Early Trauma and Relationships among Recent Stress, Depressive Symptoms, Anxiety Symptoms, and Suicidal Ideation in Korean Women

Background: Determining the mental health status of parents who chronically care for a child with speech impairment is important for developing appropriate interventions to improve both parents' and children's health and achieve a win-win situation. Unfortunately, no study in China has explored this issue. This study investigated the differences in four aspects of mental health between maternal and paternal caregivers for the Mandarin-speaking children with speech impairment and determine whether depressive symptoms mediate the relationships between anxiety symptoms and suicidal ideation, hopelessness and suicidal ideation.Methods: This cross-sectional questionnaire survey was conducted in February 2020 by sending a link to the predesigned electronic questionnaire in WeChat. Standardized assessment tools were employed. Hierarchical multiple logistic regression was conducted to examine the associations between various factors and suicidal ideation, and two separate structural equation models were performed to evaluate the mediating effects of depressive symptoms in the relationship between anxiety symptoms and suicidal ideation as well as between hopelessness and suicidal ideation.Results: This study included 446 parental caregivers of Mandarin-speaking children with speech impairment. Paternal caregivers had greater score than maternal caregivers on loss of motivation (one of the subdomains of hopelessness). Somatic complications of the child (OR = 2.73, 95% CI: 1.09–6.67) and depressive symptoms (OR = 3.38, 95% CI: 1.83–6.30) were positively associated with caregivers' suicidal ideation. Having speech therapy of child (OR = 0.54, 95% CI: 0.29–0.98) was negatively correlated with caregivers' suicidal ideation. There was direct effect of depressive symptoms on suicidal ideation. Depressive symptoms play mediating roles on the relationships between anxiety symptoms (β = 0.171, p < 0.001) as well as between hopelessness and suicidal ideation (β = 0.187, p < 0.001).Conclusions: Paternal and maternal caregivers of Mandarin-speaking children with speech impairment suffered from mental health problems. Preventive strategies and interventions to ameliorate parental psychological well-being, and health care policies to increase the accessibility to speech therapy care of children with speech impairment are imperative.

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Prevalence of comorbid depressive symptoms and suicidal ideation in children with autism spectrum disorder and elevated anxiety symptoms

Journal of Child and Adolescent Mental Health ◽

10.2989/17280583.2019.1608830 ◽

2019 ◽

Vol 31 (1) ◽

pp. 77-84 ◽

Cited By ~ 5

Author(s):

Lieke AMW Wijnhoven ◽

Hanneke Niels-Kessels ◽

Daan HM Creemers ◽

Ad A Vermulst ◽

Roy Otten ◽

...

Keyword(s):

Autism Spectrum Disorder ◽

Depressive Symptoms ◽

Suicidal Ideation ◽

Children With Autism ◽

Autism Spectrum ◽

Anxiety Symptoms ◽

Spectrum Disorder

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Depression, Anxiety, and Suicidal Ideation in Chinese University Students During the COVID-19 Pandemic

Frontiers in Psychology ◽

10.3389/fpsyg.2021.669833 ◽

2021 ◽

Vol 12 ◽

Author(s):

Shuang-Jiang Zhou ◽

Lei-Lei Wang ◽

Meng Qi ◽

Xing-Jie Yang ◽

Lan Gao ◽

...

Keyword(s):

Mental Health ◽

Social Support ◽

Depressive Symptoms ◽

Graduate Students ◽

Suicidal Ideation ◽

University Students ◽

Protective Factors ◽

Anxiety Symptoms ◽

Chinese University ◽

Chinese University Students

Coronavirus disease-2019 (COVID-19) pandemic has seriously threatened the global public health security and caused a series of mental health problem. Current research focuses mainly on mental health status and related factors in the COVID-19 pandemic among Chinese university students. Data from 11133 participants was obtained through an online survey. The Patient Health Question-9 (PHQ-9) was used to assess depressive symptoms, the Social Support Rate Scale (SSRS) was used to assess social support. We also used 7-item Generalized Anxiety Disorder Scale (GAD-7) to assess anxiety symptoms. Totally, 37.0% of the subjects were experiencing depressive symptoms, 24.9% anxiety symptoms, 20.9% comorbid depressive and anxiety symptoms, and 7.3% suicidal ideation. Multivariable logistic regression analysis revealed an increased presence of mental health problems in female students, graduate students, and those with personal COVID-19 exposure. Awareness of COVID-19, living with family were protective factors that reduced anxiety and depression symptoms. In addition, male, personal COVID-19 exposure, depressive and anxiety symptoms were risk factors for suicidal ideation. Social support, COVID-19 preventive and control measures, prediction of COVID-19 trends, living with family and graduate students are protective factors for reducing suicidal ideation.

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Mental health burden of high school students 1.5 years after the beginning of the COVID-19 pandemic in Austria

10.31124/advance.17260130.v1 ◽

2021 ◽

Author(s):

Rachel Dale ◽

MMag. Dr. Andrea Jesser ◽

Teresa O´Rourke ◽

Thomas Probst ◽

Elke Humer ◽

...

Keyword(s):

Mental Health ◽

High School ◽

High School Students ◽

Depressive Symptoms ◽

Suicidal Ideation ◽

Well Being ◽

Anxiety Symptoms ◽

School Type ◽

School Students ◽

Health Burden

The COVID-19 pandemic and containment efforts seem to be particularly challenging for adolescents. This study assessed mental health in 14- to 20-year-old high school students 1.5 years after the beginning of the COVID-19 pandemic in Austria. A cross-sectional survey was carried out from 14th September 2021 to 14th November 2021. Well-being (WHO-5), depressive symptoms (PHQ-9), anxiety symptoms (GAD-7) and sleep quality (ISI) were assessed. A total of 1505 adolescents participated (77.9% girls). The cut-off for clinically relevant depressive symptoms (i.e., PHQ-9 score, ≥11) was exceeded by 61.9% girls and 38.1% boys and 49.3% girls and 28.8% boys had clinically relevant anxiety symptoms (i.e., GAD-7 score, ≥11). Clinically relevant moderate insomnia (i.e., ISI score, ≥15) was reported by 27.5% girls and 16.7% boys. The prevalence of suicidal ideation (item 9 of the PHQ-9) within the last 2 weeks was 46.8% in girls and 32.0% in boys. These data collected in autumn 2021 (at the start of the second semester of reopened schools; t2) were compared to data collected in February 2021 (one semester after almost exclusively remote schooling; t1). A matched pairs analysis according to age, gender, region, school type and migration background resulted in a total sample size of N = 2514 adolescents (70.1% females). Results showed small reduction in mental health (i.e., well-being, depressive symptoms, insomnia, suicidal ideation) in girls at t2 compared to t1, and an increase in suicidal thoughts in boys (all p-values <0.05). Results suggest that mental health burden in adolescents remained high 1.5 years after the start of the COVID-19 pandemic and highlight the need to implement timely psychological support.

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Prevalence of depression, anxiety and suicide among men who have sex with men in China: a systematic review and meta-analysis

Epidemiology and Psychiatric Sciences ◽

10.1017/s2045796020000487 ◽

2020 ◽

Vol 29 ◽

Author(s):

D. Wei ◽

X. Wang ◽

X. You ◽

X. Luo ◽

C. Hao ◽

...

Keyword(s):

Mental Health ◽

Depressive Symptoms ◽

Suicidal Ideation ◽

Suicide Attempts ◽

Mental Health Problems ◽

Meta Analysis ◽

Anxiety Symptoms ◽

Depression And Anxiety ◽

Prevalence Of Depression ◽

Sex With Men

Abstract Aims Chinese men who have sex with men (MSM) are at high risk for depression, anxiety and suicide. The estimated prevalence of these problems is essential to guide public health policy, but published results vary. This meta-analysis aimed to estimate the prevalence of depressive symptoms, anxiety symptoms and suicide among Chinese MSM. Methods Systematic searches of EMBASE, MEDLINE, PsycINFO, PubMed, CNKI and Wanfang databases with languages restricted to Chinese and English for studies published before 10 September 2019 on the prevalence of depressive symptoms, anxiety symptoms, suicidal ideation, suicide plans and suicide attempts among Chinese MSM. Studies that were published in the peer-reviewed journals and used validated instruments to assess depression and anxiety were included. The characteristics of studies and the prevalence of depression and anxiety symptoms, suicidal ideation, suicide plans and suicide attempts were independently extracted by authors. Random-effects modelling was used to estimate the pooled rates. Subgroup analysis and univariate meta-regression were conducted to explore potential sources of heterogeneity. This study followed the PRISMA and MOOSE. Results Sixty-seven studies were included. Fifty-two studies reported the prevalence of depressive symptoms, with a combined sample of 37 376 people, of whom 12 887 [43.2%; 95% confidence interval (CI), 38.9–47.5] reported depressive symptoms. Twenty-seven studies reported the prevalence of anxiety symptoms, with a combined sample of 10 531 people, of whom 3187 (32.2%; 95% CI, 28.3–36.6) reported anxiety symptoms. Twenty-three studies reported the prevalence of suicidal ideation, with a combined sample of 15 034 people, of whom 3416 (21.2%; 95% CI, 18.3–24.5) had suicidal ideation. Nine studies reported the prevalence of suicide plans, with a combined sample of 5271 people, of whom 401 (6.2%; 95% CI, 3.9–8.6) had suicide plans. Finally, 19 studies reported the prevalence of suicide attempts, with a combined sample of 27 936 people, of whom 1829 (7.3%; 95% CI, 5.6–9.0) had attempted suicide. Conclusions The mental health of Chinese MSM is poor compared with the general population. Efforts are warranted to develop interventions to prevent and alleviate mental health problems among this vulnerable population.

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Body Dissatisfaction and Mental Health Outcomes of Youth on Gender-Affirming Hormone Therapy

10.1542/9781610025423-body ◽

2021 ◽

pp. 101-109

Author(s):

Laura E. Kuper ◽

Sunita Stewart ◽

Stephanie Preston ◽

May Lau ◽

Ximena Lopez

Keyword(s):

Mental Health ◽

Depressive Symptoms ◽

Suicidal Ideation ◽

Suicide Attempt ◽

Body Dissatisfaction ◽

Hormone Therapy ◽

Anxiety Symptoms ◽

Depression And Anxiety ◽

Over Time

OBJECTIVES Our first aim was to examine baseline differences in body dissatisfaction, depression, and anxiety symptoms by gender, age, and Tanner (ie, pubertal) stage. Our second aim was to test for changes in youth symptoms over the first year of receiving gender-affirming hormone therapy. Our third aim was to examine potential differences in change over time by demographic and treatment characteristics. Youth experiences of suicidal ideation, suicide attempt, and nonsuicidal self-injury (NSSI) are also reported. METHODS Participants (n = 148; ages 9–18 years; mean age 14.9 years) were receiving gender-affirming hormone therapy at a multidisciplinary program in Dallas, Texas (n = 25 puberty suppression only; n = 123 feminizing or masculinizing hormone therapy). Participants completed surveys assessing body dissatisfaction (Body Image Scale), depression (Quick Inventory of Depressive Symptoms), and anxiety (Screen for Child Anxiety Related Emotional Disorders) at initial presentation to the clinic and at follow-up. Clinicians completed the Quick Inventory of Depressive Symptoms and collected information on youth experiences of suicidal ideation, suicide attempt, and NSSI. RESULTS Affirmed males reported greater depression and anxiety at baseline, but these differences were small (P < .01). Youth reported large improvements in body dissatisfaction (P < .001), small to moderate improvements in self-report of depressive symptoms (P < .001), and small improvements in total anxiety symptoms (P < .01). No demographic or treatment-related characteristics were associated with change over time. Lifetime and follow-up rates were 81% and 39% for suicidal ideation, 16% and 4% for suicide attempt, and 52% and 18% for NSSI, respectively. CONCLUSIONS Results provide further evidence of the critical role of gender-affirming hormone therapy in reducing body dissatisfaction. Modest initial improvements in mental health were also evident.

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Mental health burden of high school students 1.5 years after the beginning of the COVID-19 pandemic in Austria

10.31124/advance.17260130 ◽

2021 ◽

Author(s):

Rachel Dale ◽

MMag. Dr. Andrea Jesser ◽

Teresa O´Rourke ◽

Thomas Probst ◽

Elke Humer ◽

...

Keyword(s):

Mental Health ◽

High School ◽

High School Students ◽

Depressive Symptoms ◽

Suicidal Ideation ◽

Well Being ◽

Anxiety Symptoms ◽

School Type ◽

School Students ◽

Health Burden

The COVID-19 pandemic and containment efforts seem to be particularly challenging for adolescents. This study assessed mental health in 14- to 20-year-old high school students 1.5 years after the beginning of the COVID-19 pandemic in Austria. A cross-sectional survey was carried out from 14th September 2021 to 14th November 2021. Well-being (WHO-5), depressive symptoms (PHQ-9), anxiety symptoms (GAD-7) and sleep quality (ISI) were assessed. A total of 1505 adolescents participated (77.9% girls). The cut-off for clinically relevant depressive symptoms (i.e., PHQ-9 score, ≥11) was exceeded by 61.9% girls and 38.1% boys and 49.3% girls and 28.8% boys had clinically relevant anxiety symptoms (i.e., GAD-7 score, ≥11). Clinically relevant moderate insomnia (i.e., ISI score, ≥15) was reported by 27.5% girls and 16.7% boys. The prevalence of suicidal ideation (item 9 of the PHQ-9) within the last 2 weeks was 46.8% in girls and 32.0% in boys. These data collected in autumn 2021 (at the start of the second semester of reopened schools; t2) were compared to data collected in February 2021 (one semester after almost exclusively remote schooling; t1). A matched pairs analysis according to age, gender, region, school type and migration background resulted in a total sample size of N = 2514 adolescents (70.1% females). Results showed small reduction in mental health (i.e., well-being, depressive symptoms, insomnia, suicidal ideation) in girls at t2 compared to t1, and an increase in suicidal thoughts in boys (all p-values <0.05). Results suggest that mental health burden in adolescents remained high 1.5 years after the start of the COVID-19 pandemic and highlight the need to implement timely psychological support.

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Race, ethnicity, and suicidal ideation: Moderating effects of rumination and depressive symptoms

PsycEXTRA Dataset ◽

10.1037/e548352014-001 ◽

2014 ◽

Author(s):

Soumia Cheref ◽

Robert Lane ◽

Lillian A. Polanco-Roman ◽

Regina Miranda

Keyword(s):

Depressive Symptoms ◽

Suicidal Ideation ◽

Moderating Effects ◽

Race Ethnicity

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Cross-Study, Cross-Method Associations Between Negative Urgency and Internalizing Symptoms

Assessment ◽

10.1177/1073191120983889 ◽

2021 ◽

pp. 107319112098388

Author(s):

Kevin M. King ◽

Max A. Halvorson ◽

Kevin S. Kuehn ◽

Madison C. Feil ◽

Liliana J. Lengua

Keyword(s):

Depressive Symptoms ◽

Ecological Momentary Assessment ◽

Internalizing Symptoms ◽

Negative Emotions ◽

Anxiety Symptoms ◽

Negative Emotionality ◽

Self Report ◽

Negative Urgency ◽

Ecological Momentary ◽

Momentary Assessment

There is a small body of research that has connected individual differences in negative urgency, the tendency to report rash actions in response to negative emotions, with self-report depressive and anxiety symptoms. Despite the conceptual overlap of negative urgency with negative emotionality, the tendency to experience frequent and intense negative emotions, even fewer studies have examined whether the association of negative urgency with internalizing symptoms hold when controlling for negative emotionality. In the current study, we estimated the bivariate association between negative urgency and internalizing symptoms, tested whether they remained significant after partialling out negative emotionality, and tested whether these effects generalized to real-time experiences of negative emotions. We used data from five independent samples of high school and college students, assessed with global self-report ( n = 1,297) and ecological momentary assessment ( n = 195). Results indicated that in global self-report data, negative urgency was moderately and positively associated with depressive and anxiety symptoms, and the partial association with depressive symptoms (but not anxiety symptoms) controlling for negative emotionality remained significant and moderate in magnitude. This pattern was replicated in ecological momentary assessment data. Negative urgency may convey risk for depressive symptoms, independent of the effects of negative emotionality.

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756 The Moderating Influence of Depression on Insomnia and Suicidal Ideation in a Military Sample

SLEEP ◽

10.1093/sleep/zsab072.753 ◽

2021 ◽

Vol 44 (Supplement_2) ◽

pp. A294-A295

Author(s):

Emma Palermo ◽

Jennifer Goldschmied ◽

Elaine Boland ◽

Elizabeth A Klingaman ◽

Philip Gehrman ◽

...

Keyword(s):

Depressive Symptoms ◽

Suicidal Ideation ◽

Research University ◽

Negative Binomial ◽

Suicide Attempts ◽

Risk And Resilience ◽

Depression Severity ◽

Significant Interaction Effect ◽

Increased Risk ◽

The Impact

Abstract Introduction Military personnel are at an increased risk for suicide compared to the general population, making it important to develop a deeper understanding of which factors contribute to this elevated risk. Given that suicidal ideation (SI) is one of the strongest predictors of suicide attempts, understanding factors that underlie SI may improve prevention efforts. Insomnia and depression both serve as independent risk factors for SI, and therefore the aim of this study was to examine the extent to which depressive symptoms moderate the association between insomnia and SI. Methods Data were obtained from the All Army Study of the Army Study to Assess Risk and Resilience in Servicemembers (STARRS). Soldiers (n=21,450) completed questions related to suicidal ideation (5 items), depressive symptoms (9 items), and insomnia (5 items) based on symptom presence in the past 30 days. Items in each domain were summed to create a total severity score. GEE models using a negative binomial linking function were conducted to examine the impact of depression, insomnia, and their interaction on SI. Results Both depression (χ2 =117.56, p<0.001) and insomnia (χ2=11.79, p=0.0006) were found to have significant main effects on SI, and there was a significant interaction effect (χ2=4.52, p=0.0335). Follow up simple effects revealed that insomnia was no longer significantly associated with SI when depression severity was low, but was associated with SI in the presence of greater depression severity (χ2=2.91, p=0.0882). Conclusion In a large sample of Army soldiers, depression significantly moderated the association between SI and insomnia, such that insomnia seems to amplify the effects of depression on SI. These findings highlight the importance of addressing insomnia severity as a mean of reducing SI in those with depression, potentially allowing for intervention prior to a suicide attempt. Support (if any) Perlis: K24AG055602 & R01AG041783. This publication is based on public use data from Army STARRS (Inter-university Consortium for Political and Social Research, University of Michigan- http://doi.org/10.3886/ICPSR35197-v1), funded by U.S. NIMH-U01MH087981.

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