Behavioral and psychosocial factors associated with suicidal ideation in adolescents with depression: An ecological model of health behavior

IF 3.7 2区医学 Q1 PSYCHIATRY

Journal of psychiatric research Pub Date : 2025-01-01 DOI:10.1016/j.jpsychires.2024.12.014

Hua Xu , Zhao-hong Chen , Jin-jie Ji , Hua-ying Qian , Juan She , Chun-ting Hou , Yan-hong Zhang

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引用次数: 0

Abstract

Background

Although many studies have examined the relationship between suicidal ideation and psychosocial factors in adolescents, there are differences between the results.

Methods

Adopting the ecological model of health behavior as a theoretical framework, this study assessed individual, interpersonal and organizational factors associated with the prevalence of suicidal ideation and preventive behaviors in 305 Chinese adolescents hospitalized with depression. Clinical and demographic data were collected by a self-administered questionnaire. The Hamilton Depression Scale (HAMD) and suicidal ideation were assessed by interview.

Results

The prevalence of suicidal ideation among the sample was 75.7% (231/305). Logistic regression showed that the increase of suicide ideation was associated with woman (OR = 2.237, 95%CI = 1.074–4.659), degree of depression(moderate depression: OR = 10.198, 95%CI = 3.819–27.237; major depression: OR = 21.677, 95%CI = 7.006–67.076), and high emotion-oriented coping(OR = 1.985, 95%CI = 0.977–4.034). However, high psychological resilience had lower rates of suicidal ideation (OR = 0.384, 95%CI = 0.158–0.933).

Conclusion

These findings highlight the need to pay sufficient attention to individuals with these risk factors for suicidal ideation in clinical work and to prevent suicidal behaviors by increasing health promotion behaviors.

查看原文本刊更多论文

青少年抑郁症患者自杀意念相关的行为和社会心理因素：健康行为的生态模型。

背景：虽然许多研究已经调查了青少年自杀意念与心理社会因素之间的关系，但结果之间存在差异。方法：以健康行为生态模型为理论框架，对305名住院青少年抑郁症患者自杀意念患病率和预防行为的个体、人际和组织因素进行评估。临床和人口统计数据通过自行填写的问卷收集。采用访谈法对汉米尔顿抑郁量表（HAMD）和自杀意念进行评估。结果：自杀意念患病率为75.7%（231/305）。Logistic回归分析显示，自杀意念的增加与女性（OR = 2.237, 95%CI = 1.074 ~ 4.659）、抑郁程度(中度抑郁：OR = 10.198, 95%CI = 3.819 ~ 27.237；重度抑郁：OR = 21.677, 95%CI = 7.006 ~ 67.076)和高情绪导向应对（OR = 1.985, 95%CI = 0.977 ~ 4.034）。而心理弹性高的自杀意念率较低（OR = 0.384, 95%CI = 0.158 ~ 0.933）。结论：在临床工作中应重视存在自杀意念危险因素的个体，通过增加健康促进行为来预防自杀行为。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of psychiatric research 医学-精神病学

CiteScore

7.30

自引率

2.10%

发文量

622

审稿时长

130 days

期刊介绍： Founded in 1961 to report on the latest work in psychiatry and cognate disciplines, the Journal of Psychiatric Research is dedicated to innovative and timely studies of four important areas of research: (1) clinical studies of all disciplines relating to psychiatric illness, as well as normal human behaviour, including biochemical, physiological, genetic, environmental, social, psychological and epidemiological factors; (2) basic studies pertaining to psychiatry in such fields as neuropsychopharmacology, neuroendocrinology, electrophysiology, genetics, experimental psychology and epidemiology; (3) the growing application of clinical laboratory techniques in psychiatry, including imagery and spectroscopy of the brain, molecular biology and computer sciences;