Structural Relations among Adolescents' Stress, Automatic Thoughts, Depression, Suicidal Ideation and a Path Analysis of Gender Differences

BackgroundThere is little investigation on the interaction effects of adverse childhood experiences (ACEs) and social support on non-suicidal self-injury (NSSI), suicidal ideation and suicide attempt in community adolescent populations, or gender differences in these effects.AimsTo examine the individual and interaction effects of ACEs and social support on NSSI, suicidal ideation and suicide attempt in adolescents, and explore gender differences.MethodA school-based health survey was conducted in three provinces in China between 2013–2014. A total of 14 820 students aged 10–20 years completed standard questionnaires, to record details of ACEs, social support, NSSI, suicidal ideation and suicide attempt.ResultsOf included participants, 89.4% reported one or more category of ACEs. The 12-month prevalence of NSSI, suicidal ideation and suicide attempt was 26.1%, 17.5% and 4.4%, respectively; all were significantly associated with increased ACEs and lower social support. The multiple adjusted odds ratio of NSSI in low versus high social support was 2.27 (95% CI 1.85–2.67) for girls and 1.81 (95% CI 1.53–2.14) for boys, and their ratio (Ratio of two odds ratios, ROR) was 1.25 (P = 0.037). Girls with high ACEs scores (5–6) and moderate or low social support also had a higher risk of suicide attempt than boys (RORs: 2.34, 1.84 and 2.02, respectively; all P < 0.05).ConclusionsACEs and low social support are associated with increased risk of NSSI and suicidality in Chinese adolescents. Strategies to improve social support, particularly among female adolescents with a high number of ACEs, should be an integral component of targeted mental health interventions.Declaration of interestNone.

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Gender Differences in Suicidal Ideation and Related Factors among North Korean Refugees in South Korea

Psychiatry Investigation ◽

10.4306/pi.2017.14.6.762 ◽

2017 ◽

Vol 14 (6) ◽

pp. 762 ◽

Cited By ~ 2

Author(s):

Jin-Won Noh ◽

Hyunchun Park ◽

Young Dae Kwon ◽

In Hye Kim ◽

Yo Han Lee ◽

...

Keyword(s):

Gender Differences ◽

Suicidal Ideation ◽

South Korea ◽

Related Factors ◽

North Korean Refugees

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The Impact of Internet use frequency on Non-suicidal self injurious behavior and Suicidal Ideation among Chinese Youth: An empirical study based on Gender perspective

10.21203/rs.3.rs-18026/v1 ◽

2020 ◽

Author(s):

Moye Xin ◽

Xueyan Yang ◽

Kun Liu ◽

Bilun Naz Boke

Keyword(s):

Gender Differences ◽

Risk Factor ◽

Suicidal Ideation ◽

Gender Difference ◽

Empirical Study ◽

Knowledge Sharing ◽

Internet Use ◽

Related Factors ◽

Chinese Youth ◽

The Impact

Abstract Background: We attempted to find if there were gender differences in Non-suicidal self injurious (NSSI) behaviors and Suicidal ideation among Chinese youth, then analyze the impact of internet use frequency on these variables among youth of different genders.Methods: Based on the survey data from 6 high-schools and 4 universities in 4 cities in China, the gender difference in NSSI behaviors and Suicidal ideation and their related factors were analyzed in the study.Results: There was no significant gender difference in NSSI behaviors among Chinese youth, yet females reported significantly higher intensity of suicidal ideation compared to males; internet use frequency could explain the prevalence of NSSI behaviors and Suicidal ideation by gender, to some categories.Conclusions: The gender difference of NSSI engagement among Chinese youth was not statistically significant; while females had higher suicidal ideation than males; the overuse of social softwares was found to be a risk factor to both NSSI engagements and suicidal ideations for both genders; males would engage less NSSI behaviors when they spent more time on knowledge sharing softwares while might have more suicidal ideation when they spent too much time on gaming.

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Ethnic and gender differences in additive effects of socio-economics, psychiatric disorders, and subjective religiosity on suicidal ideation among blacks

International Journal of Preventive Medicine ◽

10.4103/2008-7802.158913 ◽

2015 ◽

Vol 6 (1) ◽

pp. 53 ◽

Cited By ~ 54

Author(s):

Shervin Assari

Keyword(s):

Gender Differences ◽

Suicidal Ideation ◽

Psychiatric Disorders ◽

Additive Effects ◽

And Gender

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Therapeutic Mechanisms of Suicidal Ideation

Crisis ◽

10.1027/0227-5910.28.4.198 ◽

2007 ◽

Vol 28 (4) ◽

pp. 198-203 ◽

Cited By ~ 12

Author(s):

Daniel Coleman ◽

John T. Casey

Keyword(s):

Suicidal Ideation ◽

Strong Association ◽

Automatic Thoughts ◽

Cognitive Behavioral ◽

Research Attention ◽

Maladaptive Cognitions ◽

Treatment Processes ◽

Strong Correlate ◽

Suicide Interventions ◽

And Behavior

The treatment processes associated with reduced suicidal ideation have received little research attention. This study evaluates the influence on suicidal ideation of theory-based intrapsychic processes: maladaptive cognition and defensive style. Thirty-three community mental health patients completed questionnaires at two time points. Decreases in automatic thoughts were a strong correlate of decreased suicidal ideation, and decreases in immature defenses were a moderate strength correlate. These relationships remained significant even when controlling for initial level of depression. The theorized mechanisms of cognitive-behavioral and psychodynamic therapy had the expected effects on suicidal ideation. The strong association of decreased maladaptive cognitions with decreased suicidal ideation supports further development of cognitive-behavioral suicide interventions and clinical use of cognitive interventions. Psychodynamic processes in suicidal ideation and behavior warrant further exploration.

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