Psychosocial predictors of persistent suicidal ideation among Chinese adolescents: A longitudinal study

Guo, Yang; Zhang, Jingyi; Guo, Yaru; Cui, Yanan; Huang, Xinyu; Cui, Yuqiu; Fu, Jian; Wang, Kai; Yu, Fengqiong

doi:10.1016/j.jad.2023.04.090

Cited by 4 publications

(1 citation statement)

References 62 publications

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“…Our cross‐sectional findings showed that some depressive symptoms (feeling sad and low energy level) at the first visit had an association with SI, while another symptom (psychomotor retardation) predicted changes in SI at follow‐up. While previous cross‐sectional studies showing an association between several depressive symptoms and SI align with our results, 31 , 32 , 33 , 34 there have been few studies on how psychomotor symptoms can be indicative of future changes in SI. However, SI and psychomotor retardation are symptoms that tend to be alleviated first among patients treated for MDD.…”

Section: Discussionsupporting

confidence: 90%

Changes in suicidal ideation during treatment among patients with major depressive disorder: A 6‐month naturalistic follow‐up study

Sato,

Sugawara,

Kawamata

et al. 2024

Neuropsychopharm Rep

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AimThere is limited evidence regarding predictors of changes in suicidal ideation (SI) in patients with major depressive disorder (MDD). The objective of this study was to describe changes in SI over a 6‐month period and identify their predictors from naturalistic observations of MDD patients.MethodsIn the cross‐sectional analysis, we examined 257 patients with MDD at the first‐visit assessment. Among the patients, 119 who completed the 6‐month assessment (completers) were included in the longitudinal analysis. For the evaluation of depressive symptoms, including SI, the Quick Inventory of Depressive Symptomatology‐Japanese version was administered at both the first‐visit and follow‐up assessments. At baseline, we also administered the Japanese version of the Ten Item Personality Inventory to assess personality traits and the PRIME Screen‐Revised to assess psychotic symptoms.ResultsIn the cross‐sectional analysis of first‐visit patients, 36.2% (93/257) exhibited SI. Among completers, 14.3% (17/119) had prolonged SI. Among the completers with SI at the first‐visit assessment, 38.6% (17/44) had SI at the follow‐up assessment (prolonged SI). In linear regression models including all completers, prolonged SI was positively associated with endorsement of suspiciousness/persecutory ideas and negatively associated with higher age.ConclusionMore than one‐third of completers who had SI at the first‐visit assessment experienced prolonged SI (SI at follow‐up). Our findings can help clinicians predict the course of MDD by identifying associated demographic and clinical characteristics.

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Section: Discussionsupporting

confidence: 90%

Changes in suicidal ideation during treatment among patients with major depressive disorder: A 6‐month naturalistic follow‐up study

Sato,

Sugawara,

Kawamata

et al. 2024

Neuropsychopharm Rep

View full text Add to dashboard Cite

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Association between sleep duration, suicidal ideation, suicidal attempt and suicidal behavior among Chinese adolescents

Duan,

Qin,

et al. 2024

Journal of Affective Disorders

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Sleep disturbance and suicidal ideation mediated by psychotic-like experiences in adolescents: a two-wave longitudinal study

Bu,

Wang,

Fan

et al. 2024

Sleep

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Study Objectives Sleep disturbance may cause suicidal ideation (SI). This study aimed to examine their co-occurrence rate among adolescents and investigate whether psychotic-like experiences (PLEs) mediate this association. Methods A total of 17,722 Chinese adolescents were included in this two-wave longitudinal study. The baseline survey (Time 1, T1) was conducted between April 21 and May 12, 2021, and the follow-up survey (Time 2, T2) was implemented between December 17 and 26, 2021. At T1, participants completed questionnaires to assess their sleep disturbance, sleep duration, PLEs, SI, depressive symptoms, and socio-demographic characteristics. At T2, participants reported their PLEs, SI and negative life events. Results The SI prevalence decreased from 20.2% (T1) to 18.4% (T2). Participants with SI showed significantly higher prevalence of sleep disturbance and short sleep duration compared to those without SI. Baseline sleep disturbance and short sleep duration were both associated with the increased risk of SI six months later. These longitudinal links were mediated by PLEs, independent of baseline covariates and negative life events. Conclusion These findings provide a novel insight into the mechanism linking sleep problems and suicidality, and stress the significance of assessing and addressing sleep problems and PLEs for adolescent suicide prevention and intervention.

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Psychosocial predictors of persistent suicidal ideation among Chinese adolescents: A longitudinal study

Cited by 4 publications

References 62 publications

Changes in suicidal ideation during treatment among patients with major depressive disorder: A 6‐month naturalistic follow‐up study

Changes in suicidal ideation during treatment among patients with major depressive disorder: A 6‐month naturalistic follow‐up study

Association between sleep duration, suicidal ideation, suicidal attempt and suicidal behavior among Chinese adolescents

Sleep disturbance and suicidal ideation mediated by psychotic-like experiences in adolescents: a two-wave longitudinal study

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