■自杀意念是一个紧迫的公共卫生问题,尤其是在青少年中。这项研究的目的是检查中国青少年自杀意念的患病率和相关因素,解决当前研究中的一个重要差距。
■这项研究对连云港市3443名青少年进行了在线调查,使用横截面设计。评估包括使用患者健康问卷-9,七项广泛性焦虑症工具,和感知社会支持量表来评估自杀意念,焦虑症状,青少年的社会支持,分别。
■在青少年中,自杀意念的患病率为22.1%,女性青少年的比例明显高于男性(27.9%vs16.9%,P<0.001)。二元回归分析确定(OR=1.788,95%CI:1.467-2.177,P<0.001),焦虑症状(OR=10.035,95%CI:7.441-13.534,P<0.001),母亲的PHQ-9总分(OR=1.040,95CI:1.003-1.078,P=0.034),母亲GAD-7总分(OR=0.958,95CI:0.919-0.998,P=0.039),父母关系中度(OR=2.042,95%CI:1.630~2.557,P<0.001)是自杀意念的危险因素;家庭支持是保护因素(OR=0.888,95%CI:0.859~0.918,P<0.001)。此外,家庭支持部分介导青少年焦虑症状和自杀意念之间的关系(9.28%)。
这项研究强调了青少年自杀意念的高发生率,并建议采取针对性别的干预措施。焦虑管理,和家庭支持改善心理健康状况。
UNASSIGNED: Suicidal ideation is a pressing public health concern, particularly among adolescents. The objective of this study was to examine the prevalence of and factors associated with suicidal ideation in Chinese adolescents, addressing an important gap in current research.
UNASSIGNED: This study employed an online survey of 3443 adolescents in Lianyungang, using a cross-sectional design. The assessment included the use of the Patient Health Questionnaire-9, the seven-item Generalized Anxiety Disorder instrument, and the Perceived Social Support Scale to evaluate suicidal ideation, anxiety symptoms, and social support in adolescents, respectively.
UNASSIGNED: In adolescents, the prevalence of suicidal ideation was 22.1%, with a significantly higher proportion among female adolescents than among males (27.9% vs 16.9%, P < 0.001). Binary regression analysis identified (OR = 1.788, 95% CI: 1.467-2.177, P < 0.001), anxiety symptoms (OR = 10.035, 95% CI: 7.441-13.534, P < 0.001), total PHQ-9 scores of mothers (OR = 1.040, 95%CI: 1.003 - 1.078, P = 0.034), total GAD-7 scores of mothers (OR = 0.958, 95%CI: 0.919 - 0.998, P = 0.039), and moderate parental relationships (OR = 2.042, 95% CI: 1.630-2.557, P < 0.001) to be risk factors for suicidal ideation; family support was a protective factor (OR = 0.888, 95% CI: 0.859-0.918, P < 0.001). Furthermore, family support partially mediates the relationship between anxiety symptoms and suicidal ideation among adolescents (9.28%).
UNASSIGNED: This study highlights high adolescent suicidal ideation rates and recommends gender-specific interventions, anxiety management, and family support for improvement in mental health status.