The Independent and Cumulative Effects of Screen Exposure on Suicidal Ideation in Chinese Adolescents with Depressive Symptoms

IF 2.5 4区医学 Q2 HEALTH POLICY & SERVICES

Journal of Pediatric Health Care Pub Date : 2025-01-10 DOI:10.1016/j.pedhc.2024.09.009

Xinran Xie BSc, Xiangyu Zhao BSc, Feng Zhuo BSc, Jingya Li PhD, Dandan Song PhD, Ying Yang MD, Linghua Kong MD

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引用次数: 0

Abstract

Introduction

This study aims to examine the independent and cumulative effects of unhealthy screen exposure on suicidal ideation (SI) in Chinese adolescents with depressive symptoms.

Method

A total of 350 adolescents (33.7% males; ages 10–19) completed the Screen Exposure Questionnaire, the Children's Depression Inventory, and the Ottawa Self-Injury Scale. Binary logistic regression analysis models were used to analyze the independent risk effect of screen exposure on SI. A cumulative risk model for screen exposure to SI in adolescents was constructed using restricted cubic splines.

Results

Adolescents who experienced excessive screen time and frequency, mealtime exposure, bedtime exposure, and early screen exposure were significantly associated with the occurrence of SI, and the risk increased nonlinearly with the number of exposures (P_nonlinear = .03).

Discussion

Efforts should be made to reduce adolescents’ screen exposure to prevent SI.

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屏幕暴露对中国抑郁症状青少年自杀意念的独立和累积影响

前言：本研究旨在探讨不健康屏幕暴露对中国抑郁症状青少年自杀意念（SI）的独立和累积影响。方法：共350例青少年，其中男性33.7%；10-19岁)完成了屏幕暴露问卷、儿童抑郁量表和渥太华自伤量表。采用二元logistic回归分析模型分析屏幕暴露对SI的独立风险效应。使用限制三次样条构建了青少年屏幕暴露于SI的累积风险模型。结果：青少年过度的屏幕时间和频率、用餐时间暴露、就寝时间暴露和早期屏幕暴露与SI的发生显著相关，且风险随暴露次数呈非线性增加（p非线性= .03）。讨论：应努力减少青少年的屏幕暴露，以预防SI。

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 Pediatric Health Care NURSING-PEDIATRICS

CiteScore

3.40

自引率

10.70%

发文量

140

审稿时长

24 days

期刊介绍： The Journal of Pediatric Health Care, the official journal of the National Association of Pediatric Nurse Practitioners, provides scholarly clinical information and research regarding primary, acute and specialty health care for children of newborn age through young adulthood within a family-centered context. The Journal disseminates multidisciplinary perspectives on evidence-based practice and emerging policy, advocacy and educational issues that are of importance to all healthcare professionals caring for children and their families.