Network analysis of suicide ideation and depression-anxiety symptoms among Chinese adolescents.

Journal: General psychiatry

Volume: 37

Issue: 2

Year of Publication: 

Affiliated Institutions:  Department of Psychiatry, National Clinical Research Center for Mental Disorders, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China.

Abstract summary 

The co-occurrence of depression and anxiety among adolescents is typically associated with suicide ideation.The study aimed to investigate the symptom-level relationship between suicide ideation and the comorbidity of depression and anxiety.1501 adolescents aged 12-19 years were assessed using the Patient Health Questionnaire (PHQ-9) and the Generalized Anxiety Disorder Scale, and 716 adolescents who scored ≥5 on both scales were selected as participants. Network analysis was used to identify the network structure of depressive symptoms and anxiety symptoms. Participants were categorised into either the suicide ideation or non-suicide ideation groups based on their scoring on the suicide-related item in PHQ-9. A comparison was made between the depression-anxiety symptom networks of the two groups.'Restlessness', 'sad mood' and 'trouble relaxing' were the most prominent central symptoms in the depression-anxiety symptom network, and 'restlessness', 'nervousness' and 'reduced movement' were the bridge symptoms in this network. 'Sad mood' was found to be directly related to 'suicide ideation' with the highest variance. The network structure was significantly different in properties between the suicide ideation group and the non-suicide ideation group, with 'restlessness' and 'sad mood' exhibiting significantly higher influence in the network of the suicide ideation group than that in the non-suicide ideation group.Restlessness and sad mood could be targeted for the intervention of depression-anxiety symptoms among adolescents with suicide ideation.

Authors & Co-authors:  Xu Ju Wei Ou Ma Lv Zhao Qin Li Li Huang Yang Lu Chen Liu Liu Liu Zhang

Study Outcome 

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Statistics
Citations :  Mahumud RA, Dawson AJ, Chen W, et al. . The risk and protective factors for suicidal burden among 251 763 school-based adolescents in 77 low- and middle-income to high-income countries: assessing global, regional and national variations. Psychol Med 2022;52:379–97. 10.1017/S0033291721002774
Authors :  18
Identifiers
Doi : e101225
SSN : 2517-729X
Study Population
Male,Female
Mesh Terms
Other Terms
Adolescent Behavior;Anxiety;Depression;Suicidal Ideation
Study Design
Study Approach
Country of Study
Publication Country
England