Inter-relationships between suicidality and depressive symptoms among children and adolescents experiencing crisis: A network perspective

孤独 自杀意念 悲伤 精神科 心理学 人口 临床心理学 毒物控制 心理健康 自杀预防 萧条(经济学) 医学 愤怒 医疗急救 经济 宏观经济学 环境卫生
作者
Wen Li,Mi Xiang,Er Liang Zhang,Yujie Liu,Xin Ge,Zhaohui Su,Teris Cheung,Todd Jackson,Yu‐Tao Xiang
出处
期刊:Journal of Affective Disorders [Elsevier BV]
卷期号:354: 44-50 被引量:1
标识
DOI:10.1016/j.jad.2023.10.029
摘要

Suicidality and depressive symptoms have emerged as major mental health issues reported among children and adolescents experiencing crises. In light of these concerns, this study was conducted to elucidate interrelationships between depressive symptoms and suicidality at an item level within this population during the COVID-19 pandemic, a worldwide public health crisis affecting children and adolescents. A cross-sectional study design was used. Primary and secondary school students completed the Children's Depression Inventory – Short Version (CDI-S) and two standard suicidality questions tapping suicidal ideation and suicide plans, respectively. A network analysis was performed to examine inter-connections between depressive symptoms and suicidality. A total of 5380 students participated in the study. Prevalence of suicidal ideation and suicide plans were 12.8 % (95 % CI = 11.9 %–13.7 %) and 9.9 % (95 % CI = 9.2 %–10.8 %), respectively; the prevalence of depressive symptoms was 41.2 % (95%CI = 39.8 %–42.5 %). The network analysis identified CDI4 (self-hatred) as the most influential node with the highest centrality, followed by CDI8 (loneliness), CDI5 (crying), and CDI1 (sadness). Additionally, CDI5 (crying), CDI1 (sadness), CDI4 (self-hatred), and CDI10 (feeling unloved) were the most meaningful nodes linking depressive symptoms with suicidality. Critical depressive symptoms linked with suicidality among children and adolescents living through the COVID-19 pandemic included self-hatred, loneliness, crying, and sadness. Interventions that target these depressive symptoms may have increased utility in reducing the risk of suicidality within this population.
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