scholarly journals Resilience mediates the association between self-harm and suicidal ideation in Chinese left-behind children

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yuanyuan Xiao ◽  
Fang Liu ◽  
Hailiang Ran ◽  
Wenhang Deng ◽  
Yusan Che ◽  
...  
Keyword(s):  
Subgroup Analysis ◽  
Suicide Ideation ◽  
Relevant Information ◽  
Population Based ◽  
Path Model ◽  
Logistic Regression Models ◽  
Left Behind ◽  
Intervention Measures ◽  
Self Harm ◽  
Structured Questionnaire

Abstract Background A significant association between self-harm (SH) and suicide ideation (SI) has been found in Chinese left-behind children (LBC). Existing literature suggests that resilience might be a mediator in this association. However, this hypothesis has not been effectively discussed. The major aim of our study is to analyze the possible mediation of resilience in SH-SI association in Chinese LBC. Methods A population-based clustering sampling survey of 2619 LBC was conducted in southwestern China Yunnan province. Self-developed structured questionnaire was used to collect relevant information. Univariate and multivariate Logistic regression models were applied to estimate the associations between SH and SI, resilience and SI, and SH and resilience. Path analysis was adopted to measure the mediation of resilience, as well as its 5 dimensions, in the association between SH and SI. A subgroup analysis was further done to explore the mediation of resilience in the associations between SH severity and SI, SH repetition and SI, among self-harmed LBC. Results Compared with LBC who reported no SH behaviors, the odds ratio (OR) for SI was 3.37 (95% CI: 2.63–4.31) among self-harmed LBC. Based on the path model, resilience significantly mediated a quarter of the total association between SH and SI. Among the 5 dimensions of resilience, emotion regulation, interpersonal assistance, and family support were the strongest mediators. Subgroup analysis revealed that, the mediation of resilience was only significant for SH severity and SI. Conclusions Resilience played as a prominent mediator in SH-SI association among Chinese LBC. Resilience-centered intervention measures could be considered to reduce suicidal risk of this disadvantageous group.

scholarly journals Impulsivity Mediates the Association Between Parenting Styles and Self-harm in Chinese Adolescents

2020 ◽  
Author(s):  
Hailiang Ran ◽  
Die Fang ◽  
Ahouanse Roland Donald ◽  
Rui Wang ◽  
Yusan Che ◽  
...  
Keyword(s):  
Parenting Style ◽  
Parenting Styles ◽  
Southwest China ◽  
Population Based ◽  
Chinese Adolescents ◽  
Path Model ◽  
Regression Analyses ◽  
Maternal Parenting ◽  
Intervention Measures ◽  
Self Harm

Abstract Background: Parenting styles were positively associated with self-harm (SH) in adolescents. Nevertheless, little is known concerning the mechanism behind this association. This study primarily aims to evaluate the potential mediation of impulsivity in the association between parenting styles and SH in Chinese adolescents. Methods: A population-based sample of 3146 adolescents in southwest China were surveyed by using self-administered questionnaires. Logistic regression analyses were used to measure the association between parenting styles and SH. Path model further examined mediation of impulsivity in this association. Results: The prevalence of SH was 47.0% (95% CI: 36.3%-58.0%). Impulsivity and mother’s over-protection were significantly associated with SH. Impulsivity showed a salient mediation, accounting for 23.4% of the total association. Parenting styles of father and mother showed disparate roles in the hypothesized path model. Conclusions: Our major findings suggested that, for Chinese adolescents with harsher maternal parenting style, impulsivity-centered intervention measures might be effective in reducing parenting style related SH.

scholarly journals Childhood maltreatment and suicidal ideation in Chinese children and adolescents: the mediation of resilience

PeerJ ◽  
2021 ◽  
Vol 9 ◽  
pp. e11758
Author(s):  
Xue Chen ◽  
Linling Jiang ◽  
Yi Liu ◽  
Hailiang Ran ◽  
Runxu Yang ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Suicidal Ideation ◽  
Childhood Maltreatment ◽  
Emotional Abuse ◽  
Regression Models ◽  
Suicide Ideation ◽  
Chinese Adolescents ◽  
Path Model ◽  
Cross Sectional ◽  
Logistic Regression Models

Background Childhood maltreatment could increase the risk of suicidal ideation (SI) in adolescents. However, the mediation of resilience in this association remains unclear. Methods A population-based cross-sectional study has been done among 3,146 Chinese adolescents. We collected relevant information from the study participants by using self-administered questionnaire. Chinese version of the Childhood Trauma Questionnaire (CTQ), the Resilience Scale for Chinese Adolescents (RSCA), and the Beck Scale for Suicide Ideation (BSSI) were used to measure childhood maltreatment, resilience, and SI, respectively. Univariate and multivariate binary Logistic regression models were employed to estimate crude and adjusted associations between childhood maltreatment, resilience, and SI. Path analysis has subsequently been performed to measure the mediation of resilience in this association. Results Multivariate Logistic regression models revealed that compared to non-abused counterparts, adolescents who had ever experienced any type of childhood maltreatment was 1.74 times likely to report SI. Among the specific types of childhood maltreatment, emotional abuse showed the strongest association with SI (adjusted OR = 3.01, 95% CI [2.37–3.82]). Path model suggested that over one-third (39.8%) of the total association between childhood maltreatment and SI was mediated via resilience. Emotion regulation and interpersonal assistance were the most prominent mediators among all dimensions of resilience. Conclusions Resilience played as a significant mediator in the association between childhood maltreatment and SI. Resilience-oriented intervention measures could be considered for suicidal risk prevention among abused Chinese adolescents.

Can Theory Predict the Process of Suicide on Entry To Prison?

Crisis ◽  
2014 ◽  
Vol 35 (2) ◽  
pp. 82-89 ◽  
Author(s):  
Karen Slade ◽  
Robert Edelman
Keyword(s):  
Suicide Ideation ◽  
Early Stage ◽  
Risk Groups ◽  
Population Based ◽  
Theory And Practice ◽  
Future Research ◽  
Dynamic Factors ◽  
Self Harm ◽  
Specific Factors ◽  
Static Risk

Background: Each year approximately 110,000 people are imprisoned in England and Wales and new prisoners remain one of the highest risk groups for suicide across the world. The reduction of suicide in prisoners remains difficult as assessments and interventions tend to rely on static risk factors with few theoretical or integrated models yet evaluated. Aims: To identify the dynamic factors that contribute to suicide ideation in this population based on Williams and Pollock’s (2001) Cry of Pain (CoP) model. Method: New arrivals (N = 198) into prison were asked to complete measures derived from the CoP model plus clinical and prison-specific factors. It was hypothesized that the factors of the CoP model would be predictive of suicide ideation. Results: Support was provided for the defeat and entrapment aspects of the CoP model with previous self-harm, repeated times in prison, and suicide-permissive cognitions also key in predicting suicide ideation for prisoners on entry to prison. Conclusion: An integrated and dynamic model was developed that has utility in predicting suicide in early-stage prisoners. Implications for both theory and practice are discussed along with recommendations for future research.

scholarly journals Associations between Chinese adolescents subjected to traditional and cyber bullying and suicidal ideation, self-harm and suicide attempts

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Zhekuan Peng ◽  
Anat Brunstein Klomek ◽  
Liping Li ◽  
Xuefen Su ◽  
Lauri Sillanmäki ◽  
...  
Keyword(s):  
Suicidal Ideation ◽  
Suicide Ideation ◽  
Suicide Attempts ◽  
Multinomial Logistic Regression ◽  
Population Based ◽  
Cyber Bullying ◽  
Adverse Outcomes ◽  
Chinese Adolescents ◽  
Bullying Victimization ◽  
Self Harm

Abstract Background The incidence of bullying is high among adolescents. Adolescents who were victims of bullying have a higher risk of self-harm and suicidal behavior than adolescents who were non-victims. However, research on suicide and both traditional and cyber bullying was limited in China. Therefore, this study examined the associations between Chinese adolescents who were the victims of traditional and cyber bullying and the prevalence of suicidal ideation, self-harm and suicide attempts. Methods This was a population-based study of 2647 students (51.2% girls) with a mean age of 13.6 ± 1.1 years from 10 junior high schools in Shantou, China. Information on bullying victimization, suicidal ideation, self-harm and suicide attempts were collected using a self-administered questionnaire and the psychopathology of the students was assessed using the Strengths and Difficulties Questionnaire (SDQ). The associations were examined with multinomial logistic regression, adjusted for covariates. Results Traditional bullying victimization was reported by 16.7% of the adolescents, cyber bullying victimization by 9.0% and both by 3.5%. The prevalence of suicidal ideation was 23.5%, self-harm was 6.2% and suicide attempts was 4.2%. Psychopathology symptoms were risk factors for suicide ideation only, ideation plus self-harm, self-harm only and suicide attempts. Victims of both traditional and cyber bullying had the highest risk of suicidal ideation only, ideation plus self-harm and suicide attempts, compared to those reporting one form of bullying. Victims of cyber bullying only had the second highest risk of suicidal ideation only and suicidal ideation plus self-harm compared to non-victims. Conclusions Adolescents who were victims of both traditional and cyber bullying had greater risks of adverse outcomes of suicidal ideation only, suicidal ideation plus self-harm and suicide attempts. The results of the current study suggest that those exposed to both forms of bullying should be routinely screened for suicidal risk. In addition, school-based anti-bully interventions should also target cyber bullying.

scholarly journals Impulsivity mediates the association between parenting styles and self-harm in Chinese adolescents

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hailiang Ran ◽  
Die Fang ◽  
Ahouanse Roland Donald ◽  
Rui Wang ◽  
Yusan Che ◽  
...  
Keyword(s):  
Parenting Styles ◽  
Chinese Adolescents ◽  
Path Model ◽  
Sample Population ◽  
Mediating Role ◽  
Intervention Measures ◽  
Self Harm ◽  
Age Range ◽  
Chinese Children And Adolescents

Abstract Background Parenting styles are significantly associated with self-harm (SH) in adolescents. Nevertheless, little is known about the mechanism underlying this association. This study primarily aimed to evaluate the potential mediating role of impulsivity in the association between parenting styles and SH in Chinese adolescents. Methods Self-administered questionnaires were used to conduct a survey among a sample population consisting of 3146 adolescents in southwest China. Logistic regression analyses were performed to evaluate the association between parenting styles, impulsivity, and SH. A path model investigation further examined the mediating role of impulsivity in terms of the association between parenting styles and SH. Results The age range of participants was 10 to 17 years old. The prevalence of SH was 47.0% (95% CI: 36.3–58.0%). Impulsivity, less paternal emotional warmth, maternal over-protection, and rejection were significantly associated with SH. The path model identified impulsivity as a salient mediator, accounting for 23.4% of the total association between parenting styles and SH. The hypothesized path model indicated differences in the parenting styles of fathers and mothers: Impulsivity played a significant mediating role, though only in respect to the maternal over-protection and rejection paths. Conclusions For Chinese children and adolescents who experience a harsher maternal parenting style, impulsivity-centered intervention measures might be effective in reducing SH related to parenting styles.

A Pilot Study on the Efficacy of Volunteer Mentorship for Young Adults With Self-Harm Behaviors Using a Quasi-Experimental Design

Crisis ◽  
2016 ◽  
Vol 37 (6) ◽  
pp. 415-426 ◽  
Author(s):  
Yik-Wa Law ◽  
Paul S. F. Yip ◽  
Carmen C. S. Lai ◽  
Chi Leung Kwok ◽  
Paul W. C. Wong ◽  
...  
Keyword(s):  
Experimental Design ◽  
Suicide Ideation ◽  
Intervention Group ◽  
Well Being ◽  
Control Group ◽  
Treatment As Usual ◽  
Prevention Services ◽  
Quasi Experimental ◽  
Self Harm ◽  
Volunteer Support

Abstract. Background: Studies have shown that postdischarge care for self-harm patients is effective in reducing repeated suicidal behaviors. Little is known about whether volunteer support can help reduce self-harm repetition and improve psychosocial well-being. Aim: This study investigated the efficacy of volunteer support in preventing repetition of self-harm. Method: This study used a quasi-experimental design by assigning self-harm patients admitted to the emergency departments to an intervention group with volunteer support and treatment as usual (TAU) for 9 months and to a control group of TAU. Outcome measures include repetition of self-harm, suicidal ideation, hopelessness, and level of depressive and anxiety symptoms. Results: A total of 74 cases were recruited (38 participants; 36 controls). There were no significant differences in age, gender, and clinical condition between the two groups at the baseline. The intervention group showed significant improvements in hopelessness and depressive symptoms. However, the number of cases of suicide ideation and of repetition of self-harm episodes was similar for both groups at the postintervention period. Conclusion: Postdischarge care provided by volunteers showed significant improvement in hopelessness and depression. Volunteers have been commonly involved in suicide prevention services. Further research using rigorous methods is recommended for improving service quality in the long term.

Attachment Organization in Suicide Prevention Research

Crisis ◽  
2014 ◽  
Vol 35 (1) ◽  
pp. 60-66 ◽  
Author(s):  
Amanda Venta ◽  
Carla Sharp
Keyword(s):  
Risk Factors ◽  
Suicidal Ideation ◽  
Suicide Attempt ◽  
Interpersonal Relationships ◽  
Suicide Ideation ◽  
Suicide Attempts ◽  
Critical Role ◽  
Self Report ◽  
Future Research ◽  
Self Harm

Background: Identifying risk factors for suicide-related thoughts and behaviors (SRTB) is essential among adolescents in whom SRTB remain a leading cause of death. Although many risk factors have already been identified, influential theories now suggest that the domain of interpersonal relationships may play a critical role in the emergence of SRTB. Because attachment has long been seen as the foundation of interpersonal functioning, we suggest that attachment insecurity warrants attention as a risk factor for SRTB. Aims: This study sought to explore relations between attachment organization and suicidal ideation, suicide attempts, and self-harm in an inpatient adolescent sample, controlling for demographic and psychopathological covariates. Method: We recruited 194 adolescents from an inpatient unit and assigned them to one of four attachment groups (secure, preoccupied, dismissing, or disorganized attachment). Interview and self-report measures were used to create four variables reflecting the presence or absence of suicidal ideation in the last year, single lifetime suicide attempt, multiple lifetime suicide attempts, and lifetime self-harm. Results: Chi-square and regression analyses did not reveal significant relations between attachment organization and SRTB, although findings did confirm previously established relations between psychopathology and SRTB, such that internalizing disorder was associated with increased self-harm, suicide ideation, and suicide attempt and externalizing disorder was associated with increased self-harm. Conclusion: The severity of this sample and methodological differences from previous studies may explain the nonsignificant findings. Nonsignificant findings may indicate that the relation between attachment organization and SRTB is moderated by other factors that should be explored in future research.

Ethnic Differences in Self-Poisoning Across South London

Crisis ◽  
2014 ◽  
Vol 35 (4) ◽  
pp. 268-272
Author(s):  
Sean Cross ◽  
Dinesh Bhugra ◽  
Paul I. Dargan ◽  
David M. Wood ◽  
Shaun L. Greene ◽  
...  
Keyword(s):  
Black Women ◽  
Data Collection ◽  
White Women ◽  
Population Based ◽  
Care Services ◽  
Self Harm ◽  
Managing Risk ◽  
The Uk ◽  
Incident Cases ◽  
Minority Ethnic

Background: Self-poisoning (overdose) is the commonest form of self-harm cases presenting to acute secondary care services in the UK, where there has been limited investigation of self-harm in black and minority ethnic communities. London has the UK’s most ethnically diverse areas but presents challenges in resident-based data collection due to the large number of hospitals. Aims: To investigate the rates and characteristics of self-poisoning presentations in two central London boroughs. Method: All incident cases of self-poisoning presentations of residents of Lambeth and Southwark were identified over a 12-month period through comprehensive acute and mental health trust data collection systems at multiple hospitals. Analysis was done using STATA 12.1. Results: A rate of 121.4/100,000 was recorded across a population of more than half a million residents. Women exceeded men in all measured ethnic groups. Black women presented 1.5 times more than white women. Gender ratios within ethnicities were marked. Among those aged younger than 24 years, black women were almost 7 times more likely to present than black men were. Conclusion: Self-poisoning is the commonest form of self-harm presentation to UK hospitals but population-based rates are rare. These results have implications for formulating and managing risk in clinical services for both minority ethnic women and men.

Impulse, Self-harm and Suicide Ideation Questionnaire for Adolescents

2015 ◽  
Author(s):  
Célia Barreto Carvalho ◽  
Carolina Nunes ◽  
Paula Castilho ◽  
Carolina da Motta ◽  
Suzana Caldeira ◽  
...  
Keyword(s):  
Suicide Ideation ◽  
Self Harm
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