The relationships between anxiety and suicidal ideation and between depression and suicidal ideation among Chinese college students: A network analysis

Yang, Tianqi; He, Yang; Wu, Lin; Ren, Lei; Lin, Jiaying; Wang, Chaoxian; Wu, Shengjun; Liu, Xufeng

doi:10.1016/j.heliyon.2023.e20938

Cited by 3 publications

(3 citation statements)

References 63 publications

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“…As a global health concern, Self-harm even suicide (PHQ9) has consistently been recognized as a key intervention target within adolescent mental disorders ( 70 ). Numerous scholars have probed into the nexus between adolescent mental health and suicidal ideation, revealing anxiety as a prospective predictor of suicidal ideation; over 50% of completed suicides and 20%-48% of suicide attempts are attributed to depression ( 71 ). We also identified that within the depression community, suicidal ideation is most strongly associated with abnormal behavior & speech (i.e., psychomotor agitation and impulsivity).…”

Section: Discussionmentioning

confidence: 99%

Exploring the interconnections of anxiety, depression, sleep problems and health-promoting lifestyles among Chinese university students: a comprehensive network approach

Sun,

Zhu,

Zhang

et al. 2024

Front. Psychiatry

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BackgroundAnxiety, depression, and sleep problems are prevalent comorbid mental disorders among university students. The World Health Organization (WHO) emphasized a mental health promotion objective, recommending the consideration of protective health-promoting factors in strategies aimed at preventing mental disorders. Integrating theoretically significant constructs (such as protective factors) enhances our comprehension of the intricate mechanisms that underpin mental disorders. This study employed network analysis to first identify core and bridge symptoms within comorbid mental disorders and then explore how health-promoting lifestyles (HPLs) were associated with these disorders. The ultimate goal is to offer health promotion recommendations to enhance students’ quality of life.MethodsA total of 3,896 qualified university students participated in this study. Anxiety, depression, sleep problems, and HPLs were assessed using the GAD-7, PHQ-9, PSQI, and HPLP-II scales. A Gaussian Graphical Model was used to construct the networks. The Network Comparison Test was applied to determine whether the associations between HPLs and comorbid symptoms vary by gender, educational level, family sibling, and mental health status.ResultsLow energy (PHQ4) had the highest strength centrality, followed by Daytime dysfunction (PSQI7) and Trouble relaxing (GAD4). Five bridge symptoms were identified: Daytime dysfunction (PSQI7), Self-harm even suicide (PHQ9), Sad mood (PHQ2), Low energy (PHQ4), and Feeling afraid (GAD7). Regarding protective HPLs, Physical activity, Spiritual growth, and Stress management generally emerged as the top three central mental health-promoting behaviors.ConclusionTargeting core and bridge symptoms with timely and appropriate interventions can alleviate anxiety, depression, and sleep problems in this population. Moreover, promoting physical activity, fostering spiritual growth, and managing stress are likely to significantly enhance the overall mental health of university students.

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Section: Discussionmentioning

confidence: 99%

Exploring the interconnections of anxiety, depression, sleep problems and health-promoting lifestyles among Chinese university students: a comprehensive network approach

Sun,

Zhu,

Zhang

et al. 2024

Front. Psychiatry

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“… 44 Another network analysis study examined psychiatric symptoms (eg, anxiety and depression) and suicidality among adolescents in Macau 45 and college students in China. 46 Most studies also focused on young populations, as suicide is a leading cause of death in this subpopulation. 1 To date, no studies have examined the specific correlates of suicidality among Macau adult residents, particularly during the pandemic, despite the upward trend of suicide in this population.…”

Section: Introductionmentioning

confidence: 99%

The Inter-Relationships Between Depressive Symptoms and Suicidality Among Macau Residents After the “Relatively Static Management” COVID-19 Strategy: A Perspective of Network Analysis

Lam,

Cai,

Chen

et al. 2024

NDT

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Background Suicidality is a global public health problem which has increased considerably during the coronavirus disease 2019 (COVID-19) pandemic. This study examined the inter-relationships between depressive symptoms and suicidality using network analysis among Macau residents after the “relatively static management” COVID-19 strategy. Methods An assessment of suicidal ideation (SI), suicide plan (SP), suicide attempt (SA) and depressive symptoms was conducted with the use of individual binary response items (yes/no) and Patient Health Questionnaire (PHQ-9). In the network analysis, central and bridge symptoms were identified in the network through “Expected Influence” and “Bridge Expected Influence”, and specific symptoms that were directly associated with suicidality were identified via the flow function. Network Comparison Tests (NCT) were conducted to examine the gender differences in network characteristics. Results The study sample included a total of 1008 Macau residents. The prevalence of depressive symptoms and suicidality were 62.50% (95% CI = 59.4–65.5%) and 8.9% (95% CI = 7.2–10.9%), respectively. A network analysis of the sample identified SI (“Suicidal ideation”) as the most central symptom, followed by SP (“Suicide plan”) and PHQ4 (“Fatigue”). SI (“Suicidal ideation”) and PHQ6 (“Guilt”) were bridge nodes connecting depressive symptoms and suicidality. A flow network revealed that the strongest connection was between S (“Suicidality”) and PHQ6 (“Guilt”), followed by S (“Suicidality”) and PHQ 7 (“Concentration”), and S (“Suicidality”) and PHQ3 (“Sleep”). Conclusion The findings indicated that reduction of specific depressive symptoms and suicidal thoughts may be relevant in decreasing suicidality among adults. Further, suicide assessment and prevention measures should address the central and bridge symptoms identified in this study.

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“…Though antenatal depression is revealed to have an association with pregnancy-related suicidal ideation in many studies [20,21], there is no study available in Bangladesh investigating the prevalence of suicidal thoughts in depressed and non-depressed pregnant women. This study is directed to investigate the point prevalence of suicidal ideation and compare the prevalence in depressed and non-depressed women in any trimester of pregnancy in a rural subdistrict in Bangladesh.…”

Section: Introductionmentioning

confidence: 99%

A comparative analysis of the prevalence of suicidal ideation among depressed and non-depressed pregnant women in rural Bangladesh

Mumu,

Shaikh,

Mitra

2024

Preprint

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BackgroundMore than 300 million people all over the world succumbed to depressive disorders in 2015. 680 per 100,000 expectant mothers worldwide bear suicidal ideation during the antenatal period. Despite suicidal ideation being a consequence of antenatal depression, there is a scarcity of information on the prevalence of suicidal ideation in depressed and non-depressed pregnant women in rural Bangladesh.ObjectiveThis study is directed to evaluate the point prevalence of suicidal ideation and compare the prevalence between depressed and non-depressed pregnant women in rural Bangladesh.MethodA cross-sectional study was performed in Lohagara, a rural subdistrict in Bangladesh between January 08 and 17, 2024. 351 pregnant women of various trimesters were recruited for the study. The Bengali-translated version of the Edinburgh Postnatal Depression Scale (EPDS) and another structured questionnaire were used for data collection. Data analyses were done by STATA version 17.ResultThe point prevalence of suicidal ideation is 11.4% (95% CI: 8.5% to 15.2%). It reveals a similarity between depressed and non-depressed pregnant women. The prevalence of suicidal thoughts in antenatally depressed women accounts for 10.2% (95% CI: 6.1% to 16.6%) and in non-depressed pregnant women it is 12.2% (95% CI: 8.4% to 17.3%) -obtained after analysis.ConclusionThe considerable prevalence of suicidal thoughts among depressed and non-depressed rural pregnant women in Bangladesh underscores the necessity of ensuring additional counseling, care, and support to expectant mothers during their antepartum.

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The relationships between anxiety and suicidal ideation and between depression and suicidal ideation among Chinese college students: A network analysis

Cited by 3 publications

References 63 publications

Exploring the interconnections of anxiety, depression, sleep problems and health-promoting lifestyles among Chinese university students: a comprehensive network approach

Exploring the interconnections of anxiety, depression, sleep problems and health-promoting lifestyles among Chinese university students: a comprehensive network approach

The Inter-Relationships Between Depressive Symptoms and Suicidality Among Macau Residents After the “Relatively Static Management” COVID-19 Strategy: A Perspective of Network Analysis

A comparative analysis of the prevalence of suicidal ideation among depressed and non-depressed pregnant women in rural Bangladesh

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