Unraveling the Bidirectional Associations of Psychotic-Like Experiences With Depressive Symptoms and Suicidal Ideation Among Adolescents.

IF 2.7 3区医学 Q2 PSYCHIATRY

Suicide and Life-Threatening Behavior Pub Date : 2025-06-01 DOI:10.1111/sltb.70031

Dongfang Wang, Brendan Ross, Meng Sun, Huolian Li, Xiangting Zhang, Xuan Wang, Yang Qiu, Zijuan Ma, Fang Fan

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引用次数: 0

Abstract

Background: Previous literature suggests that adolescent psychotic-like experiences (PLEs) are associated with depressive symptoms and suicidal ideation. This study aimed to explore these prospective relationships between PLEs, depressive symptoms, and suicidal ideation among adolescents.

Methods: A large-scale web-based survey was conducted using repeated measures at three time points: from 21 April to 12 May 2021 (T1), from 17 to 26 December 2021 (T2), and from 17 May to 6 June 2022 (T3). A total of 17,722 adolescents were assessed at both T1 and T2, and 15,694 adolescents also provided complete responses at both T1 and T3. Self-reported scales were used to assess PLEs and depressive symptoms, and suicidal ideation was assessed.

Results: PLEs at baseline were significantly associated with increased odds of depressive symptoms and suicidal ideation at both follow-up intervals after adjusting for covariates (all p < 0.001). Moreover, baseline depressive symptoms and suicidal ideation were significantly associated with increased likelihoods of subsequent PLEs (all p < 0.001).

Conclusions: This study underscores bidirectional prospective associations between PLEs, depressive symptoms, and suicidal ideation among adolescents, and its findings underscore the critical educational and clinical importance of screening for PLEs while treating depressive symptoms and suicidal ideation.

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揭示青少年抑郁症状和自杀意念的精神病样经历的双向关联。

背景：以往的文献表明，青少年类精神病经历（ple）与抑郁症状和自杀意念有关。本研究旨在探讨在青少年中ple、抑郁症状和自杀意念之间的潜在关系。方法：在2021年4月21日至5月12日（T1）、2021年12月17日至26日（T2）和2022年5月17日至6月6日（T3）三个时间点进行大规模网络调查，采用重复测量方法。共有17,722名青少年在T1和T2时接受了评估，15,694名青少年在T1和T3时都有完全的反应。自我报告量表用于评估ple和抑郁症状，并评估自杀意念。结果：在调整了共变量后，基线时的ple与抑郁症状和自杀意念的几率增加显著相关（所有p）。结论：本研究强调了青少年中ple、抑郁症状和自杀意念之间的双向前瞻性关联，其研究结果强调了在治疗抑郁症状和自杀意念时筛查ple的教育和临床重要性。

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

Suicide and Life-Threatening Behavior Medicine-Public Health, Environmental and Occupational Health

CiteScore

5.40

自引率

3.10%

发文量

期刊介绍： An excellent resource for researchers as well as students, Social Cognition features reports on empirical research, self-perception, self-concept, social neuroscience, person-memory integration, social schemata, the development of social cognition, and the role of affect in memory and perception. Three broad concerns define the scope of the journal: - The processes underlying the perception, memory, and judgment of social stimuli - The effects of social, cultural, and affective factors on the processing of information - The behavioral and interpersonal consequences of cognitive processes.