Affiliation:
1. The Second Xiangya Hospital of Central South University
Abstract
Abstract
Background
Parenting styles and the associated proximal psychological factors are suggested to increase suicidal risks in adolescents. However, how the two risky factors interact and confer risks on adolescent suicide remains unclear. Herein, we used a network approach to investigate their interrelationship and explore whether the network properties predict adolescent suicide.
Methods
Self-report questionnaires were completed by 1,171 students aged 12–16. Network analyses were performed by Gaussian graphical models estimating the adolescent psychosocial network structure of parenting styles and psychological variables including depression, anxiety, affective lability, rumination, and resilience. Furthermore, we re-examined the network by adding a variable of active suicidal thoughts. Moreover, we conducted linear regressions to examine the predictive utility of bridge symptoms for adolescent suicide.
Results
Resilience, Afraid, Rumination, Concentration, and affective lability (Anger) had the highest bridge strengths in the adolescent psychosocial network. Among the identified bridge symptoms, Resilience was negatively correlated with active suicidal thoughts (regularized edge weights = -0.181, bootstrapped 95% CIs: [-0.043, -0.155]), whereas affective lability (from Anxiety to Depression, Anger), Rumination, and Afraid were positively correlated with active suicidal thoughts, with edge weights (bootstrapped 95% CIs) ranging from 0.057 (0.001, 0.112) to 0.081(0.026, 0.136). Regression analysis showed that bridge strength was significantly correlated with active suicidal thoughts (R2 = 0.432, P = 0.001).
Conclusion
Negative parenting styles may drive and maintain active suicidal thoughts by modifying the key proximal psychological variables. Our findings highlight the important role of bridge symptoms, which may serve as potential prevention and intervention targets for adolescent suicide.
Publisher
Research Square Platform LLC
Reference50 articles.
1. Suicide worldwide in. 2019- global health estimates. Geneva. World Health Organization; 2021.
2. Annual Research Review: Suicide among youth - epidemiology, (potential) etiology, and treatment;Cha CB;J Child Psychol Psychiatry,2018
3. Global burden of diseases, injuries, and risk factors for young people's health during 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013;Mokdad AH;Lancet,2016
4. Global Lifetime and 12-Month Prevalence of Suicidal Behavior, Deliberate Self-Harm and Non-Suicidal Self-Injury in Children and Adolescents between 1989 and 2018: A Meta-Analysis;Lim KS;Int J Environ Res Public Health,2019
5. Efficacy of Dialectical Behavior Therapy for Adolescents at High Risk for Suicide: A Randomized Clinical Trial;McCauley E;JAMA Psychiatry,2018