TY - JOUR
PY - 2022//
TI - Core self-evaluation as mediator between depressive symptoms and suicidal ideation in adolescents
JO - Journal of affective disorders
A1 - Zou, Shoukang
A1 - Song, Xiaozhen
A1 - Tan, Wenli
A1 - Deng, Fang
A1 - Zhang, Hang
A1 - Xu, Hanmei
A1 - Tao, Yuanmei
A1 - Tang, Xian
A1 - Tang, Xiaowei
A1 - Xiong, Ping
A1 - Huang, Huiping
A1 - Huang, Ying
A1 - Li, Ling
A1 - Yang, Wenjuan
A1 - Zeng, Hongping
A1 - Liu, Gui
A1 - Shen, Xiaosu
A1 - Zhao, Hongqin
A1 - Chen, Ying
A1 - Yao, Kangling
A1 - Zhao, Jingyi
A1 - Han, Wenwen
A1 - Zhou, Jingmiao
A1 - Hou, Jianmin
A1 - Peng, Shikun
A1 - Wang, Yadan
A1 - Yang, Yunzhen
A1 - Feng, Yi
A1 - Chen, Lin
A1 - Yang, Xiting
A1 - Li, Shuangshuang
A1 - Luo, Xue
A1 - Wang, Yan
A1 - Yin, Li
SP - ePub
EP - ePub
VL - ePub
IS - ePub
N2 - OBJECTIVES: To explore the role of core self-evaluation in mediating between depressive symptoms and suicidal ideation in Chinese adolescents.
METHODS: We used the cluster sampling method to analyze 11,563 students from five primary and secondary schools in China for depressive symptoms, core self-evaluation, and suicidal ideation using the following scoring scales: Core Self-Evaluation Scale (CSES), Center for Epidemiologic Survey Depression Scale (CES-D), the Second Edition of the Beck Depression Inventory (BDI- II), Screen for Child Anxiety Related Emotional Disorders (SCARED), and Adolescent Self-Rating Life Events Checklist (ASLEC).
RESULTS: The incidence of depression was 29.7%; anxiety, 34.2%; and suicidal ideation, 28.0%. Core self-evaluation was a protective factor for suicidal ideation [OR 0.947, 95% CI 0.937-0.959, p<0.001]. Conversely, depression as measured by the CSES score was a risk factor for suicidal ideation (OR 1.084, 95% CI 1.073-1.096, p<0.001), as were anxiety as measured by the SCARED score (OR 1.011, 95% CI 1.006-1.016, p<0.001) and adolescent life events according to ASLEC score groups (OR 1.524, 95% CI 1.434-1.621, p<0.001). Core self-evaluation mediated the relationship between depression and suicidal ideation with an effect size of 13.9%.
CONCLUSIONS: Better core self-evaluation is a protective factor against suicidal ideation and mediates the relationship between depression and suicidal ideation. We may be able to reduce the risk of suicidal ideation and therefore suicide among adolescents by improving their core self-evaluation.
Language: en
LA - en SN - 0165-0327 UR - http://dx.doi.org/10.1016/j.jad.2022.01.093 ID - ref1 ER -