Association between health literacy, depressive symptoms, and suicide-related outcomes in adolescents: A longitudinal study

Guo, Chunyu; Cui, Yingying; Xia, Zhengmei; Hu, Jie; Xue, Yunlian; Huang, Xuexue; Wan, Yuhui; Fang, Jun; Zhang, Shichen

doi:10.1016/j.jad.2023.01.054

Cited by 13 publications

(13 citation statements)

References 49 publications

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“…There are significant academic year differences in stress symptoms of secondary school students, which is basically consistent with the previous studies ( 39–41 ). The total score of stress symptoms and the scores of depression, sympathetic arousal, muscle tension, cognitive disorganization, and upper respiratory symptoms of senior high school students were significantly higher than those of junior high school students.…”

Section: Discussionsupporting

confidence: 91%

Stress events and stress symptoms in Chinese secondary school students: gender and academic year characteristics of the relationship

Ma,

Tan,

Chen

et al. 2024

Front. Public Health

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ObjectiveTo explore the relationship between stress events and stress symptoms and their gender and academic year characteristics in Chinese secondary school students.Methods4,995 secondary school students were investigated by the Adolescent Self-rating Life Events Checklist (ASLEC) and the Calgary Symptoms of Stress Inventory (C-SOSI).ResultsFirst, there were significant differences in all dimensions and total scores of stress events and stress symptoms between boys and girls in secondary school and between junior high school students and senior high school students. Second, the dimensions and total scores of stress events in secondary school students are positively correlated with the dimensions and total scores of stress symptoms. Third, the influence of punishment on the stress symptoms of secondary school boys is the most obvious, and the influence of punishment, adaption, relationship stress, and learning stress on the stress symptoms of secondary school girls is the most obvious. The influence of punishment on the stress symptoms of junior high school students is the most obvious, and the influence of punishment and relationship on the stress symptoms of senior high school students is the most obvious.ConclusionStress events and stress symptoms of Chinese secondary school students have significant differences in gender and academic year. The same stress event has different influence mechanisms on the stress symptoms of Chinese secondary school students of different genders and different academic years.

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Section: Discussionsupporting

confidence: 91%

Stress events and stress symptoms in Chinese secondary school students: gender and academic year characteristics of the relationship

Ma,

Tan,

Chen

et al. 2024

Front. Public Health

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“…This is consistent with existing reports that greater family conflict and lower family support are associated with an increased risk of suicidal intention among young people (Gulbas & Zayas, 2015; Sewall et al, 2021), with family member berating/disagreement being the main predisposing factor (Song et al, 2022; Sukhawaha et al, 2016). Similarly, social difficulties and interpersonal conflict are important risk factors for suicidal intention among young people (Guo et al, 2023; Masi et al, 2021; Scardera et al, 2020). Psychosocial problems and suicidal tendencies become more pronounced in young people, possibly because young people are more sensitive, have difficulty adapting to external pressures and are more likely to engage in impulsive behaviour (Rozanov, 2020; Wagner et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

The risk of suicidal intention in severe mental illness: An ecological perspective

Lin,

Wei,

Luo

et al. 2023

Psychol Psychother

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ObjectiveGuided by the ecosystem theory model framework, we aimed to explore the influence of three ecological dimensions (social, family and psychological factors) on suicidal intention in people with severe mental illness (SMI). We hypothesized that three factors influence suicidal intention, and that psychological factors may play a mediating role in the influence of social and family factors on suicidal intention.MethodsWe collected 994 patients with SMI aged 18 and above from May 2021 to March 2022 in the Fourth Hospital of Fuzhou City. We used logistic regression to analyse the association between social, family, psychological factors and suicidal intention. Furthermore, we explored the mediating effects among the influencing factors.ResultsYounger male patients with schizophrenia were more likely to have suicidal intention due to psychosocial family factors (p < .05). Social factors (poor interpersonal relations, social retreat, social activities outside the home), family factors (parental functions, activities within the family, family functions), psychological factors (anxiety, depression, interest in the outside world, overt aggression, lack of accountability and planning) were all independent risk factors for suicidal intention in patients. Mediation analysis showed anxiety and depression mediated the role of social and family factors on suicidal intention (p < .05).ConclusionSocial, family and psychological factors were important risk factors for suicidal intention, with anxiety and depression being partial mediators for suicidal intention. Therefore, interventions that enhance family and social functioning and reduce anxiety and depression may be effective in reducing suicidal intention in SMI.

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“…For example, Yao and colleagues [85] found that depressive symptoms mediated the relationship between mental health literacy and suicidal ideation among college students. Guo's [15] research indicates that health literacy levels predicted depressive symptoms and suicide-related outcomes 12 months later among middle school students. Currently, there is relatively little research on the correlation between general health literacy and suicide-related behaviors, but little evidence has shown that inadequate mental health literacy is a risk factor for suicide-related behaviors [46] .…”

Section: Discussionmentioning

confidence: 99%

Association between health literacy and suicide-related behaviors in middle school students: The mediating role of depressive symptoms

Zhang,

Liu,

Luo

et al. 2023

Preprint

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Background The health literacy level is closely related to mental health. Depressive symptoms are one of the most common mental health problems and are strongly associated with suicide-related behaviors among middle school students. The purpose of this study was to examine the mediating role of depressive symptoms in the relationship between health literacy and suicide-related behaviors in middle school students. Method A total of 7182 middle school students were included in this analysis. A paper-based self-administered questionnaire was used to collect data in May 2023. Multiple linear regression and multivariate logistic regression models were applied to analyse the association between health literacy, depressive symptoms and suicide-related behaviors. The Monte Carlo method was used to determine whether depressive symptoms mediated the relationship between health literacy and suicide-related behaviors. Results The prevalence of suicidal ideation, planning, and attempts in the past 12 months among middle school students was 26.62%, 9.27%, and 4.55%, respectively. Health literacy levels exhibited a significant and negative correlation with depressive symptoms, suicidal ideation, suicide planning, and suicide attempts, whereas depressive symptoms was correlated significantly and positively with three suicide-related behaviors. Mediation analysis showed that depressive symptoms mediated the relationship between health literacy and suicidal ideation, suicide planning, and suicide attempts, with mediating effect sizes of 47.5%, 43.0% and 41.8%, respectively. Conclusion Depressive and anxiety symptoms mediate the relationship between health literacy and suicide-related behaviors. Comprehensive health literacy improvement programs may be useful in preventing depression and suicide-related behaviors.

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Association between health literacy, depressive symptoms, and suicide-related outcomes in adolescents: A longitudinal study

Cited by 13 publications

References 49 publications

Stress events and stress symptoms in Chinese secondary school students: gender and academic year characteristics of the relationship

Stress events and stress symptoms in Chinese secondary school students: gender and academic year characteristics of the relationship

The risk of suicidal intention in severe mental illness: An ecological perspective

Association between health literacy and suicide-related behaviors in middle school students: The mediating role of depressive symptoms

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