Shanghai Key Laboratory of Forensic Medicine, Key Laboratory of Forensic Science, Ministry of Justice, China; Shanghai Forensic Service Platform, Academy of Forensic Science, Shanghai, China.
Hainan Branch, Shanghai Children's Medical Center, School of Medicine, Shanghai Jiao Tong University, Hainan, China; School of Public Health, Shanghai Jiao Tong University, Shanghai, China.
J Affect Disord. 2024 Jun 1;354:44-50. doi: 10.1016/j.jad.2023.10.029. Epub 2023 Oct 10.
Suicidality and depressive symptoms have emerged as major mental health issues reported among children and adolescents experiencing crises. In light of these concerns, this study was conducted to elucidate interrelationships between depressive symptoms and suicidality at an item level within this population during the COVID-19 pandemic, a worldwide public health crisis affecting children and adolescents.
A cross-sectional study design was used. Primary and secondary school students completed the Children's Depression Inventory - Short Version (CDI-S) and two standard suicidality questions tapping suicidal ideation and suicide plans, respectively. A network analysis was performed to examine inter-connections between depressive symptoms and suicidality.
A total of 5380 students participated in the study. Prevalence of suicidal ideation and suicide plans were 12.8 % (95 % CI = 11.9 %-13.7 %) and 9.9 % (95 % CI = 9.2 %-10.8 %), respectively; the prevalence of depressive symptoms was 41.2 % (95%CI = 39.8 %-42.5 %). The network analysis identified CDI4 (self-hatred) as the most influential node with the highest centrality, followed by CDI8 (loneliness), CDI5 (crying), and CDI1 (sadness). Additionally, CDI5 (crying), CDI1 (sadness), CDI4 (self-hatred), and CDI10 (feeling unloved) were the most meaningful nodes linking depressive symptoms with suicidality.
Critical depressive symptoms linked with suicidality among children and adolescents living through the COVID-19 pandemic included self-hatred, loneliness, crying, and sadness. Interventions that target these depressive symptoms may have increased utility in reducing the risk of suicidality within this population.
自杀意念和抑郁症状已成为儿童和青少年在经历危机时报告的主要心理健康问题。鉴于这些问题，本研究旨在阐明在 COVID-19 大流行期间，即影响儿童和青少年的全球公共卫生危机期间，该人群中抑郁症状和自杀意念之间的相互关系。
采用横断面研究设计。中小学生完成了儿童抑郁量表-短版（CDI-S）和两个标准自杀意念问题，分别探查自杀意念和自杀计划。进行网络分析以检查抑郁症状和自杀意念之间的相互联系。
共有 5380 名学生参与了研究。自杀意念和自杀计划的发生率分别为 12.8%（95%可信区间=11.9%-13.7%）和 9.9%（95%可信区间=9.2%-10.8%）；抑郁症状的发生率为 41.2%（95%CI=39.8%-42.5%）。网络分析确定 CDI4（自我仇恨）为最具影响力的节点，具有最高的中心度，其次是 CDI8（孤独）、CDI5（哭泣）和 CDI1（悲伤）。此外，CDI5（哭泣）、CDI1（悲伤）、CDI4（自我仇恨）和 CDI10（感觉不被爱）是将抑郁症状与自杀意念联系起来的最有意义的节点。
在经历 COVID-19 大流行的儿童和青少年中，与自杀意念相关的严重抑郁症状包括自我仇恨、孤独、哭泣和悲伤。针对这些抑郁症状的干预措施可能会增加在该人群中降低自杀意念风险的效用。
