A network and mediation analysis on the associations between family environment and suicidal ideation in adolescents in a psychiatric clinical setting
BackgroundFamily environmental factors are known to contribute to adolescent suicidal ideation (SI), but how these factors interact and relate to SI needs further investigation.AimsTo examine how family factors interact with each other and are associated with adolescent SI in a psychiatric clinical...
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Frontiers Media S.A.
2025-03-01
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| Series: | Frontiers in Psychiatry |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1541993/full |
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| author | Xing-Yan Liu Shu-Hui Xu Wen-Jing Yan Li-Li Zhu Cheng-Han Li |
| author_facet | Xing-Yan Liu Shu-Hui Xu Wen-Jing Yan Li-Li Zhu Cheng-Han Li |
| author_sort | Xing-Yan Liu |
| collection | DOAJ |
| description | BackgroundFamily environmental factors are known to contribute to adolescent suicidal ideation (SI), but how these factors interact and relate to SI needs further investigation.AimsTo examine how family factors interact with each other and are associated with adolescent SI in a psychiatric clinical setting, using network analysis with regularization methods.MethodUtilizing a quantitative research design, this study analyzed data from 293 adolescents aged 12 to 18 years seeking care in a psychiatric hospital. Data collection involved standardized interviews and self-report measures to assess SI, anxiety, depression, and various family environmental factors. Network analysis with regularization methods, including LASSO regression, was employed to elucidate the relationships among these variables.ResultsOver 40% of adolescents reported SI, with positive relationship quality(RQ) significantly reducing SI. Network analysis indicated that family economic status did not directly relate to SI but through RQ. Additionally, anxiety was found to mediate the relationship between RQ and SI significantly, with a mediation effect of 53.34%. Parental marital status directly related to SI, whereas parental education level, particularly mothers’, was not directly associated with SI or other mental health outcomes.ConclusionsThis study reveals the complex interplay between family environmental factors and psychiatric symptoms in adolescents, highlighting family relationship quality as a critical risk mechanism. These findings underscore the importance of family-centered interventions and public mental health policies to reduce suicidal ideation in adolescents. |
| format | Article |
| id | doaj-art-2e95205624a74ee6b15a585efd5dcd42 |
| institution | DOAJ |
| issn | 1664-0640 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj-art-2e95205624a74ee6b15a585efd5dcd422025-08-20T02:58:00ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402025-03-011610.3389/fpsyt.2025.15419931541993A network and mediation analysis on the associations between family environment and suicidal ideation in adolescents in a psychiatric clinical settingXing-Yan Liu0Shu-Hui Xu1Wen-Jing Yan2Li-Li Zhu3Cheng-Han Li4Department of Psychiatry, Wenzhou Seventh People’s Hospital, Wenzhou, ChinaCareer Education Research Center, Wenzhou University, Wenzhou, ChinaDepartment of Psychiatry, Wenzhou Seventh People’s Hospital, Wenzhou, ChinaCareer Education Research Center, Wenzhou University, Wenzhou, ChinaEmergency Department, Third Affiliated Hospital of Wenzhou Medical University, Wenzhou, ChinaBackgroundFamily environmental factors are known to contribute to adolescent suicidal ideation (SI), but how these factors interact and relate to SI needs further investigation.AimsTo examine how family factors interact with each other and are associated with adolescent SI in a psychiatric clinical setting, using network analysis with regularization methods.MethodUtilizing a quantitative research design, this study analyzed data from 293 adolescents aged 12 to 18 years seeking care in a psychiatric hospital. Data collection involved standardized interviews and self-report measures to assess SI, anxiety, depression, and various family environmental factors. Network analysis with regularization methods, including LASSO regression, was employed to elucidate the relationships among these variables.ResultsOver 40% of adolescents reported SI, with positive relationship quality(RQ) significantly reducing SI. Network analysis indicated that family economic status did not directly relate to SI but through RQ. Additionally, anxiety was found to mediate the relationship between RQ and SI significantly, with a mediation effect of 53.34%. Parental marital status directly related to SI, whereas parental education level, particularly mothers’, was not directly associated with SI or other mental health outcomes.ConclusionsThis study reveals the complex interplay between family environmental factors and psychiatric symptoms in adolescents, highlighting family relationship quality as a critical risk mechanism. These findings underscore the importance of family-centered interventions and public mental health policies to reduce suicidal ideation in adolescents.https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1541993/fullsuicidal ideationfamily environmentadolescentsnetwork analysismediation analysis |
| spellingShingle | Xing-Yan Liu Shu-Hui Xu Wen-Jing Yan Li-Li Zhu Cheng-Han Li A network and mediation analysis on the associations between family environment and suicidal ideation in adolescents in a psychiatric clinical setting Frontiers in Psychiatry suicidal ideation family environment adolescents network analysis mediation analysis |
| title | A network and mediation analysis on the associations between family environment and suicidal ideation in adolescents in a psychiatric clinical setting |
| title_full | A network and mediation analysis on the associations between family environment and suicidal ideation in adolescents in a psychiatric clinical setting |
| title_fullStr | A network and mediation analysis on the associations between family environment and suicidal ideation in adolescents in a psychiatric clinical setting |
| title_full_unstemmed | A network and mediation analysis on the associations between family environment and suicidal ideation in adolescents in a psychiatric clinical setting |
| title_short | A network and mediation analysis on the associations between family environment and suicidal ideation in adolescents in a psychiatric clinical setting |
| title_sort | network and mediation analysis on the associations between family environment and suicidal ideation in adolescents in a psychiatric clinical setting |
| topic | suicidal ideation family environment adolescents network analysis mediation analysis |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1541993/full |
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