Title | Rural-urban differences in prevalence and correlates of suicidal ideation in adolescent patients with depression in a large sample of Chinese |
Authors | Liu, Jiacheng Yang, Liying Zheng, Yue Kang, Chuanyi Wang, Xiaohong Shi, Jingjing Qiu, Siyu Zhao, Ying Yu, Jiahong Zhao, Na |
Affiliation | Harbin Med Univ, Dept Psychiat, Affiliated Hosp 1, Harbin, Heilongjiang, Peoples R China Dalian Seventh Peoples Hosp, Dalian Mental Hlth Ctr, Dalian, Liaoning, Peoples R China Peking Univ Inst Mental Hlth, Hosp 6, Beijing, Peoples R China Peking Univ, Natl Clin Res Ctr Mental Disorders, Beijing, Peoples R China Peking Univ, NHC Key Lab Mental Hlth, Beijing, Peoples R China Harbin Med Univ, Dept Gastroenterol, Affiliated Hosp 1, Harbin, Heilongjiang, Peoples R China Harbin Med Univ, Dept Lab, Affiliated Hosp 4, Harbin, Heilongjiang, Peoples R China Harbin Med Univ, Dept Psychiat, Affiliated Hosp 1, 23 Youzheng St, Harbin 150001, Heilongjiang, Peoples R China |
Keywords | RISK-FACTORS CHILDHOOD DEPRESSION MEDICAL-STUDENTS UNITED-STATES ASSOCIATION BEHAVIOR DETERMINANTS INVENTORY SYMPTOMS DISORDER |
Issue Date | 1-Feb-2023 |
Publisher | JOURNAL OF AFFECTIVE DISORDERS |
Abstract | Background: Suicidal ideation (SI) is severe comorbidity of depression that has been extensively studied in the past. Residence differences between SI have rarely been systematically studied, especially in parental rearing behavior. This large-scale explored the residence differences in the prevalence and correlation of SI adolescent patients with depression.Methods: A total of 1417 patients with depression were recruited, and their demographic data and clinical data were collected. The Children's Depression Inventory (CDI) and the Egna Minnen Betra spacing diaeresis ffande Uppfostran (EMBU) scale were used to assess depression, and parental rearing behavior, respectively.Results: The prevalence of suicidal ideation was higher in urban patients than in rural patients (43.7 % vs.37.7 %, P < 0.05). Patients with SI scored higher on total CDI scores, parental punishment, parental rejection, and paternal overprotection compared to their respective patients without SI. In the urban group, patients with SI had lower parental emotional warmth scores and higher parental intervention scores compared to patients without SI. Logistic regression analysis showed that total CDI score, gender, alcohol consumption, father's emotional warmth, father's rejection, and mother's intervention were significantly associated with SI in urban patients (P < 0.05); total CDI score and mother's rejection were significantly associated with SI in rural patients (P < 0.05). Limitations: No causal relationship could be drawn due to the cross-sectional design.Conclusions: The results of this study showed significant residential differences in risk and associated factors for SI among adolescents with depression. Focusing on the parenting styles of adolescent patients can help with the early identification and intervention of SI. |
URI | http://hdl.handle.net/20.500.11897/670895 |
ISSN | 0165-0327 |
DOI | 10.1016/j.jad.2022.11.032 |
Indexed | SCI(E) SSCI |
Appears in Collections: | 第六医院 |