Associations of rumination with suicidal ideation and suicide attempts amongst individuals with major depressive disorder: A 12-month longitudinal study in China
Background: This study aimed to explore the longitudinal associations of rumination with suicidal ideation and suicide attempts in individuals with major depressive disorder (MDD). Methods: Participants were derived from the Depression Cohort in China study (DCC). Those who completed at least one fo...
| Main Authors: | , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2024-07-01
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| Series: | Comprehensive Psychiatry |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0010440X24000233 |
| _version_ | 1797249213601415168 |
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| author | Xinyu Huang Beifang Fan Yingcheng Jiang Yanzhi Li Ya Chen Hao Zhao Yunbin Jiang Wanxin Wang Lan Guo Yan Chen Yifeng Liu Zehui Li Sabrina Wong Roger S. McIntyre Xue Han Ciyong Lu |
| author_facet | Xinyu Huang Beifang Fan Yingcheng Jiang Yanzhi Li Ya Chen Hao Zhao Yunbin Jiang Wanxin Wang Lan Guo Yan Chen Yifeng Liu Zehui Li Sabrina Wong Roger S. McIntyre Xue Han Ciyong Lu |
| author_sort | Xinyu Huang |
| collection | DOAJ |
| description | Background: This study aimed to explore the longitudinal associations of rumination with suicidal ideation and suicide attempts in individuals with major depressive disorder (MDD). Methods: Participants were derived from the Depression Cohort in China study (DCC). Those who completed at least one follow-up visit during the 12 months were included in the analysis. Dimensions of rumination including brooding and reflection were each measured using five items of the Ruminative Responses Scale. Suicidal ideation was assessed using the Beck Scale for Suicide Ideation. Suicide attempts were also assessed and all were analyzed with generalized estimating equations. Results: Our final sample included 532 participants aged 18 to 59 years (mean [SD], 26.91 [6.94] years) consisting of 148 (27.8%) males and 384 (72.2%) females. After adjusting for temporal trend and potential confounders, individuals with higher levels of reflection were more likely to report suicidal ideation (AOR =1.11, 95% CI:1.01–1.22). However, no statistically significant association was found between brooding and suicidal ideation (AOR =1.06, 95% CI:0.96–1.17). Conversely, individuals with higher levels of brooding were more likely to report suicide attempts (AOR =1.13, 95% CI:1.02–1.24), while no statistically significant association was observed between reflection and suicide attempts (AOR =0.91, 95% CI:0.82–1.01). Conclusion: Rumination reflects a disturbance in cognitive emotional processing and manifests in different dimensions. Our findings suggest that high levels of reflection and brooding may be associated with a higher likelihood of having suicidal ideation and suicide attempts, respectively. However, it should be interpreted with caution, given that effect sizes are small. |
| first_indexed | 2024-04-24T20:26:55Z |
| format | Article |
| id | doaj.art-6eab761ccaeb4a06be01f9fd826a0f44 |
| institution | Directory Open Access Journal |
| issn | 0010-440X |
| language | English |
| last_indexed | 2024-04-24T20:26:55Z |
| publishDate | 2024-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Comprehensive Psychiatry |
| spelling | doaj.art-6eab761ccaeb4a06be01f9fd826a0f442024-03-22T05:38:10ZengElsevierComprehensive Psychiatry0010-440X2024-07-01132152472Associations of rumination with suicidal ideation and suicide attempts amongst individuals with major depressive disorder: A 12-month longitudinal study in ChinaXinyu Huang0Beifang Fan1Yingcheng Jiang2Yanzhi Li3Ya Chen4Hao Zhao5Yunbin Jiang6Wanxin Wang7Lan Guo8Yan Chen9Yifeng Liu10Zehui Li11Sabrina Wong12Roger S. McIntyre13Xue Han14Ciyong Lu15Department of Medical statistics and Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China; Guangdong Provincial Key Laboratory of Food, Nutrition and Health, Sun Yat-sen University, Guangzhou 510080, ChinaDepartment of Psychiatry, Shenzhen Nanshan Center for Chronic Disease Control, Shenzhen, ChinaDepartment of Medical statistics and Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China; Guangdong Provincial Key Laboratory of Food, Nutrition and Health, Sun Yat-sen University, Guangzhou 510080, ChinaDepartment of Medical statistics and Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China; Guangdong Provincial Key Laboratory of Food, Nutrition and Health, Sun Yat-sen University, Guangzhou 510080, ChinaDepartment of Medical statistics and Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China; Guangdong Provincial Key Laboratory of Food, Nutrition and Health, Sun Yat-sen University, Guangzhou 510080, ChinaDepartment of Medical statistics and Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China; Guangdong Provincial Key Laboratory of Food, Nutrition and Health, Sun Yat-sen University, Guangzhou 510080, ChinaDepartment of Medical statistics and Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China; Guangdong Provincial Key Laboratory of Food, Nutrition and Health, Sun Yat-sen University, Guangzhou 510080, ChinaDepartment of Medical statistics and Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China; Guangdong Provincial Key Laboratory of Food, Nutrition and Health, Sun Yat-sen University, Guangzhou 510080, ChinaDepartment of Medical statistics and Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China; Guangdong Provincial Key Laboratory of Food, Nutrition and Health, Sun Yat-sen University, Guangzhou 510080, ChinaDepartment of Psychiatry, Shenzhen Nanshan Center for Chronic Disease Control, Shenzhen, ChinaDepartment of Psychiatry, Shenzhen Nanshan Center for Chronic Disease Control, Shenzhen, ChinaDepartment of Psychiatry, Shenzhen Nanshan Center for Chronic Disease Control, Shenzhen, ChinaBrain and Cognition Discovery Foundation, Toronto, ON, Canada; Disorders Psychopharmacology Unit, University Health Network, Toronto, ON, CanadaBrain and Cognition Discovery Foundation, Toronto, ON, Canada; Disorders Psychopharmacology Unit, University Health Network, Toronto, ON, CanadaDepartment of Psychiatry, Shenzhen Nanshan Center for Chronic Disease Control, Shenzhen, China; Correspondence to: X. Han, Department of Psychiatry, Shenzhen Nanshan Center for Chronic Disease Control, 7 Huaming Road, Shenzhen 518054, China.Department of Medical statistics and Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China; Guangdong Provincial Key Laboratory of Food, Nutrition and Health, Sun Yat-sen University, Guangzhou 510080, China; Correspondence to: C. Lu, Department of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University, 74 Zhongshan Rd 2, Guangzhou 510080, China.Background: This study aimed to explore the longitudinal associations of rumination with suicidal ideation and suicide attempts in individuals with major depressive disorder (MDD). Methods: Participants were derived from the Depression Cohort in China study (DCC). Those who completed at least one follow-up visit during the 12 months were included in the analysis. Dimensions of rumination including brooding and reflection were each measured using five items of the Ruminative Responses Scale. Suicidal ideation was assessed using the Beck Scale for Suicide Ideation. Suicide attempts were also assessed and all were analyzed with generalized estimating equations. Results: Our final sample included 532 participants aged 18 to 59 years (mean [SD], 26.91 [6.94] years) consisting of 148 (27.8%) males and 384 (72.2%) females. After adjusting for temporal trend and potential confounders, individuals with higher levels of reflection were more likely to report suicidal ideation (AOR =1.11, 95% CI:1.01–1.22). However, no statistically significant association was found between brooding and suicidal ideation (AOR =1.06, 95% CI:0.96–1.17). Conversely, individuals with higher levels of brooding were more likely to report suicide attempts (AOR =1.13, 95% CI:1.02–1.24), while no statistically significant association was observed between reflection and suicide attempts (AOR =0.91, 95% CI:0.82–1.01). Conclusion: Rumination reflects a disturbance in cognitive emotional processing and manifests in different dimensions. Our findings suggest that high levels of reflection and brooding may be associated with a higher likelihood of having suicidal ideation and suicide attempts, respectively. However, it should be interpreted with caution, given that effect sizes are small.http://www.sciencedirect.com/science/article/pii/S0010440X24000233RuminationRumination dimension cognitionHot cognitionCognitive emotional processingSuicidal ideation and attemptsDepression Cohort in China |
| spellingShingle | Xinyu Huang Beifang Fan Yingcheng Jiang Yanzhi Li Ya Chen Hao Zhao Yunbin Jiang Wanxin Wang Lan Guo Yan Chen Yifeng Liu Zehui Li Sabrina Wong Roger S. McIntyre Xue Han Ciyong Lu Associations of rumination with suicidal ideation and suicide attempts amongst individuals with major depressive disorder: A 12-month longitudinal study in China Comprehensive Psychiatry Rumination Rumination dimension cognition Hot cognition Cognitive emotional processing Suicidal ideation and attempts Depression Cohort in China |
| title | Associations of rumination with suicidal ideation and suicide attempts amongst individuals with major depressive disorder: A 12-month longitudinal study in China |
| title_full | Associations of rumination with suicidal ideation and suicide attempts amongst individuals with major depressive disorder: A 12-month longitudinal study in China |
| title_fullStr | Associations of rumination with suicidal ideation and suicide attempts amongst individuals with major depressive disorder: A 12-month longitudinal study in China |
| title_full_unstemmed | Associations of rumination with suicidal ideation and suicide attempts amongst individuals with major depressive disorder: A 12-month longitudinal study in China |
| title_short | Associations of rumination with suicidal ideation and suicide attempts amongst individuals with major depressive disorder: A 12-month longitudinal study in China |
| title_sort | associations of rumination with suicidal ideation and suicide attempts amongst individuals with major depressive disorder a 12 month longitudinal study in china |
| topic | Rumination Rumination dimension cognition Hot cognition Cognitive emotional processing Suicidal ideation and attempts Depression Cohort in China |
| url | http://www.sciencedirect.com/science/article/pii/S0010440X24000233 |
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