Depressive symptoms as a mediator between perceived social support and suicidal ideation among Chinese adolescents

Wan, Li-Peng; Yang, Xiaofan; Liu, Bao-Peng; Zhang, Yingying; Liu, Xianchen; Jia, Cun-Xian; Wang, Xinting

doi:10.1016/j.jad.2022.01.061

Cited by 22 publications

(12 citation statements)

References 59 publications

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“…Self-harm behaviors, including NSSI and suicidal behavior, are prevalent among adolescents and are associated with a range of negative mental health outcomes, including depression, anxiety, and other mental health problems [ 8 - 12 ]. Although NSSI is defined as self-harm without suicidal intent, numerous studies have found a direct association between NSSI and suicide attempts.…”

Section: Introductionmentioning

confidence: 99%

Analyzing Co-Occurrence of Non-Suicidal Self-Injury With Suicidal Ideation and Related Factors Among Adolescents in Jeju Island

Moon,

Chung,

Kwack

et al. 2024

J Korean Acad Child Adolesc Psychiatry

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Objectives Non-suicidal self-injury (NSSI) and suicidal behavior, including suicidal ideation (SI) and suicide attempts, are important predictors of suicide in adolescents. This study aimed to investigate the associations between NSSI, SI, NSSI+SI, mental health problems, and family factors in Korean adolescents in Jeju Island, with an emphasis on key findings. Methods A total of 561 adolescents completed self-report questionnaires regarding demographics, NSSI, SI, suicidal behavior, perceived family functioning, and mental health problems, which were assessed using Center for Epidemiological Studies Depression Scale for Children, Screen for Children Anxiety-Related Disorders (SCARED), and Youth Self-Report (YSR). Data were analyzed using descriptive statistics, one-way analysis of variance, chi-square test, post-hoc analyses, and multivariate logistic regression. Results In this study, 22.3% of adolescents reported either NSSI or SI, with 5.5% reporting NSSI and 20.7% reporting SI. Combined (NSSI+SI) group showed a significantly higher SCARED score, anxiety/depression, thought problems, attention problem, and rule breaking on YSR than did the SI only group. Higher level of depression and anxiety were significantly associated with NSSI and SI. Female sex and perceived family dissatisfaction were significantly associated factors for SI, but not for NSSI in multivariate logistic regression. Conclusion This study provides insights into the clinical characteristics and associated factors among adolescents with NSSI, SI, and NSSI+SI in Jeju Island. Identifying these results can inform the development of targeted prevention and intervention strategies to mitigate the negative consequences of these behaviors and contribute to a better understanding of the role of family in this context.

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Section: Introductionmentioning

confidence: 99%

Analyzing Co-Occurrence of Non-Suicidal Self-Injury With Suicidal Ideation and Related Factors Among Adolescents in Jeju Island

Moon,

Chung,

Kwack

et al. 2024

J Korean Acad Child Adolesc Psychiatry

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“…The Cronbach’s alpha coefficients for the subscales of family, friends, and significant other, as measured by Zimet et al, were 0.87, 0.85, and 0.91, respectively [ 31 ]. The scale has demonstrated robust psychometric properties and has been validated in Chinese populations, indicating its reliability and validity [ 32 ].…”

Section: Methodsmentioning

confidence: 99%

Prevalence and correlates of sleep disturbance among adolescents in the eastern seaboard of China

Yang,

Luan,

et al. 2024

BMC Public Health

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Background Sleep disturbances are serious public health issues that warrant increased attention, especially in adolescents. The aim of this study was to investigate the prevalence and factors associated with sleep disorders among urban adolescents in China. Methods This study utilized an online survey to assess the demographic characteristics and mental health status of secondary school students in Lianyungang City. The Patient Health Questionnaire-9 (PHQ-9) was used to evaluate sleep disturbances in adolescents. The seven-item Generalized Anxiety Disorder (GAD-7) assessed anxiety symptoms, and the Perceived Social Support Scale (PSSS) was used to measure perceived social support. Results Among 3443 adolescents, the prevalence of sleep disorders were 10.8%, with significantly higher proportions of sleep disorders (13.7% VS 8.3%, P < 0.001) among female adolescents when compared to males. Binary regression analysis revealed that anxiety symptoms (OR = 1.305, 95% CI: 1.269–1.342, P < 0.001) was risk factor for sleep disturbances, and significant other support (OR = 0.944, 95% CI: 0.896–0.994, P = 0.028) and good annual household income (OR = 0.616, 95% CI: 0.394–0.963, P = 0.034) were protective factors. Furthermore, multinomial logistic regression analysis showed that age, sex, and anxiety symptoms were associated with an elevated risk of experiencing more frequent sleep disturbances (all P < 0.05). Conclusions We have found that 10.8% of adolescents experience sleep disorders, and it is evident that various factors can influence healthy sleeping. These results underscore the significance of addressing these factors to enhance sleep health among this population.

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“…This cohort was surveyed in 2015 and followed up 1 year later (2016) and 2 years later (2017). Sampling details and data collected can be found in other literature [31][32][33][34]. In brief, five middle schools and three high schools in three rural areas (Yanggu, Zoucheng, and Lijin) were sampled to participate in the survey during the baseline period, given the representativeness of the adolescent student population, convenience, and funding to conduct the study.…”

Section: Methodsmentioning

confidence: 99%

Longitudinal Associations of Stressful Life Events with Non-suicidal Self-Injury among Chinese Adolescents: The Mediating Effect of Depressive Symptoms

Wan

Yang

Liu

et al. 2023

Depression and Anxiety

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Objective. Little is known about the mechanism between stressful life events and non-suicidal self-injury (NSSI) in Chinese adolescents. This study was to investigate the mediating effect of depressive symptoms on the association between stressful life events and NSSI among Chinese adolescents. Methods. This study included a total of 7072 adolescents who participated in the one-year follow-up of Shandong Adolescent Behavior and Health Cohort. A self-administrated questionnaire was used to evaluate stressful life events, depressive symptoms, NSSI, and other variables in November-December 2015. One year later, a follow-up investigation was performed to evaluate participants’ depressive symptoms and NSSI. Logistic regression and mediation analysis were used to examine the relationship between stressful life events, depressive symptoms, and NSSI. Results. Of the sample, half were females and mean age was 14.58 ± 1.46 . At baseline and one-year follow-up, the rate of NSSI was 19.4% and 8.8%, respectively. Multivariate logistic regression analysis showed that stressful life events and depressive symptoms were positively associated with NSSI. Mediation analysis showed that depressive symptoms accounted for 17.70% of the relation between high stressful life events and NSSI at one-year follow-up after controlling for covariates. Limitation. All variables were collected based on self-report. Conclusions. The relationship between stressful life events and NSSI appears to be partially mediated by depressive symptoms. It is necessary to evaluate and intervene against depressive symptoms related to life stress for the prevention of NSSI.

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Depressive symptoms as a mediator between perceived social support and suicidal ideation among Chinese adolescents

Cited by 22 publications

References 59 publications

Analyzing Co-Occurrence of Non-Suicidal Self-Injury With Suicidal Ideation and Related Factors Among Adolescents in Jeju Island

Analyzing Co-Occurrence of Non-Suicidal Self-Injury With Suicidal Ideation and Related Factors Among Adolescents in Jeju Island

Prevalence and correlates of sleep disturbance among adolescents in the eastern seaboard of China

Longitudinal Associations of Stressful Life Events with Non-suicidal Self-Injury among Chinese Adolescents: The Mediating Effect of Depressive Symptoms

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