Perceived social support and suicide ideation in Chinese rural left-behind children: A possible mediating role of depression
Perceived social support and suicide ideation in Chinese rural left-behind children: A possible mediating role of depression
复制标题
中国农村留守儿童的社会支持感知与自杀意念：抑郁的可能中介作用
DOI：
10.1016/j.jad.2019.09.081
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发表时间：
2020
影响因子：
6.6
通讯作者：
Fang Yin
中科院分区：
文献类型：
--
作者：
Yuanyuan Xiao;Ying Chen;Wei Chang;Yiqi Pu;Xue Chen;Jieyun Guo;Yuting Li;Fang Yin
目的探讨心理困扰农村留守儿童的自杀风险。然而，在这一人群中，自杀及其潜在相关因素的讨论严重不足。本研究旨在探讨感知社会支持与自杀意念（SI）之间的关系，并探讨抑郁在这一关系中的可能中介作用。方法对西南地区2898名LBC进行人口代表性抽样调查。通过面对面访谈的方式收集相关信息。采用二元和有序logistic回归模型筛选感知社会支持、抑郁和自杀的相关因素。通径分析用于评估社会支持与SI之间的直接和间接关联。结果多元逻辑回归模型显示，在四种来源中，来自共同生活的亲戚、朋友和父母的感知社会支持与LBC的SI呈负相关，而不是教师。此外，抑郁和SI之间存在很强的相关性：与非抑郁LBC相比，抑郁LBC报告明显SI的可能性是非抑郁LBC的6.76倍（95%CI: 3.85, 11.87）。通径分析显示，感知社会支持与自杀之间的关联可能几乎完全由抑郁介导。结论来自共同生活的亲属、朋友和父母的社会支持可能是农村LBC发生SI的保护因素。旨在改善社会支持的干预策略和措施，特别是培养LBC与祖父母之间的亲密关系，可以有效减少LBC的SI。
ObjectivePsychologically distressed rural Chinese left-behind children (LBC) are at an increased risk of suicide. However, within this population, suicide and potential associated factors are severely under-discussed. This study primarily aims to explore the association between perceived social support and suicide ideation (SI), and to discuss the possible mediating role of depression in this association.MethodA population representative sampling survey was carried out with 2,898 LBC in southwest China. Relevant information was collected by means of face-to-face interviews. Binary and ordinal logistic regression models were employed to screen factors associated with perceived social support, depression and SI. Path analysis was applied to estimate the direct and indirect associations between social support and SI.ResultsMultivariate logistic regression models revealed that, among the four sources, perceived social support from relatives living together, friends, and parents, but not teachers, was inversely associated with SI in LBC. Moreover, depression and SI were strongly associated with each other: Compared with non-depressed LBC, depressed LBC were 6.76 (95%CI: 3.85, 11.87) times more likely to report prominent SI. Path analysis revealed that it is possible that the association between perceived social support and SI was almost entirely mediated by depression.ConclusionsPerceived social support from relatives living together, friends, and parents may be a protective factor against SI among rural Chinese LBC. Intervention strategies and measures that are targeted towards improving social support, especially cultivating closeness between LBC and their grandparents, could be effective in reducing SI in LBC.