He Xubin, Chen Si, Yu Qinyao, Yang Ping, Yang Bo
Chongqing Mental Health Center, Chongqing, China.
Chongqing Medical School, Chongqing, China.
Front Psychiatry. 2024 Nov 11;15:1484809. doi: 10.3389/fpsyt.2024.1484809. eCollection 2024.
Problematic Internet Use (PIU) has been increasingly linked to suicidal behavior among adolescents, raising significant public health concerns, particularly in Chinese youth. This study aimed to systematically review and meta-analyze the correlation between PIU and suicidal behavior in Chinese adolescents to provide a clearer understanding of this association.
A comprehensive search was conducted across seven databases up to July 1, 2024. Studies investigating the relationship between PIU and suicidal behavior among Chinese adolescents were included. A random-effects meta-analysis was employed to assess pooled effect sizes, with subgroup analyses conducted to explore potential moderators, such as geographic region, age, gender, assessment tools for PIU and suicidal ideation, and the presence of depression. Data analysis was performed using STATA software (version 16).
This meta-analysis, comprising 23 studies with 353,904 participants, identified significant associations between PIU and suicidal behavior among Chinese adolescents. PIU was associated with increased risks of suicidal ideation (OR = 1.72, 95% CI: 1.45, 2.03), suicidal plans (OR = 1.50, 95% CI: 1.02, 2.20), and suicidal attempts (OR = 1.48, 95% CI: 1.16, 1.89). Subgroup analyses indicated higher risks in specific groups: adolescents from Central China (OR = 1.84, 95% CI: 1.46, 2.32), college students (OR = 2.09, 95% CI: 1.66, 2.62). The risk of suicidal ideation was particularly elevated when depression was not controlled (OR = 1.86, 95% CI: 1.53, 2.25). These findings underscore the need for targeted interventions in vulnerable populations.
This meta-analysis demonstrated significant associations between PIU and suicidal behaviors among Chinese adolescents. The findings emphasize the need for targeted interventions, particularly for adolescents from Central and Western China, college students, and those with untreated depression. Focused strategies are required to mitigate the risks associated with PIU and to effectively address suicidal behaviors in these high-risk populations.
https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42024577593, identifier CRD42024577593.
问题性互联网使用（PIU）与青少年自杀行为的关联日益紧密，引发了重大的公共卫生担忧，在中国青少年中尤为如此。本研究旨在系统回顾和荟萃分析中国青少年PIU与自杀行为之间的相关性，以更清楚地了解这种关联。
截至2024年7月1日，在七个数据库中进行了全面检索。纳入了调查中国青少年PIU与自杀行为之间关系的研究。采用随机效应荟萃分析来评估合并效应量，并进行亚组分析以探索潜在的调节因素，如地理区域、年龄、性别、PIU和自杀意念的评估工具以及是否存在抑郁。使用STATA软件（版本16）进行数据分析。
这项荟萃分析纳入了23项研究，共353,904名参与者，确定了中国青少年PIU与自杀行为之间存在显著关联。PIU与自杀意念风险增加相关（OR = 1.72，95% CI：1.45，2.03）、自杀计划（OR = 1.50，95% CI：1.02，2.20）和自杀未遂（OR = 1.48，95% CI：1.16，1.89）。亚组分析表明特定群体风险更高：来自中国中部的青少年（OR = 1.84，95% CI：1.46，2.32）、大学生（OR = 2.09，95% CI：1.66，2.62）。当抑郁未得到控制时，自杀意念风险尤其升高（OR = 1.86，95% CI：1.
