Social-ecological perspective on the suicidal behaviour factors of early adolescents in China: a network analysis
Background In early adolescence, youth are highly prone to suicidal behaviours. Identifying modifiable risk factors during this critical phase is a priority to inform effective suicide prevention strategies.Aims To explore the risk and protective factors of suicidal behaviours (ie, suicidal ideation...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2024-02-01
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| Series: | General Psychiatry |
| Online Access: | https://gpsych.bmj.com/content/37/1/e101317.full |
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| author | Xueying Zhang Yuan Li Juan Chen Peiying Li Mengyuan Yuan Yonghan Li Gengfu Wang Puyu Su |
| author_facet | Xueying Zhang Yuan Li Juan Chen Peiying Li Mengyuan Yuan Yonghan Li Gengfu Wang Puyu Su |
| author_sort | Xueying Zhang |
| collection | DOAJ |
| description | Background In early adolescence, youth are highly prone to suicidal behaviours. Identifying modifiable risk factors during this critical phase is a priority to inform effective suicide prevention strategies.Aims To explore the risk and protective factors of suicidal behaviours (ie, suicidal ideation, plans and attempts) in early adolescence in China using a social-ecological perspective.Methods Using data from the cross-sectional project ‘Healthy and Risky Behaviours Among Middle School Students in Anhui Province, China’, stratified random cluster sampling was used to select 5724 middle school students who had completed self-report questionnaires in November 2020. Network analysis was employed to examine the correlates of suicidal ideation, plans and attempts at four levels, namely individual (sex, academic performance, serious physical illness/disability, history of self-harm, depression, impulsivity, sleep problems, resilience), family (family economic status, relationship with mother, relationship with father, family violence, childhood abuse, parental mental illness), school (relationship with teachers, relationship with classmates, school-bullying victimisation and perpetration) and social (social support, satisfaction with society).Results In total, 37.9%, 19.0% and 5.5% of the students reported suicidal ideation, plans and attempts in the past 6 months, respectively. The estimated network revealed that suicidal ideation, plans and attempts were collectively associated with a history of self-harm, sleep problems, childhood abuse, school bullying and victimisation. Centrality analysis indicated that the most influential nodes in the network were history of self-harm and childhood abuse. Notably, the network also showed unique correlates of suicidal ideation (sex, weight=0.60; impulsivity, weight=0.24; family violence, weight=0.17; relationship with teachers, weight=−0.03; school-bullying perpetration, weight=0.22), suicidal plans (social support, weight=−0.15) and suicidal attempts (relationship with mother, weight=−0.10; parental mental illness, weight=0.61).Conclusions This study identified the correlates of suicidal ideation, plans and attempts, and provided practical implications for suicide prevention for young adolescents in China. Firstly, this study highlighted the importance of joint interventions across multiple departments. Secondly, the common risk factors of suicidal ideation, plans and attempts were elucidated. Thirdly, this study proposed target interventions to address the unique influencing factors of suicidal ideation, plans and attempts. |
| format | Article |
| id | doaj-art-882f9150daec4f7098b6b15ddc5d6ffd |
| institution | Kabale University |
| issn | 2517-729X |
| language | English |
| publishDate | 2024-02-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | General Psychiatry |
| spelling | doaj-art-882f9150daec4f7098b6b15ddc5d6ffd2025-01-29T16:55:09ZengBMJ Publishing GroupGeneral Psychiatry2517-729X2024-02-0137110.1136/gpsych-2023-101317Social-ecological perspective on the suicidal behaviour factors of early adolescents in China: a network analysisXueying Zhang0Yuan Li1Juan Chen2Peiying Li3Mengyuan Yuan4Yonghan Li5Gengfu Wang6Puyu Su78Jilin Cancer Hospital, Changchun, ChinaDepartment of Pathology, Fudan University Shanghai Cancer Center, Shanghai, China4 Affiliated Psychological Hospital of Anhui Medical University, Anhui Mental Health Center, Fourth People`s Hospital of Hefei, Hefei, Anhui, China2 Tianjin Anding Hospital, Mental Health Center of Tianjin Medical University, Tianjin Medical University, Tianjin, China1 Department of Maternal, Child and Adolescent Health, School of Public Health; Key Laboratory of Population Health Across Life Cycle (Anhui Medical University), Ministry of Education of the People’s Republic of China, Anhui Medical University, Hefei, Anhui, China1 Department of Maternal, Child and Adolescent Health, School of Public Health; Key Laboratory of Population Health Across Life Cycle (Anhui Medical University), Ministry of Education of the People’s Republic of China, Anhui Medical University, Hefei, Anhui, China1 Department of Maternal, Child and Adolescent Health, School of Public Health; Key Laboratory of Population Health Across Life Cycle (Anhui Medical University), Ministry of Education of the People’s Republic of China, Anhui Medical University, Hefei, Anhui, China1 Department of Maternal, Child and Adolescent Health, School of Public Health; Key Laboratory of Population Health Across Life Cycle (Anhui Medical University), Ministry of Education of the People’s Republic of China, Anhui Medical University, Hefei, Anhui, ChinaBackground In early adolescence, youth are highly prone to suicidal behaviours. Identifying modifiable risk factors during this critical phase is a priority to inform effective suicide prevention strategies.Aims To explore the risk and protective factors of suicidal behaviours (ie, suicidal ideation, plans and attempts) in early adolescence in China using a social-ecological perspective.Methods Using data from the cross-sectional project ‘Healthy and Risky Behaviours Among Middle School Students in Anhui Province, China’, stratified random cluster sampling was used to select 5724 middle school students who had completed self-report questionnaires in November 2020. Network analysis was employed to examine the correlates of suicidal ideation, plans and attempts at four levels, namely individual (sex, academic performance, serious physical illness/disability, history of self-harm, depression, impulsivity, sleep problems, resilience), family (family economic status, relationship with mother, relationship with father, family violence, childhood abuse, parental mental illness), school (relationship with teachers, relationship with classmates, school-bullying victimisation and perpetration) and social (social support, satisfaction with society).Results In total, 37.9%, 19.0% and 5.5% of the students reported suicidal ideation, plans and attempts in the past 6 months, respectively. The estimated network revealed that suicidal ideation, plans and attempts were collectively associated with a history of self-harm, sleep problems, childhood abuse, school bullying and victimisation. Centrality analysis indicated that the most influential nodes in the network were history of self-harm and childhood abuse. Notably, the network also showed unique correlates of suicidal ideation (sex, weight=0.60; impulsivity, weight=0.24; family violence, weight=0.17; relationship with teachers, weight=−0.03; school-bullying perpetration, weight=0.22), suicidal plans (social support, weight=−0.15) and suicidal attempts (relationship with mother, weight=−0.10; parental mental illness, weight=0.61).Conclusions This study identified the correlates of suicidal ideation, plans and attempts, and provided practical implications for suicide prevention for young adolescents in China. Firstly, this study highlighted the importance of joint interventions across multiple departments. Secondly, the common risk factors of suicidal ideation, plans and attempts were elucidated. Thirdly, this study proposed target interventions to address the unique influencing factors of suicidal ideation, plans and attempts.https://gpsych.bmj.com/content/37/1/e101317.full |
| spellingShingle | Xueying Zhang Yuan Li Juan Chen Peiying Li Mengyuan Yuan Yonghan Li Gengfu Wang Puyu Su Social-ecological perspective on the suicidal behaviour factors of early adolescents in China: a network analysis General Psychiatry |
| title | Social-ecological perspective on the suicidal behaviour factors of early adolescents in China: a network analysis |
| title_full | Social-ecological perspective on the suicidal behaviour factors of early adolescents in China: a network analysis |
| title_fullStr | Social-ecological perspective on the suicidal behaviour factors of early adolescents in China: a network analysis |
| title_full_unstemmed | Social-ecological perspective on the suicidal behaviour factors of early adolescents in China: a network analysis |
| title_short | Social-ecological perspective on the suicidal behaviour factors of early adolescents in China: a network analysis |
| title_sort | social ecological perspective on the suicidal behaviour factors of early adolescents in china a network analysis |
| url | https://gpsych.bmj.com/content/37/1/e101317.full |
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