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Effects of Self-Esteem on the Association between Negative Life Events and Suicidal Ideation in Adolescents

Negative life events (NLEs) increase the risk of suicidal ideation (SI) in adolescents. However, it is not known whether the association between NLEs and SI can be moderated by self-esteem and varies with gender. The aim of the current paper was to examine gender differences in the association of SI...

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Autores principales: Wan, Yuhui, Chen, Ruoling, Wang, Shanshan, Orton, Sophie, Wang, Danni, Zhang, Shichen, Sun, Ying, Tao, Fangbiao
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6719000/
https://www.ncbi.nlm.nih.gov/pubmed/31395818
http://dx.doi.org/10.3390/ijerph16162846
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author Wan, Yuhui
Chen, Ruoling
Wang, Shanshan
Orton, Sophie
Wang, Danni
Zhang, Shichen
Sun, Ying
Tao, Fangbiao
author_facet Wan, Yuhui
Chen, Ruoling
Wang, Shanshan
Orton, Sophie
Wang, Danni
Zhang, Shichen
Sun, Ying
Tao, Fangbiao
author_sort Wan, Yuhui
collection PubMed
description Negative life events (NLEs) increase the risk of suicidal ideation (SI) in adolescents. However, it is not known whether the association between NLEs and SI can be moderated by self-esteem and varies with gender. The aim of the current paper was to examine gender differences in the association of SI with NLEs in adolescents, and assess the effects of self-esteem on the association and their gender variations. We conducted a school-based health survey in 15 schools in China between November 2013 and January 2014. A total of 9704 participants aged 11–19 years had sociodemographic data reported and self-esteem (Rosenberg self-esteem scale), NLEs, and SI measured. Multivariate-adjusted logistic regression was used to calculate the odds ratio (OR) of having SI in relation to NLEs. Increased risk of SI was significantly associated with NLEs (adjusted OR 2.19, 95%CI 1.94–2.47), showing no gender differences (in females 2.38, 2.02–2.80, in males 1.96, 1.64–2.36, respectively). The association was stronger in adolescents with high esteem (2.93, 2.34–3.68) than those with low esteem (2.00, 1.65–2.42) (ORs ratio 1.47, p = 0.012). The matched figures in females were 3.66 (2.69–4.99) and 2.08 (1.61–2.70) (1.76, p = 0.006), while in males these figures were 2.27(1.62–3.19) and 1.89 (1.41–2.53) (1.20, p = 0.422), respectively. Self-esteem had moderate effects on the association between NLEs and SI in adolescents, mainly in females. NLEs, self-esteem, and gender need to be incorporated into future intervention programs to prevent SI in adolescents.
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spelling pubmed-67190002019-09-10 Effects of Self-Esteem on the Association between Negative Life Events and Suicidal Ideation in Adolescents Wan, Yuhui Chen, Ruoling Wang, Shanshan Orton, Sophie Wang, Danni Zhang, Shichen Sun, Ying Tao, Fangbiao Int J Environ Res Public Health Article Negative life events (NLEs) increase the risk of suicidal ideation (SI) in adolescents. However, it is not known whether the association between NLEs and SI can be moderated by self-esteem and varies with gender. The aim of the current paper was to examine gender differences in the association of SI with NLEs in adolescents, and assess the effects of self-esteem on the association and their gender variations. We conducted a school-based health survey in 15 schools in China between November 2013 and January 2014. A total of 9704 participants aged 11–19 years had sociodemographic data reported and self-esteem (Rosenberg self-esteem scale), NLEs, and SI measured. Multivariate-adjusted logistic regression was used to calculate the odds ratio (OR) of having SI in relation to NLEs. Increased risk of SI was significantly associated with NLEs (adjusted OR 2.19, 95%CI 1.94–2.47), showing no gender differences (in females 2.38, 2.02–2.80, in males 1.96, 1.64–2.36, respectively). The association was stronger in adolescents with high esteem (2.93, 2.34–3.68) than those with low esteem (2.00, 1.65–2.42) (ORs ratio 1.47, p = 0.012). The matched figures in females were 3.66 (2.69–4.99) and 2.08 (1.61–2.70) (1.76, p = 0.006), while in males these figures were 2.27(1.62–3.19) and 1.89 (1.41–2.53) (1.20, p = 0.422), respectively. Self-esteem had moderate effects on the association between NLEs and SI in adolescents, mainly in females. NLEs, self-esteem, and gender need to be incorporated into future intervention programs to prevent SI in adolescents. MDPI 2019-08-09 2019-08 /pmc/articles/PMC6719000/ /pubmed/31395818 http://dx.doi.org/10.3390/ijerph16162846 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Wan, Yuhui
Chen, Ruoling
Wang, Shanshan
Orton, Sophie
Wang, Danni
Zhang, Shichen
Sun, Ying
Tao, Fangbiao
Effects of Self-Esteem on the Association between Negative Life Events and Suicidal Ideation in Adolescents
title Effects of Self-Esteem on the Association between Negative Life Events and Suicidal Ideation in Adolescents
title_full Effects of Self-Esteem on the Association between Negative Life Events and Suicidal Ideation in Adolescents
title_fullStr Effects of Self-Esteem on the Association between Negative Life Events and Suicidal Ideation in Adolescents
title_full_unstemmed Effects of Self-Esteem on the Association between Negative Life Events and Suicidal Ideation in Adolescents
title_short Effects of Self-Esteem on the Association between Negative Life Events and Suicidal Ideation in Adolescents
title_sort effects of self-esteem on the association between negative life events and suicidal ideation in adolescents
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6719000/
https://www.ncbi.nlm.nih.gov/pubmed/31395818
http://dx.doi.org/10.3390/ijerph16162846
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