Latent classes and associated factors of suicidal ideation among high school students

SU Liyan; MA Jun; YANG Yaming; JIANG Xuanli; WANG Xiaoyu; SHENG Jiating; LIU Fangdu; LI Minhui; ZHANG Xujun

doi:10.16835/j.cnki.1000-9817.2024034

Volume 45 Issue 1

Jan. 2024

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SU Liyan, MA Jun, YANG Yaming, JIANG Xuanli, WANG Xiaoyu, SHENG Jiating, LIU Fangdu, LI Minhui, ZHANG Xujun. Latent classes and associated factors of suicidal ideation among high school students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(1): 66-71. doi: 10.16835/j.cnki.1000-9817.2024034

Citation:

SU Liyan, MA Jun, YANG Yaming, JIANG Xuanli, WANG Xiaoyu, SHENG Jiating, LIU Fangdu, LI Minhui, ZHANG Xujun. Latent classes and associated factors of suicidal ideation among high school students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(1): 66-71. doi: 10.16835/j.cnki.1000-9817.2024034

Citation:

SU Liyan, MA Jun, YANG Yaming, JIANG Xuanli, WANG Xiaoyu, SHENG Jiating, LIU Fangdu, LI Minhui, ZHANG Xujun. Latent classes and associated factors of suicidal ideation among high school students[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2024, 45(1): 66-71. doi: 10.16835/j.cnki.1000-9817.2024034

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Latent classes and associated factors of suicidal ideation among high school students

doi: 10.16835/j.cnki.1000-9817.2024034

1.
Department of Epidemiology and Biostatistics, School of Public Health, Southeast University, Nanjing (210009), Jiangsu Province, China

Received Date: 2023-11-06
Rev Recd Date: 2023-12-22

Available Online: 2024-02-01

Publish Date: 2024-01-25

Abstract

Abstract

Objective To understand current situation epidemiology and associated factors of suicidal ideation among high school students in Yixing, so as to provide basis for targeted intervention. Methods From March to May 2019, a questionnaire survey was conducted on 12 799 students from 3 junior high schools and 4 senior high schools in Yixing City, Jiangsu Province, using a stratified cluster random sampling method. Latent profile analysis was used to classify suicidal ideation among high school students, the chi-square test was used to compare the differences in suicidal ideation among different characteristics of students, multiple Logistic regression was used to analyze influencing factors, a risk predictive nomogram model was constructed and then verified. Results Three latent classes of suicidal ideation among high school students was divided into three categories were observed: none or mild, moderate, and severe. Among them, 3 034 (23.7%) had moderate suicidal ideation and 753 (5.9%) had severe suicidal ideation. The Logistic regression results showed that gender was female, academic performance was lower mid-range, smoking, drinking, popularity with classmates(less popular and unpopularity), family member relationships(general/occasional contradictions/contradictions), trust in others(more trusted/less trusted/less trusted at all), past or current relationships, physical bullying, relationship bullying, verbal bullying, and sexual bullying were the influencing factors for severe suicidal ideation among students (OR=3.27;2.18;1.63;1.72;2.66, 6.05;3.00, 3.29, 6.38;1.71, 6.04, 12.48; 2.50; 1.59; 2.16; 1.45; 1.63, P < 0.05). The nomogram prediction model had good discrimination. Conclusions Suicide ideation is influenced by multiple factors. Family and peer situations, as well as being bullied, are all related to the degree the severity of suicidal ideation. Efforts can be made to improve students' family and interpersonal relationships, control bullying, then reduce their suicidal ideation which might help prevent suicide ideation among students.
- Suicide,
- Mental health,
- Regression analysis,
- Students

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References(30)

References

[1]	中华人民共和国国家卫生健康委员会. 中国卫生健康统计年鉴(2022)[M]. 北京: 中国协和医科大学出版社, 2022. National Health Commission of the PRC. China health statistics yearbook (2022)[M]. Beijing: China Union Medical University Press, 2022. (in Chinese)
[2]	WOLFF J, FRAZIER E A, ESPOSITO-SMYTHERS C, et al. Cognitive and social factors associated with NSSI and suicide attempts in psychiatrically hospitalized adolescents[J]. J Abn Child Psychol, 2013, 41(6): 1005-1013. doi: 10.1007/s10802-013-9743-y
[3]	邵莉莉. 我国青少年自杀现象十年总结[J]. 当代青年研究, 2005(5): 47-52. doi: 10.3969/j.issn.1006-1789.2005.05.011 SHAO L L. Summary of our country's juvenile suicide phenomena in ten years[J]. Contemp Youth Res, 2005(5): 47-52. (in Chinese) doi: 10.3969/j.issn.1006-1789.2005.05.011
[4]	HU J, DONG Y, CHEN X, et al. Prevalence of suicide attempts among Chinese adolescents: a Meta-analysis of cross-sectional studies[J]. Compr Psychiatry, 2015, 61: 78-89. doi: 10.1016/j.comppsych.2015.05.001
[5]	OSMAN A, BARRIOS F X, GUTIERREZ P M, et al. The Positive and Negative Suicide Ideation (PANSI) Inventory: psychometric evaluation with adolescent psychiatric inpatient samples[J]. J Pers Assess, 2002, 79(3): 512-530. doi: 10.1207/S15327752JPA7903_07
[6]	CHEN W, YANG T, GAO R, et al. The factor structure and psychometric properties of the Chinese version of the Positive and Negative Suicide Ideation Inventory (PANSI-C) in a non-clinical sample of Chinese adolescents[J]. Ann Gen Psychiatry, 2021, 20(1): 47. doi: 10.1186/s12991-021-00366-y
[7]	王学志, 宫火良, 康晓然, 等. 青少年自杀意念量表中文版在高中生应用的信效度分析[J]. 中国健康心理学杂志, 2011, 19(8): 964-966. WANG X Z, GONG H L, KANG X R, et al. Reliability and validity analysis of the Chinese version of the Adolescent Suicide Intention Scale in high school students[J]. Chin J Health Psychol, 2011, 19 (8): 964-966. (in Chinese)
[8]	MYNARD H, JOSEPH S. Development of the Multidimensional Peer-Victimization Scale[J]. Aggress Behav, 2000, 26(2): 169-178. doi: 10.1002/(SICI)1098-2337(2000)26:2<169::AID-AB3>3.0.CO;2-A
[9]	费高强. 中学生校园欺凌现况及其影响因素研究[D]. 南京: 东南大学, 2022. FEI G Q. A study on the prevalence and influencing factors of school bullying among middle school students[D]. Nanjing: Southeast University, 2022. (in Chinese)
[10]	戚江丹, 黄大炜, 刘潇, 等. 初中生自杀意念的现状及网络社交自我效能感、孤独感的作用[J]. 中国健康教育, 2020, 36(5): 450-454. QI J D, HUANG D W, LIU X, et al. The status of suicidal ideation and the role of networking self-efficacy andloneliness among junior middle school students[J]. Chin J Health Educ, 2020, 36 (5): 450-454. (in Chinese)
[11]	WANG W, ZHOU D D, AI M, et al. Internet addiction and poor quality of life are significantly associated with suicidal ideation of senior high school students in Chongqing, China[J]. Peer J, 2019, 7: e7357. doi: 10.7717/peerj.7357
[12]	王秋英, 黄巧敏, 刘晓凤, 等. 家庭功能对青少年早期外化问题行为的影响: 心理韧性的中介作用和性别的调节作用[J]. 心理与行为研究, 2020, 18(5): 659-665. WANG Q Y, HUANG Q M, LIU X F, et al. The association between family functioning and externalizing behavior in early adolescents: the mediating effect of resilience and moderating effect of gender[J]. Stud Psychol Behav, 2020, 18(5): 659-665. (in Chinese)
[13]	生笑笑, 李静雅, 牛骅, 等. 父母严厉管教与青少年外化问题行为的关系: 青春发育时相与性别的调节作用[J]. 中国临床心理学杂志, 2019, 27(6): 1199-1204, 1209. SHENG X X, LI J Y, NIU H, et al. Parental harsh discipline and adolescents' externalizing problem behaviors: the moderating role of puberty timing[J]. Chin J Clin Psychol, 2019, 27(6): 1199-1204, 1209. (in Chinese)
[14]	张杰. 自杀研究在中国: 自杀率的变化和理论探讨[J]. 四川精神卫生, 2022, 35(5): 393-401. ZHANG J. Suicidology in China: rate changes and theoretical explorations[J]. Sichuan Ment Health, 2022, 35(5): 393-401. (in Chinese)
[15]	HARRISON R, MUNAFò M R, DAVEY S G, et al. Examining the effect of smoking on suicidal ideation and attempts: triangulation of epidemiological approaches[J]. Br J Psychiatry, 2020, 217(6): 701-707. doi: 10.1192/bjp.2020.68
[16]	KIM A M, JEON S W, CHO S J, et al. Comparison of the factors for suicidal ideation and suicide attempt: a comprehensive examination of stress, view of life, mental health, and alcohol use[J]. Asian J Psychiatry, 2021, 65: 102844. doi: 10.1016/j.ajp.2021.102844
[17]	GUO L, WANG W, WANG T, et al. Association of emotional and behavioral problems with single and multiple suicide attempts among Chinese adolescents: modulated by academic performance[J]. J Affect Disord, 2019, 258: 25-32. doi: 10.1016/j.jad.2019.07.085
[18]	刘杰, 孟会敏. 关于布郎芬布伦纳发展心理学生态系统理论[J]. 中国健康心理学杂志, 2009, 17(2): 250-252. LIU J, MENG H M. Understanding on the ecological system theory of Bronfenbrenner developmental psychology[J]. Chin J Health Psychol, 2009, 17(2): 250-252. (in Chinese)
[19]	PENG W, LI D, LI X, et al. Peer victimization and adolescents' suicidal ideation and suicide attempts: a moderated mediation model[J]. Child Youth Serv Rev, 2020, 112: 104888. doi: 10.1016/j.childyouth.2020.104888
[20]	ZHU Z, TANG W, LIU G, et al. The effect of psychological suzhi on suicide ideation in Chinese adolescents: the mediating role of family support and friend support[J]. Front Psychol, 2021, 11: 632274. doi: 10.3389/fpsyg.2020.632274
[21]	LEE M T Y, WONG B P, CHOW B W Y, et al. Predictors of suicide ideation and depression in Hong Kong adolescents: perceptions of academic and family climates[J]. Suic Life Threat Behav, 2006, 36(1): 82-96. doi: 10.1521/suli.2006.36.1.82
[22]	LAI K W, MCBRIDE-CHANG C. Suicidal ideation, parenting style, and family climate among Hong Kong adolescents[J]. Inter J Psychol, 2001, 36(2): 81-87. doi: 10.1080/00207590042000065
[23]	SUN R, REN Y, LI X, et al. Self-compassion and family cohesion moderate the association between suicide ideation and suicide attempts in Chinese adolescents[J]. J Adolesc, 2020, 79(1): 103-111. doi: 10.1016/j.adolescence.2019.12.010
[24]	AI T, XU Q, LI X, et al. Interparental conflict and Chinese adolescents' suicide ideation and suicide attempts: the mediating role of peer victimization[J]. J Child Fam Stud, 2017, 26(12): 3502-3511. doi: 10.1007/s10826-017-0837-y
[25]	AGUAYO L, BEACH L B, WANG X, et al. Someone to talk to: the association of mentorship and cyberbullying with suicidality among US high school students[J]. Soc Psychiatry Psychiatr Epidemiol, 2022, 57(1): 149-159. doi: 10.1007/s00127-021-02144-3
[26]	于士伟, 武春雷, 王博, 等. 中小学生网络受欺凌与自杀意念: 有调节的中介模型[J]. 中华疾病控制杂志, 2021, 25(2): 227-230. YU S W, WU C L, WANG B, et al. Cyberbullying and suicidal ideas among primary and middle school students: a moderated mediation model[J]. Chin J Dis Control Prev, 2021, 25 (2): 227-230. (in Chinese)
[27]	CHOON M W, ABU T M, YAACOB S N, et al. Negative automatic thoughts as a mediator of the relationship between depression and suicidal behaviour in an at-risk sample of Malaysian adolescents[J]. Child Adolesc Ment Health, 2015, 20(2): 89-93.
[28]	QUINTANA-ORTS C, REY L. Traditional bullying, cyberbullying and mental health in early adolescents: forgiveness as a protective factor of peer victimisation[J]. Int J Environ Res Public Health, 2018, 15(11): 2389.
[29]	胡兴蕾, 余思, 刘勤学, 等. 青少年网络被欺负与自杀意念的关系: 自尊和情绪应对方式的链式中介作用[J]. 心理发展与教育, 2019, 35(3): 368-375. HU X L, YU S, LIU Q X, et al. The effect of cyber-victimization on suicidal ideation: the chain mediating role of self-esteem and emotional coping style among adolescents[J]. Psychol Dev Educ, 2019, 35 (3): 368-375. (in Chinese)
[30]	CHANG Q, XING J, HO R T H, et al. Cyberbullying and suicide ideation among Hong Kong adolescents: the mitigating effects of life satisfaction with family, classmates and academic results[J]. Psychiatry Res, 2019, 274: 269-273.