging intervention that altered staff’s attitudes and stigmatic beliefs related to mental health and, crucially, produced a strong reduction in work-pace absenteeism. As the Prevail programme is aimed at common mental health problems and was not specialised to this particular workforce, the study provides the evidence-base for a mental health intervention programme that could be used by many organisations across the world.Trial RegistrationISRCTN12040087. Registered 04/05/2020. https://doi.org/10.1186/ISRCTN12040087. A full protocol for the randomised control trial was published: Gray NS, Davies H, Snowden RJ: Reducing stigma and increasing workplace productivity due to mental health difficulties in a large government organization in the UK: a protocol for a randomised control treatment trial (RCT) of a low intensity psychological intervention and stigma reduction programme for common mental disorder (Prevail). BMC Public Health 2020, 20(1):1–9.

Experiences of racial microaggression among immigrant and Canadian-born young adults: Effects of double stigma on mental health and service use.

Significant disparities in utilization of mental health services exist among immigrant and Canadian-born populations. These gaps may be associated with a 'double stigma' - stigma related to being from a racialized background exacerbated by mental health stigma. Immigrant young adults may be particularly susceptible to this phenomenon, given developmental and social transitions from adolescence to adulthood. To investigate the joint effects of racial microaggression and mental health stigma on mental health and service use among first-generation immigrant and Canadian-born university students. We conducted an online cross-sectional study among first-generation immigrant and Canadian-born university students (N = 1,280, Mage = 19.10, SD = 1.50). Despite no differences in anxiety or depression symptoms, first-generation (foreign-born) immigrants were less likely to have received therapy and to have taken medication for mental health issues compared to Canadian-born participants. First-generation immigrants also reported experiencing higher levels of racial microaggression and stigma toward service use. Results suggest the presence of a double stigma, mental health stigma and racial microaggression, each explained significant additional variance in symptoms of anxiety and depression and medication use. No effects of double stigma for therapy use were found - while higher mental health stigma predicted lower use of therapy, racial microaggression did not predict unique variance in therapy use. Our findings highlight the joint effects of racial microaggression and stigma toward mental health and service as barriers to help-seeking among immigrant young adults. Mental health intervention and outreach programmes should target overt and covert forms of racial discrimination while incorporating culturally sensitive anti-stigma approaches to help reduce disparities in mental health service use among immigrants in Canada.

Therapist training in video chat technology for use in an adaptive digital mental health intervention: Challenges, facilitators and implications for training models

AbstractObjectiveThis qualitative study investigated therapist training experiences, elements of skill acquisition, and barriers and facilitators associated with conducting assessments, and the delivery of low‐ and high‐intensity therapist assistance delivered via video chat technology, adjunctive to a transdiagnostic digital mental health intervention programme for anxiety and depression.MethodologyIn total, 34 semistructured interviews were conducted with 20 therapists. Twenty interviews explored experiences of training to administer a clinical assessment tool, and 14 additional interviews explored training experiences of delivering low‐ and high‐intensity therapist assistance via video chat technology.ResultsReflexive thematic analysis identified three themes: video chat skill acquisition, competencies transferrable to video chat and video chat service quality. Training and supervision were identified as important to scaffold skill development, and therapists described surprise that their skill set was transferrable to video chat. The most cited barrier to the adoption of video chat was the management of risk and distress, along with environmental suitability. Frequently cited facilitators to the adoption of video chat included stable Internet connection, protocols and resources.ConclusionThe benefits of video chat technology and digital mental health interventions can be maximised through the expansion and integration of training into existing teaching curricula. If therapists are familiarised and competent to deliver mental health services via the Internet, as well as in person, the future adoption of blended and stepped‐care models is likely to be increased.

The Associated Factors of Self-Harm and Suicide Ideation Among Chinese Indonesians During the COVID-19 Pandemic

Abstract: Background: This study aimed to identify the associated factors of self-harm and suicide ideation among Chinese Indonesians during the COVID-19 pandemic. Methods: A nonrandom sampling was performed through a nationwide online survey in Indonesia (May–June 2021). The online survey covered participants’ demographic information, suicide literacy, suicide stigma, loneliness, and self-harm and suicide ideation. A series of t-tests, χ2 tests, and hierarchical logistic regressions with the backward stepwise method were used to identify the factors associated with self-harm and suicide ideation. Responses from a total of 484 Chinese Indonesians were analyzed in this study. Results: The predictive model showed a significant goodness of fit to the observed data [χ2(17) = 174.1, p &lt; .001; R N2 = .41]. Chinese Indonesians with an average monthly income of ≥USD 843 were found to be 0.23 times (95% CI = 0.07–0.99) less likely to experience self-harm and suicide ideation than those who did not have an income. A one-point increase in the intensity of suicide glorification and loneliness were associated with 3.06 and 3.67 increase in the chance of experiencing self-harm and suicide ideation, respectively. Conclusion: One third of Chinese Indonesians self-reported self-harm and suicide ideation during the COVID-19 pandemic. Mental health and suicide prevention intervention programs are recommended to target those with low socioeconomic status, high glorification toward suicide, and high perceived loneliness.