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Heavy metal pollution mainly caused by human activities is becoming increasingly prominent and threatening human health and ecosystem safety in soil, which is a non-renewable natural resource that humans rely on for survival and development. Assessment and analysis of soil heavy metal health risk is significant for protecting human health, preventing soil pollution, and maintaining ecosystem security. Based on the investigation of heavy metals, including Cr, Pb, Cd, As, and Hg, in cultivated soil in Liuhe District, the health risk assessment model was used to identify the health risk characteristics of heavy metals, and the spatial distribution, main sources, and responses to landscape patterns were explored by using inverse distance weight interpolation, positive definite matrix factorization, landscape pattern index, and redundancy analysis. The results showed that the coefficients of variation corresponding to Cr, Pb, Cd, As, and Hg in the study area were 0.19, 0.36, 0.23, 0.52, and 1.16, respectively, all of which belonged to moderate or high variability, indicating that they had high spatial heterogeneity and were susceptible to human factors. Cr, Pb, and As were the main health risk characteristic factors in the study area, with the carcinogenic risks to children ranging from 13.307×10 -6 to 38.400×10 -6 , 0.839×10 -6 to 3.250×10 -6 , and 4.548×10 -6 to 16.680×10 -6 , respectively, which were higher than those in adults. Agricultural production activities, industrial production, and transportation activities were the main sources of heavy metals, with carcinogenic risks to children of 17.946×10 -6 and 12.941×10 -6 , respectively. Furthermore, high-risk areas caused by agricultural production activities were mainly concentrated in the northern area of Liuhe District and showed an increasing trend from south to north and from the center to the periphery. The surrounding areas caused by industrial production activities and transportation were mainly concentrated in the chemical industry park and economic development zone of Liuhe District and showed a spatial agglomeration feature of decreasing from south to north and from the core to the periphery. The cumulative explanatory value of the landscape pattern index for the comprehensive carcinogenic risk to children was 0.463, and patch density, patch proportion in landscape area, patch aggregation degree, and maximum patch index had significant effects on the comprehensive carcinogenic risk in children, and the corresponding explanatory values were 0.422, 0.274, 0.351, and 0.232, respectively. This study had important theoretical and practical significance for expanding the perspective of environmental health research, promoting the transformation of soil heavy metal management methods and safeguarding regional population health.

Objective: To investigate the prevalence and associated factors of suicidal ideation and suicide attempts among adolescent and young adults in China from December 14, 2022 to February 28, 2023, when COVID-19 restrictions were lifted., Methods: Students in middle and high schools and colleges and universities in the province of Sichuan, China were asked to complete on-line cross-sectional surveys. Information was collected about sociodemographics, experiences related to the COVID-19 pandemic, suicidal ideation and suicide attempts. Participants also filled out the Patient Health Questionnaire-9, the Generalized Anxiety Disorder-7 and the Social Support Rate Scale surveys. Factors associated with suicidal ideation or suicide attempts were explored using logistic regression., Results: Of the 82,873 respondents (aged 12 to 24 years), 21,292 (25.7%) reported having thought of suicide at least once in their lifetime, 10,382 (12.5%) reported having thought about suicide within the previous 12 months, and 1,123 (1.4%) reported having attempted it within the previous 12 months. Risk of lifetime suicidal ideation was higher among middle school students than among older students. Risk of suicidal ideation and risk of suicide attempts correlated directly with severity of symptoms of depression and anxiety, and inversely with level of social support. Greater risk of suicidal ideation and suicidal attempts was associated with: being female, living in an urban environment, attending a boarding school, currently being in love, having parents who divorced or remarried, having parents who exhibit non-authoritative parenting behavior, having higher family income, having been COVID-19 infected, having been quarantined for a long time, and being dissatisfied with one's education., Conclusions: Suicidal ideation and suicide attempts remain prevalent among young people in China. The potential associated factors identified in our study may be useful for targeting appropriate psychosocial interventions and developing mental health policies., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2024 Xiao, Huang, Yang, Mu, Wang, Deng, Cai, Deng, Tang, Chen, Shi, Jiang, Xu, Yin, Huang, Zhang and Ran.)