Pubertal Timing and Suicidal Ideation and Attempts: Sex Differences in the Links Through Bullying and Victimization and Internalizing Problems.

IF 2 3区 医学 Q2 PSYCHIATRY
Hao Zheng, Yao Zheng
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引用次数: 0

Abstract

Objective: Suicide is the second leading cause of death for adolescents globally. Offset (both early and late) pubertal timing exposes adolescents to additional biological and psychosocial challenges, rendering them at heightened risk for psychopathology. Few studies have examined the relations between pubertal timing and suicidal ideation and attempts, as well as associated underlying mechanisms.

Method: Participants were 29,099 Chinese adolescents (Mage = 12.8, 47.9% female) in a large-scale epidemiology survey. Multi-group structural equation modeling was conducted to examine the associations between pubertal timing and suicidal ideation and attempts, the indirect effects through bullying and victimization and internalizing problems, and sex differences in these links.

Results: Early-maturing adolescents were at elevated risk for experiencing suicidal ideation and attempts. These effects were partly mediated through bullying and victimization experiences and internalizing symptoms. Early-maturing male adolescents were more likely to engage in bullying and experience victimization, whereas female adolescents were particularly vulnerable to internalizing problems and suicidal ideation and attempts following victimization experiences. Late-maturing conferred risk for suicidal attempts among female adolescents.

Conclusions: The findings highlight the potent role of offset pubertal timing in adolescent suicidal ideation and attempts, as well as sex differences in associated risk processes. The results also emphasize the importance of focusing on both mental health and social contextual changes elicited by offset pubertal timing among adolescents as intervention targets.

青春期时间与自杀意念和企图:通过欺凌、受害和内化问题联系的性别差异。
目的:自杀是全球青少年死亡的第二大原因。青春期时间失调(包括早期和晚期)使青少年面临额外的生理和社会心理挑战,使他们面临更高的精神病理风险。很少有研究调查青春期时间与自杀意念和企图之间的关系,以及相关的潜在机制。方法:对29,099名中国青少年(年龄12.8岁,女性47.9%)进行大规模流行病学调查。采用多群体结构方程模型研究了青春期发育时间与自杀意念和企图的关系、欺凌、受害和内化问题的间接影响以及这些联系中的性别差异。结果:早熟青少年经历自杀意念和企图的风险较高。这些影响部分是通过欺凌和受害经历以及内化症状介导的。早熟的男性青少年更有可能参与欺凌和经历受害,而女性青少年在受害经历后特别容易出现内化问题和自杀意念和企图。在女性青少年中,晚熟增加了自杀企图的风险。结论:研究结果强调了青春期时间偏差在青少年自杀意念和企图中的重要作用,以及相关风险过程中的性别差异。研究结果还强调了将青少年的心理健康和社会环境变化作为干预目标的重要性。
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来源期刊
CiteScore
6.10
自引率
7.10%
发文量
69
期刊介绍: Archives of Suicide Research, the official journal of the International Academy of Suicide Research (IASR), is the international journal in the field of suicidology. The journal features original, refereed contributions on the study of suicide, suicidal behavior, its causes and effects, and techniques for prevention. The journal incorporates research-based and theoretical articles contributed by a diverse range of authors interested in investigating the biological, pharmacological, psychiatric, psychological, and sociological aspects of suicide.
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