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Perceived social support and suicide ideation in Chinese rural left-behind children: A possible mediating role of depression.
J Affect Disord 2019; 261:198-203JA

Abstract

OBJECTIVE

Psychologically 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.

METHOD

A 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.

RESULTS

Multivariate 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.

CONCLUSIONS

Perceived 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.

Authors+Show Affiliations

School of Public Health, Kunming Medical University, Kunming, Yunnan, China; Department of Chronic Disease Epidemiology, Yale School of Public Health, Yale University, United States. Electronic address: 33225647@qq.com.School of Public Health, Kunming Medical University, Kunming, Yunnan, China.School of Public Health, Kunming Medical University, Kunming, Yunnan, China.The Second Affiliated School of Clinical Medicine, Kunming Medical University, Kunming, Yunnan, China.The Second Affiliated School of Clinical Medicine, Kunming Medical University, Kunming, Yunnan, China.Health Center of Mashan Township, Yuecheng District, Shaoxing, Zhejiang, China.The Second Affiliated School of Clinical Medicine, Kunming Medical University, Kunming, Yunnan, China.The Second Affiliated School of Clinical Medicine, Kunming Medical University, Kunming, Yunnan, China.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31634679

Citation

Xiao, Yuanyuan, et al. "Perceived Social Support and Suicide Ideation in Chinese Rural Left-behind Children: a Possible Mediating Role of Depression." Journal of Affective Disorders, vol. 261, 2019, pp. 198-203.
Xiao Y, Chen Y, Chang W, et al. Perceived social support and suicide ideation in Chinese rural left-behind children: A possible mediating role of depression. J Affect Disord. 2019;261:198-203.
Xiao, Y., Chen, Y., Chang, W., Pu, Y., Chen, X., Guo, J., ... Yin, F. (2019). Perceived social support and suicide ideation in Chinese rural left-behind children: A possible mediating role of depression. Journal of Affective Disorders, 261, pp. 198-203. doi:10.1016/j.jad.2019.09.081.
Xiao Y, et al. Perceived Social Support and Suicide Ideation in Chinese Rural Left-behind Children: a Possible Mediating Role of Depression. J Affect Disord. 2019 Sep 30;261:198-203. PubMed PMID: 31634679.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Perceived social support and suicide ideation in Chinese rural left-behind children: A possible mediating role of depression. AU - Xiao,Yuanyuan, AU - Chen,Ying, AU - Chang,Wei, AU - Pu,Yiqi, AU - Chen,Xue, AU - Guo,Jieyun, AU - Li,Yuting, AU - Yin,Fang, Y1 - 2019/09/30/ PY - 2019/02/03/received PY - 2019/09/11/revised PY - 2019/09/30/accepted PY - 2019/10/22/pubmed PY - 2019/10/22/medline PY - 2019/10/22/entrez KW - Depression KW - Left-behind children KW - Mediation KW - Perceived social support KW - Suicide ideation SP - 198 EP - 203 JF - Journal of affective disorders JO - J Affect Disord VL - 261 N2 - OBJECTIVE: Psychologically 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. METHOD: A 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. RESULTS: Multivariate 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. CONCLUSIONS: Perceived 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. SN - 1573-2517 UR - https://www.unboundmedicine.com/medline/citation/31634679/Perceived_social_support_and_suicide_ideation_in_Chinese_rural_left-behind_children:_A_possible_mediating_role_of_depression L2 - https://linkinghub.elsevier.com/retrieve/pii/S0165-0327(19)30316-7 DB - PRIME DP - Unbound Medicine ER -