Rui Hu, Sisi Ma, Yuan-jie Lin, Yi-wei Feng, Xiang Li, Wei Shi, Li Zhao, Daniel T. L. Shek
{"title":"COVID-19期间家庭功能和抑郁症状对中国青少年自杀相关行为预测作用的变化","authors":"Rui Hu, Sisi Ma, Yuan-jie Lin, Yi-wei Feng, Xiang Li, Wei Shi, Li Zhao, Daniel T. L. Shek","doi":"10.1111/papt.12573","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>The COVID-19 pandemic has led to a global mental health crisis, with increased rates of depression among adolescents, exacerbated by interventions such as social distancing and school closures. While widespread anti-epidemic experiences may have strengthened social cohesion and improved adolescents' mental health, the long-term impact of the pandemic on mental health remains a concern, particularly regarding suicide-related behaviours.</p>\n </section>\n \n <section>\n \n <h3> Method</h3>\n \n <p>This study explored changes in suicide-related behaviours among adolescents with depressive symptoms during the pandemic. A cohort of 4245 students aged 10–19 participated in a school-based survey in 2020, followed by a follow-up in 2021. Cross-lagged panel analysis was used to examine associations between depressive symptoms, suicide-related behaviours and family functioning over time.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Depressive symptoms increased from 2020 to 2021, with a significant rise in mild symptoms (95% CI: 15.53%, 17.78%), whereas severe symptoms decreased (95% CI: 10.24%, 12.14%) (<i>p</i> < .05). Suicide-related behaviours, except suicidal plans, showed a decreasing trend (<i>p</i> < .05). Significant correlations were found between family functioning, depressive symptoms and suicide-related behaviours.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>While some aspects of adolescent mental health, such as depressive symptoms, showed improvement during the pandemic, depressive symptoms remained a strong predictor of suicide-related behaviours. The findings underscore the importance of addressing depressive symptoms as a key risk factor for suicide and highlight the role of family functioning in mitigating these risks. Continued attention to adolescent mental health, especially in the context of prolonged pandemic-related stressors, is essential.</p>\n </section>\n </div>","PeriodicalId":54539,"journal":{"name":"Psychology and Psychotherapy-Theory Research and Practice","volume":"98 3","pages":"590-605"},"PeriodicalIF":2.7000,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Changes in the predictive effects of family function and depressive symptoms of suicide-related behaviours in Chinese adolescents during COVID-19\",\"authors\":\"Rui Hu, Sisi Ma, Yuan-jie Lin, Yi-wei Feng, Xiang Li, Wei Shi, Li Zhao, Daniel T. L. Shek\",\"doi\":\"10.1111/papt.12573\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Background</h3>\\n \\n <p>The COVID-19 pandemic has led to a global mental health crisis, with increased rates of depression among adolescents, exacerbated by interventions such as social distancing and school closures. While widespread anti-epidemic experiences may have strengthened social cohesion and improved adolescents' mental health, the long-term impact of the pandemic on mental health remains a concern, particularly regarding suicide-related behaviours.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Method</h3>\\n \\n <p>This study explored changes in suicide-related behaviours among adolescents with depressive symptoms during the pandemic. A cohort of 4245 students aged 10–19 participated in a school-based survey in 2020, followed by a follow-up in 2021. Cross-lagged panel analysis was used to examine associations between depressive symptoms, suicide-related behaviours and family functioning over time.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>Depressive symptoms increased from 2020 to 2021, with a significant rise in mild symptoms (95% CI: 15.53%, 17.78%), whereas severe symptoms decreased (95% CI: 10.24%, 12.14%) (<i>p</i> < .05). Suicide-related behaviours, except suicidal plans, showed a decreasing trend (<i>p</i> < .05). Significant correlations were found between family functioning, depressive symptoms and suicide-related behaviours.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusions</h3>\\n \\n <p>While some aspects of adolescent mental health, such as depressive symptoms, showed improvement during the pandemic, depressive symptoms remained a strong predictor of suicide-related behaviours. The findings underscore the importance of addressing depressive symptoms as a key risk factor for suicide and highlight the role of family functioning in mitigating these risks. Continued attention to adolescent mental health, especially in the context of prolonged pandemic-related stressors, is essential.</p>\\n </section>\\n </div>\",\"PeriodicalId\":54539,\"journal\":{\"name\":\"Psychology and Psychotherapy-Theory Research and Practice\",\"volume\":\"98 3\",\"pages\":\"590-605\"},\"PeriodicalIF\":2.7000,\"publicationDate\":\"2025-02-17\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Psychology and Psychotherapy-Theory Research and Practice\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://bpspsychub.onlinelibrary.wiley.com/doi/10.1111/papt.12573\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PSYCHIATRY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psychology and Psychotherapy-Theory Research and Practice","FirstCategoryId":"3","ListUrlMain":"https://bpspsychub.onlinelibrary.wiley.com/doi/10.1111/papt.12573","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PSYCHIATRY","Score":null,"Total":0}
Changes in the predictive effects of family function and depressive symptoms of suicide-related behaviours in Chinese adolescents during COVID-19
Background
The COVID-19 pandemic has led to a global mental health crisis, with increased rates of depression among adolescents, exacerbated by interventions such as social distancing and school closures. While widespread anti-epidemic experiences may have strengthened social cohesion and improved adolescents' mental health, the long-term impact of the pandemic on mental health remains a concern, particularly regarding suicide-related behaviours.
Method
This study explored changes in suicide-related behaviours among adolescents with depressive symptoms during the pandemic. A cohort of 4245 students aged 10–19 participated in a school-based survey in 2020, followed by a follow-up in 2021. Cross-lagged panel analysis was used to examine associations between depressive symptoms, suicide-related behaviours and family functioning over time.
Results
Depressive symptoms increased from 2020 to 2021, with a significant rise in mild symptoms (95% CI: 15.53%, 17.78%), whereas severe symptoms decreased (95% CI: 10.24%, 12.14%) (p < .05). Suicide-related behaviours, except suicidal plans, showed a decreasing trend (p < .05). Significant correlations were found between family functioning, depressive symptoms and suicide-related behaviours.
Conclusions
While some aspects of adolescent mental health, such as depressive symptoms, showed improvement during the pandemic, depressive symptoms remained a strong predictor of suicide-related behaviours. The findings underscore the importance of addressing depressive symptoms as a key risk factor for suicide and highlight the role of family functioning in mitigating these risks. Continued attention to adolescent mental health, especially in the context of prolonged pandemic-related stressors, is essential.
期刊介绍：
Psychology and Psychotherapy: Theory Research and Practice (formerly The British Journal of Medical Psychology) is an international scientific journal with a focus on the psychological and social processes that underlie the development and improvement of psychological problems and mental wellbeing, including: theoretical and research development in the understanding of cognitive and emotional factors in psychological problems; behaviour and relationships; vulnerability to, adjustment to, assessment of, and recovery (assisted or otherwise) from psychological distresses; psychological therapies with a focus on understanding the processes which affect outcomes where mental health is concerned.
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