Problematic Smartphone Use Mediates the Pathway from Suicidal Ideation to Positive Psychotic Experiences: a Large Cross-Sectional, Population-Based Study.

Journal: International journal of mental health and addiction

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Affiliated Institutions:  The Tunisian Center of Early Intervention in Psychosis, Department of Psychiatry "Ibn Omrane", Razi Hospital, Manouba, Tunisia. College of Pharmacy, Gulf Medical University, Ajman, United Arab Emirates. Laboratorio de Neurociencias (LIM ), Instituto de Psiquiatria, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP Brazil. Faculty of Science, Lebanese University, Fanar, Lebanon. School of Arts and Sciences, Social and Education Sciences Department, Lebanese American University, Jbeil, Lebanon. School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P.O. Box , Jounieh, Lebanon.

Abstract summary 

The present study followed the newly hypothesized "suicidal drive for psychosis" suggesting that psychosis may be consequential to suicidal ideation (SI) and behavior and attempted to explain parts of the pathway between these variables. To this end, we aimed to test whether problematic smartphone use (PSU) has an indirect mediating effect in the cross-sectional relationship between SI and positive psychotic experiences (PEs). Lebanese community young adults (=4158; 64.4% females; mean age 21.91±3.79) have been invited to participate to a cross-sectional, web-based study in the period from June to September 2022. After adjusting for potential confounders (i.e., the living situation, marital status, household crowding index, economic pressure, cannabis use, other drugs use, and past history of mental illness other than psychosis), we found that higher levels of suicidal ideation was significantly associated with greater PSU, which was also positively and significantly associated with more positive PEs. Finally, greater suicidal ideation was significantly and directly associated with more positive PEs. Our findings suggest that SPU may be regarded as a potential target for prevention and intervention in psychosis. Clinicians, educators, and school administrators ought to give greater attention to PSU among vulnerable young people who present with SI.

Authors & Co-authors:  Fekih-Romdhane Feten F Malaeb Diana D Loch Alexandre Andrade AA Farah Nour N Stambouli Manel M Cheour Majda M Obeid Sahar S Hallit Souheil S

Study Outcome 

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Citations :  Alao AO, Soderberg M, Pohl EL, Alao AL. Cybersuicide: Review of the role of the internet on suicide. Cyberpsychology & Behavior. 2006;9(4):489–493. doi: 10.1089/cpb.2006.9.489.
Authors :  8
Identifiers
Doi : 10.1007/s11469-023-01028-8
SSN : 1557-1874
Study Population
Male,Female
Mesh Terms
Other Terms
CAPE;Problematic smartphone use;Psychosis;Psychotic experiences;Suicidal ideation
Study Design
Cross Sectional Study
Study Approach
Country of Study
Publication Country
United States