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Inter-relationships between suicidality and depressive symptoms among children and adolescents experiencing crisis: A network perspective
Li, Wen1; Xiang, Mi2,3; Zhang, Er Liang3; Liu, Yujie3; Ge, Xin3; Su, Zhaohui4; Cheung, Teris5; Jackson, Todd6; Xiang, Yu Tao7,8
2024-06-01
Source PublicationJournal of Affective Disorders
ISSN0165-0327
Volume354Pages:44-50
Abstract

Objectives: 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. Method: 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. Results: 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. Conclusions: 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.

KeywordChildren And Adolescents Covid-19 Depressive Symptoms Network Analysis Suicidality
DOI10.1016/j.jad.2023.10.029
URLView the original
Indexed BySCIE ; SSCI
Language英語English
WOS Research AreaNeurosciences & Neurology ; Psychiatry
WOS SubjectClinical Neurology ; Psychiatry
WOS IDWOS:001225834000001
PublisherELSEVIER, RADARWEG 29, 1043 NX AMSTERDAM, NETHERLANDS
Scopus ID2-s2.0-85187692031
Fulltext Access
Citation statistics
Document TypeJournal article
CollectionDEPARTMENT OF PUBLIC HEALTH AND MEDICINAL ADMINISTRATION
Faculty of Health Sciences
DEPARTMENT OF PSYCHOLOGY
Institute of Translational Medicine
Corresponding AuthorXiang, Mi
Affiliation1.Shanghai Key Laboratory of Forensic Medicine, Key Laboratory of Forensic Science, Ministry of Justice, China, Shanghai Forensic Service Platform, Academy of Forensic Science, Shanghai, China
2.Hainan Branch, Shanghai Children's Medical Center, School of Medicine, Shanghai Jiao Tong University, Hainan, China
3.School of Public Health, Shanghai Jiao Tong University, Shanghai, China
4.School of Public Health, Southeast University, Nanjing, China
5.School of Nursing, Hong Kong Polytechnic University, Hong Kong
6.Department of Psychology, University of Macau, Macao SAR, China
7.Unit of Psychiatry, Department of Public Health and Medicinal Administration, & Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao SAR, China
8.Centre for Cognitive and Brain Sciences, University of Macau, Macao SAR, China
Recommended Citation
GB/T 7714
Li, Wen,Xiang, Mi,Zhang, Er Liang,et al. Inter-relationships between suicidality and depressive symptoms among children and adolescents experiencing crisis: A network perspective[J]. Journal of Affective Disorders, 2024, 354, 44-50.
APA Li, Wen., Xiang, Mi., Zhang, Er Liang., Liu, Yujie., Ge, Xin., Su, Zhaohui., Cheung, Teris., Jackson, Todd., & Xiang, Yu Tao (2024). Inter-relationships between suicidality and depressive symptoms among children and adolescents experiencing crisis: A network perspective. Journal of Affective Disorders, 354, 44-50.
MLA Li, Wen,et al."Inter-relationships between suicidality and depressive symptoms among children and adolescents experiencing crisis: A network perspective".Journal of Affective Disorders 354(2024):44-50.
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