Menarche, menstrual problems and suicidal behavior in Chinese adolescents

Chen, Hua; Wang, Xinting; Bo, Qi-Gui; Zhang, Daoming; Qi, Zhengjian; Liu, Xianchen; Jia, Cun-Xian

doi:10.1016/j.jad.2016.11.027

Cited by 43 publications

(17 citation statements)

References 39 publications

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“…The association between suicidal ideation and irregular periods found in this study agrees with the finding of a previous report. In a study about menstrual problems and suicidal behavior of Chinese adolescents, irregular menstrual cycle was significantly associated with increased risk of suicidal ideation [ 13 ]. Whereas the aggressiveness association with suicidal ideation found in the present study is in line with results of recent studies.…”

Section: Discussionmentioning

confidence: 99%

“…With respect to suicide attempts, they were associated with the presence of irregular periods and desire to eat certain food or eat a lot. Suicidal ideation has been associated with irregular menstrual cycle [ 13 ], and non-suicidal self-injury [ 18 ]. However, to the best of my knowledge, the presence of irregular periods has not been associated with suicide attempts.…”

Section: Discussionmentioning

confidence: 99%

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Association Between Suicidal Behavior and Clinical Features of Premenstrual Syndrome and Menstrual History: A Cross Sectional Study

Alvarado‐Esquivel

2018

J Clin Med Res

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BackgroundThe link between suicidal behavior and premenstrual syndrome has been poorly studied. This study aimed to determine the association of suicide attempts, and suicidal ideation and signs and symptoms of premenstrual syndrome and menstrual history in women in Durango City, Mexico.MethodsUsing a cross-sectional study design, 437 women were interviewed to obtain clinical data about their premenstrual period, menstrual history and suicidal behavior. Logistic regression was used to assess the association between suicide behavior and clinical features of women. Odds ratio (OR) adjusted by age, presence of mental illness, and residence area, and 95% confidence interval (CI) were obtained.ResultsOf these women, 29 (6.6%) had a history of suicidal ideation, and 15 (3.4%) had a history of suicide attempts. Logistic regression showed that suicidal ideation was associated with the variables: presence of irregular periods (OR = 2.89; 95% CI: 1.10 - 7.55; P = 0.03), low back pain (OR = 4.57; 95% CI: 1.31 - 15.92; P = 0.01), desire to eat certain food or eat a lot (OR = 2.47; 95% CI: 1.10 - 5.57; P = 0.02), guilty feeling (OR = 2.43; 95% CI: 1.06 - 5.59; P = 0.03), and aggressiveness (OR = 3.19; 95% CI: 1.42 - 7.13; P = 0.005). Whereas logistic regression showed that a history of suicide attempts was associated with the variables: presence of irregular periods (OR = 9.57; 95% CI: 1.23 - 74.44; P = 0.03), and desire to eat certain food or eat a lot (OR = 3.08; 95% CI: 1.04 - 9.15; P =0.04).ConclusionsIn this first study on the link of suicide behavior and clinical features of premenstrual syndrome, results suggest that suicidal ideation and suicide attempts are associated to specific signs or symptoms of premenstrual syndrome. Further research to confirm the findings of this study is needed. Results might help for an optimal planning of preventive measures against suicide.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Association Between Suicidal Behavior and Clinical Features of Premenstrual Syndrome and Menstrual History: A Cross Sectional Study

Alvarado‐Esquivel

2018

J Clin Med Res

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“…All students in the selected classes were invited to participate in the survey. Detailed sampling and procedure have been published elsewhere (Chen et al ., 2017; Liu et al ., 2017 a , 2017 b ; Liu et al ., 2018).…”

Section: Methodsmentioning

confidence: 99%

Suicidal behaviours among Chinese adolescents exposed to suicide attempt or death

Liu

Wang

Bo³

et al. 2018

Epidemiol Psychiatr Sci

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Aims Suicidal behaviours in adolescents are prevalent and multifactorial. This study was conducted to examine the associations between exposure to suicide attempt (ESA) or suicide death (ESD) and suicidal behaviours in a large sample of Chinese adolescents. Methods Participants included for the analysis were 11 831 adolescent students who participated in the baseline survey of the Shandong Adolescent Behavior and Health Cohort (SABHC). Participants were sampled from five middle and three high schools in three counties of Shandong province, China. A self-administered structured questionnaire was used to collect data on demographics, behavioural and emotional problems, family environment, suicidal behaviours (suicidal thought, plan and attempt), and history of ESA or death of a family member, relative, friend or close acquaintance. Based on the sources of exposure, the participants were divided into four groups: non-exposure, exposure from relatives only, exposure from friends/close acquaintances only (EFO) and exposure from both relatives and friends (ERF). Logistic regressions were used to examine the associations between ESA or ESD and suicidal behaviours. Results Mean age of the participants was 14.97 ± 1.46 years and 50.9% were boys. Of the participants, 9.4% reported having ESA, and 6.6% reported having ESD. The prevalence rates of suicidal behaviours were significantly higher in adolescents who had been exposed to suicide attempt or death than those who had not. Multivariate logistic regressions showed that ESA and ESD were both significantly associated with increased risks of suicidal thought (ESA: OR = 1.96, 95% CI = 1.66–2.31; ESD: OR = 1.59, 95% CI = 1.31–1.94), plan (ESA: OR = 2.37, 95% CI = 1.84–3.05; ESD: OR = 1.62, 95% CI = 1.18–2.23) and attempt (ESA: OR = 2.73, 95% CI = 1.92–3.89; ESD: OR = 1.82, 95% CI = 1.18–2.82), respectively. When participants were exposed to suicide attempt, ERF and EFO groups had significantly higher risks of suicidal thought (ERF: OR = 2.61, 95% CI = 1.28–1.64; EFO: OR = 1.96, 95% CI = 1.64–2.36), plan (ERF: OR = 3.72, 95% CI = 2.04–6.78; EFO: OR = 2.31, 95% CI = 1.74–3.01) and attempt (ERF: OR = 4.83, 95% CI = 2.30–10.17; EFO: OR = 2.57, 95% CI = 1.73–3.81), respectively. Conclusions ESA or ESD was associated with increased risks of suicidal behaviours in adolescents. Exposure to suicidal behaviours of relatives and friends/close acquaintances appeared to have different influence on adolescent suicidal behaviours. Further research is warranted to examine the biological and psychosocial mechanisms between suicidal exposure and subsequent suicidal behaviours in adolescents.

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“…The authors concluded that adolescents who started puberty earlier, and so were in later pubertal stages at the time of measurement, were at higher risk of self-harm than their peers. Cross-sectional studies in Chinese adolescents have also found evidence that earlier developing females (indexed via age at menarche) were at greater risk of self-harm (Deng et al ., 2011; Chen et al ., 2017). However, findings have been mixed and a number of studies have not found evidence for an effect (Riesch et al ., 2008; Chiang et al ., 2010; Liu et al ., 2018; Jung et al ., 2019).…”

Section: Introductionmentioning

confidence: 99%

Timing of menarche and self-harm in adolescence and adulthood: a population-based cohort study

et al. 2019

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Background Previous studies of pubertal timing and self-harm are limited by subjective measures of pubertal timing or by the conflation of self-harm with suicide attempts and ideation. The current study investigates the association between an objective measure of pubertal timing – age at menarche – and self-harm with and without suicidal intent in adolescence and adulthood in females. Method Birth cohort study based on 4042 females from the Avon Longitudinal Study of Parents and Children (ALSPAC). Age at menarche was assessed prospectively between ages 8 and 17 years. Lifetime history of self-harm was self-reported at ages 16 and 21 years. Associations between age at menarche and self-harm, both with and without suicidal intent, were examined using multivariable logistic regression. Results Later age at menarche was associated with a lower risk of lifetime self-harm at age 16 years (OR per-year increase in age at menarche 0.87; 95% CI 0.80–0.95). Compared with normative timing, early menarche (<11.5 years) was associated with an increased risk of self-harm (OR 1.31, 95% CI 1.04–1.64) and later menarche (>13.8 years) with a reduced risk (OR 0.74, 95% CI 0.58–0.93). The pattern of association was similar at age 21 years (OR per-year increase in age at menarche 0.92, 95% CI 0.85–1.00). There was no strong evidence for a difference in associations with suicidal v. non-suicidal self-harm. Conclusions Risk of self-harm is higher in females with early menarche onset. Future research is needed to establish whether this association is causal and to identify potential mechanisms.

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Menarche, menstrual problems and suicidal behavior in Chinese adolescents

Cited by 43 publications

References 39 publications

Association Between Suicidal Behavior and Clinical Features of Premenstrual Syndrome and Menstrual History: A Cross Sectional Study

Association Between Suicidal Behavior and Clinical Features of Premenstrual Syndrome and Menstrual History: A Cross Sectional Study

Suicidal behaviours among Chinese adolescents exposed to suicide attempt or death

Timing of menarche and self-harm in adolescence and adulthood: a population-based cohort study

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