The Mediating Role of Depression Severity on the Relationship Between Suicidal Ideation and Self-Injury in Adolescents With Major Depressive Disorder.

The Mediating Role of Depression Severity on the Relationship Between Suicidal Ideation and Self-Injury in Adolescents With Major Depressive Disorder.
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DOI:
10.5765/jkacap.220014
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发表时间:
2022-10-01
期刊:
Soa--ch'ongsonyon chongsin uihak = Journal of child & adolescent psychiatry
影响因子:
--
通讯作者:
Lee YJ
Lee YJ
中科院分区:
其他
文献类型:
--
作者:
Kang B;Hwang J;Woo SI;Hahn SW;Kim M;Kim Y;Jin H;Jeon HJ;Lee YJ

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自杀是韩国青少年死亡的主要原因,抑郁和人格特征已被确定为自我伤害行为的重要危险因素。本研究旨在探讨青少年自我伤害与抑郁情绪、气质/性格的关系。共有116名青少年(年龄12-18岁)与主要诊断为抑郁症(MDD)及其父母参加了这项研究。根据青少年自我伤害的频率将被试分为三组,比较他们的儿童抑郁量表(CDI)、青少年自我报告量表(YSR)和气质和性格量表(TCI)的得分。最后,通过中介分析探讨自杀意念与自伤的关系。在研究参与者中,75.9%的人回答说他们有自杀意念,55.2%的人回答说他们在过去六个月内从事过自我伤害行为。各组间CDI和自杀意念差异有统计学意义。调整年龄和性别后,中介分析表明抑郁情绪介导了自杀念头和自伤之间的关系。这项研究强调了评估和管理抑郁情绪严重程度的重要性,因为这些因素部分介导了从自杀意念到自伤的转变。
Suicide is the leading cause of death among adolescents in South Korea, and depression and personality profiles have been identified as significant risk factors for self-injurious behavior. This study examined the influence of depressive mood and temperament/ character on self-injury in adolescents. A total of 116 adolescents (aged 12–18 years) with a primary diagnosis of major depressive disorder (MDD) and their parents were enrolled in this study. The participants were divided into three groups based on adolescent’s self-injury frequency, and their Children’s Depression Inventory (CDI), Youth Self-Report (YSR), and Temperament and Character Inventory (TCI) scores were compared. Finally, mediation analysis was conducted to investigate the relationship between suicidal ideation and self-injury. Of study participants, 75.9% answered that they had suicidal ideation, and 55.2% answered that they had engaged in self-injurious behavior in the last six months. There were significant differences in CDI and suicidal ideation among the groups. After adjusting for age and sex, mediation analysis indicated that depressive mood mediated the relationship between suicidal ideation and self-injury. This study emphasizes the importance of evaluating and managing depressive mood severity in adolescents with MDD as these factors partially mediate the transition from suicidal ideation to self-injury.
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