Fang Xinwei, Qian Xiulian, Hu Xinzhu, Jiang Huilan, Hu Weiming
Department of Child and Adolescent Psychiatry, The Third Hospital of Quzhou, Quzhou, Zhejiang, China.
Front Public Health. 2025 Apr 23;13:1553066. doi: 10.3389/fpubh.2025.1553066. eCollection 2025.
Suicide has become one of the leading causes of death among adolescents, with an increased risk observed in the psychiatric outpatient population. Therefore, exploring its risk factors is crucial. Obsessive-compulsive symptoms, being common in this patient group, warrant investigation into their impact mechanisms on suicide risk.
This study enrolled 526 outpatient adolescents [396 females (75.29%); Mage = 15.39, SD = 1.23] who completed relevant questionnaires and provided demographic data during their clinic visit.
Obsessive-compulsive symptoms positively predicted suicide risk in both males and females, with depressive symptoms mediating this effect. Sleep disturbances played a mediating role only in females, while anxiety symptoms did not mediate the relationship in either gender.
Clinicians should pay closer attention to adolescents presenting with obsessive-compulsive and depressive symptoms, as well as female adolescents with sleep disturbances, to mitigate their elevated suicide risk.
自杀已成为青少年主要死因之一，在精神科门诊人群中风险增加。因此，探究其风险因素至关重要。强迫症状在该患者群体中常见，有必要调查其对自杀风险的影响机制。
本研究纳入526名门诊青少年[396名女性（75.29%）；年龄中位数Mage = 15.39，标准差SD = 1.23]，他们在门诊就诊时完成了相关问卷并提供了人口统计学数据。
强迫症状在男性和女性中均正向预测自杀风险，抑郁症状起中介作用。睡眠障碍仅在女性中起中介作用，而焦虑症状在两性中均未介导这种关系。
临床医生应更密切关注有强迫和抑郁症状的青少年，以及有睡眠障碍的女性青少年，以降低其升高的自杀风险。
