Individual-family-school three factors analysis of suicidal ideation and depression among adolescents in Shangqiu City

Abstract

Abstract: Objective To explore the effects of individual,family,school factors on suicidal ideation and depression among adolescents in Shangqiu City,and to provide targeted interventions for adolescents’ mental health. Methods From May to June 2021,a stratified random cluster sampling method was used to investigate the mental health of 1 607 adolescents from four high schools in Shangqiu City. Results 21.90% of adolescents reported suicidal ideation,and 28.31% had depressive symptoms. Girls（OR=1.58,95%CI：1.21-2.07）,family dysfunction（OR=2.21,95%CI：1.68-2.91） and childhood abuse（OR=1.13,95%CI：1.09-1.18） could significantly predict suicidal ideation,while those with higher levels of psychological resilience（OR=0.97,95%CI：0.96-0.98） and school connectedness（OR=0.93,95%CI：0.91-0.95） were less likely to report suicidal ideation. Similarly,girls（OR=1.47,95%CI：1.13-1.92）,family dysfunction（OR=2.11,95%CI：1.59-2.79） and childhood abuse（OR=1.23,95%CI：1.18-1.29） could significantly predict depression,while psychological resilience（OR=0.93,95%CI：0.92-0.95） and school connectedness（OR=0.93,95%CI：0.91-0.95） could prevent adolescents from developing depressive symptoms. Additionally,11th graders reported significantly higher prevalence of depression than 10th graders（OR=1.34,95%CI：1.03-1.74）. Conclusion The psychological health of adolescents in Shangqiu City is influenced by individual,family,and school factors. To effectively prevent psychological health problems among adolescents,we should start from the overall growth environment of adolescents,establish a linkage system of "individual family school",strengthen protective factors in all levels,reduce risk factors,and provide a supportive environment for the healthy growth of adolescents.

Key words: Adolescents, Depression, Suicidal ideation, Influencing factors

CLC Number:

R395.6

LI Yuqin, YANG Yinmei, LI Yunyun. Individual-family-school three factors analysis of suicidal ideation and depression among adolescents in Shangqiu City. [J]OCCUPATION AND HEALTH, 2024, 40(1): 71-75.

References

[1] 谢小敏,冯蓓,李亚莉,等.青少年抑郁症状的相关家庭因素研究[J].中国儿童保健杂志,2022,30(4):446-449,464.
[2] 刘福荣,宋晓琴,尚小平,等.中学生抑郁症状检出率的Meta分析[J].中国心理卫生杂志,2020,34(2):123-128.
[3] JONES P B.Adult mental health disorders and their age at onset[J].Br J Psychiatry Suppl,2013,54:S5-S10.
[4] KESSLER R C,AMMINGER G P,AGUILAR-GAXIOLA S,et al.Age of onset of mental disorders:A review of recent literature[J].Curr Opin Psychiatry,2007,20(4):359-364.
[5] JOHNSON D,DUPUIS G,PICHE J,et al.Adult mental health outcomes of adolescent depression:A systematic review[J].Depress Anxiety,2018, 35(8):700-716.
[6] 邹广顺,吕军城,乔晓伟.中国中学生自杀意念检出率的Meta分析[J].中国心理卫生杂志,2021,35(8):643-650.
[7] 喻承甫,张卫,曾毅茵,等.青少年感恩与问题行为的关系:学校联结的中介作用[J].心理发展与教育,2011,27(4):425-433.
[8] 赵幸福,张亚林,李龙飞,等.中文版儿童期虐待问卷的信度和效度[J].中国临床康复,2005,9(20):105-107.
[9] BERNSTEIN D P,STEIN J A,NEWCOMB M D,et al.Development and validation of a brief screening version of the Childhood Trauma Questionnaire[J].Child Abuse Negl,2003,27(2):169-190.
[10] FELITTI V J,ANDA R F,NORDENBERG D,et al.Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults.The Adverse Childhood Experiences(ACE) Study[J].Am J Prev Med,1998,14(4):245-258.
[11] 万宇辉,马双双,许韶君,等.中国3个城市中学生童年期不良经历和社会支持与身心亚健康状态的关联研究[J].中华预防医学杂志,2017,51(9):786-791.
[12] CAMPBELL-SILLS L,STEIN M B.Psychometric analysis and refinement of the Connor-Davidson Resilience Scale(CD-RISC):Validation of a 10-item measure of resilience[J].J Trauma Stress,2007,20(6):1019-1028.
[13] SHE R,YANG X,LAU M M C,et al.Psychometric properties and normative data of the 10-item Connor-Davidson Resilience Scale among Chinese adolescent students in Hong Kong[J].Child Psychiatry Hum Dev,2020,51(6):925-933.
[14] RADLOFF L S.The CES-D Scale:A Self-Report Depression Scale for research in the general population[J].Appl Psychol Meas,1977,1(3):385-401.
[15] 李丽平,亓德云,江艳微,等.上海市虹口区中学生抑郁症状和网络使用的关系[J].环境与职业医学,2020,37(12):1170-1174.
[16] 刘羽,杨洋,王晨旭,等.校园氛围和负性情绪对青少年自杀意念的影响:一项交叉滞后研究[J].心理与行为研究,2020,18(6):784-790.
[17] 杨雪,王艳辉,李董平,等.校园氛围与青少年的自杀意念/企图:自尊的中介作用[J].心理发展与教育,2013,29(5):541-551.
[18] 王存同. 进阶回归分析[M].北京:高等教育出版社,2017:312-321.
[19] 王桂珍,王艳郁,孙宏伟,等.青少年自杀行为的保护性因素探讨[J].医学与哲学(A) ,2016,37(5):35-38.
[20] WEI J,GONG Y,WANG X,et al.Gender differences in the relationships between different types of childhood trauma and resilience on depressive symptoms among Chinese adolescents[J].Prev Med,2021, 148:106523.
[21] 从恩朝,吴彦,蔡亦蕴,等.青少年自杀意念与家庭环境和心理弹性之间的关联研究[J].中国当代儿科杂志,2019,21(5):479-484.
[22] 从恩朝,吴彦,徐一峰.青少年焦虑情绪与家庭环境、心理弹性之间的关联研究[J].中国儿童保健杂志,2019,27(9):990-993,1001.
[23] 徐慧,王萍,刘小群,等.山东省青少年领悟社会支持在网络受欺凌与自杀意念间的中介作用[J].医学与社会,2021,34(7):72-76.
[24] 段修云,徐明津,杨新国.2015年广西民族地区中学生抑郁焦虑现状及影响因素[J].职业与健康,2017,33(24):3411-3414.
[25] SALK R H,HYDE J S,ABRAMSON L Y.Gender differences in depression in representative national samples:Meta-analyses of diagnoses and symptoms[J].Psychol Bull,2017,143(8):783-822.
[26] 万宇辉,陶芳标.从童年期不良经历的视角认识青少年心理行为问题[J].中国学校卫生,2020,41(4):484-489.
[27] TANG X,TANG S,REN Z,et al.Psychosocial risk factors associated with depressive symptoms among adolescents in secondary schools in mainland China:A systematic review and meta-analysis[J].J Affect Disord,2020,263:155-165.
[28] 文小桐,陈飞宇,郑辉烈,等.南昌市高中生童年期不良经历与自杀相关行为的研究[J].现代预防医学,2020,47(3):441-445.
[29] 刘佳,万宇辉,袁长江,等.童年期不良经历与中学生自杀行为的关联性研究[J].中国学校卫生,2016,37(4):567-569,572.
[30] 张紫微,余春艳,袁萍,等.儿童期不良经历与青春早期抑郁的关联性[J].中国学校卫生,2019,40(6):874-877.
[31] BRONFENBRENNER U.The ecology of human development:Experiments by nature and design[M].Cambridge,MA:Harvard University Press,1979:132-163.
[32] MILLINGS A,BUCK R,MONTGOMERY A,et al.School connectedness,peer attachment,and self-esteem as predictors of adolescent depression[J].J Adolesc,2012,35(4):1061-1067.
[33] LANGILLE D B,ASBRIDGE M,CRAGG A,et al.Associations of school connectedness with adolescent suicidality:Gender differences and the role of risk of depression[J].Can J Psychiatry,2015,60(6),258-267.
[34] LANGILLE D,RASIC D,KISELY S,et al.Protective associations of school connectedness with risk of depression in Nova Scotia adolescents[J].Can J Psychiatry,2012,57(12):759-764.
[35] HE G H,STRODL E,CHEN W Q,et al.Interpersonal conflict,school connectedness and depressive symptoms in Chinese adolescents:Moderation effect of gender and grade level[J].Int J Environ Res Public Health,2019,16(12):2182.