Internet addiction and poor quality of life are significantly associated with suicidal ideation of senior high school students in Chongqing, China
Background Adolescence is a vulnerable period of life, and many mental health and behavioral problems emerge during this particular period, including depression, internet addiction (IA), and suicidal behaviors. Poor quality of life (QOL) and IA have been found to be significantly associated with sui...
| Main Authors: | , , , , , , |
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| Format: | Article |
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PeerJ Inc.
2019-07-01
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| Online Access: | https://peerj.com/articles/7357.pdf |
| _version_ | 1797420128844906496 |
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| author | Wo Wang Dong Dong Zhou Ming Ai Xiao Rong Chen Zhen Lv Yan Huang Li Kuang |
| author_facet | Wo Wang Dong Dong Zhou Ming Ai Xiao Rong Chen Zhen Lv Yan Huang Li Kuang |
| author_sort | Wo Wang |
| collection | DOAJ |
| description | Background Adolescence is a vulnerable period of life, and many mental health and behavioral problems emerge during this particular period, including depression, internet addiction (IA), and suicidal behaviors. Poor quality of life (QOL) and IA have been found to be significantly associated with suicidal ideation (SI) among Chinese university students, of whom most have been adults. Nevertheless, their associations with SI are rarely studied among Chinese adolescents. The objective of this study was to examine these relationships in a representative adolescent sample of Chinese senior high school students, who are experiencing an enormous transition from childhood to adulthood. Methods By using multi-stage sampling, a total of 26,688 students were successfully recruited from 29 senior high schools of a very large City in western China, Chongqing municipality. In this cross-sectional online survey, students’ demographic and lifestyle characteristics were collected with a standardized questionnaire. The Young’s IA Test, the Chinese Six-item QOL questionnaire, and item 15 of the Symptom Checklist-90-R were used to measure IA, QOL, and SI, respectively. Results The 1-month prevalence of SI was 11.5% among students of senior high schools in Chongqing, China. Students with SI had significantly higher QOL scores (17.3 ± 3.7 vs. 13.7 ± 3.8, P < 0.001) and higher prevalence of IA (49.6% vs. 25.6%, P < 0.001) than those without SI. After controlling for demographic, lifestyle, and clinical covariates, IA (odd ratio (OR) = 1.15, P = 0.003) and a high QOL score (OR = 1.09, P < 0.001) remained significantly associated with SI. Conclusion Suicidal ideation is prevalent among Chinese adolescents and it is associated with IA and poor QOL. Measures aimed at reducing IA and improving QOL may help prevent suicidal behaviors among Chinese adolescents. |
| first_indexed | 2024-03-09T06:57:11Z |
| format | Article |
| id | doaj.art-748bc1d9fba940fc9968eefe2c51c4db |
| institution | Directory Open Access Journal |
| issn | 2167-8359 |
| language | English |
| last_indexed | 2024-03-09T06:57:11Z |
| publishDate | 2019-07-01 |
| publisher | PeerJ Inc. |
| record_format | Article |
| series | PeerJ |
| spelling | doaj.art-748bc1d9fba940fc9968eefe2c51c4db2023-12-03T10:02:28ZengPeerJ Inc.PeerJ2167-83592019-07-017e735710.7717/peerj.7357Internet addiction and poor quality of life are significantly associated with suicidal ideation of senior high school students in Chongqing, ChinaWo Wang0Dong Dong Zhou1Ming Ai2Xiao Rong Chen3Zhen Lv4Yan Huang5Li Kuang6Mental Health Center, University-Town Hospital of Chongqing Medical University, Chongqing, ChinaMental Health Center, University-Town Hospital of Chongqing Medical University, Chongqing, ChinaDepartment of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaMental Health Center, University-Town Hospital of Chongqing Medical University, Chongqing, ChinaMental Health Center, University-Town Hospital of Chongqing Medical University, Chongqing, ChinaGCP office, Chongqing Traditional Chinese Medicine Hospital, Chongqing, ChinaDepartment of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, Chongqing, ChinaBackground Adolescence is a vulnerable period of life, and many mental health and behavioral problems emerge during this particular period, including depression, internet addiction (IA), and suicidal behaviors. Poor quality of life (QOL) and IA have been found to be significantly associated with suicidal ideation (SI) among Chinese university students, of whom most have been adults. Nevertheless, their associations with SI are rarely studied among Chinese adolescents. The objective of this study was to examine these relationships in a representative adolescent sample of Chinese senior high school students, who are experiencing an enormous transition from childhood to adulthood. Methods By using multi-stage sampling, a total of 26,688 students were successfully recruited from 29 senior high schools of a very large City in western China, Chongqing municipality. In this cross-sectional online survey, students’ demographic and lifestyle characteristics were collected with a standardized questionnaire. The Young’s IA Test, the Chinese Six-item QOL questionnaire, and item 15 of the Symptom Checklist-90-R were used to measure IA, QOL, and SI, respectively. Results The 1-month prevalence of SI was 11.5% among students of senior high schools in Chongqing, China. Students with SI had significantly higher QOL scores (17.3 ± 3.7 vs. 13.7 ± 3.8, P < 0.001) and higher prevalence of IA (49.6% vs. 25.6%, P < 0.001) than those without SI. After controlling for demographic, lifestyle, and clinical covariates, IA (odd ratio (OR) = 1.15, P = 0.003) and a high QOL score (OR = 1.09, P < 0.001) remained significantly associated with SI. Conclusion Suicidal ideation is prevalent among Chinese adolescents and it is associated with IA and poor QOL. Measures aimed at reducing IA and improving QOL may help prevent suicidal behaviors among Chinese adolescents.https://peerj.com/articles/7357.pdfSuicide attemptSuicide ideationInternet addictionAdolescent |
| spellingShingle | Wo Wang Dong Dong Zhou Ming Ai Xiao Rong Chen Zhen Lv Yan Huang Li Kuang Internet addiction and poor quality of life are significantly associated with suicidal ideation of senior high school students in Chongqing, China PeerJ Suicide attempt Suicide ideation Internet addiction Adolescent |
| title | Internet addiction and poor quality of life are significantly associated with suicidal ideation of senior high school students in Chongqing, China |
| title_full | Internet addiction and poor quality of life are significantly associated with suicidal ideation of senior high school students in Chongqing, China |
| title_fullStr | Internet addiction and poor quality of life are significantly associated with suicidal ideation of senior high school students in Chongqing, China |
| title_full_unstemmed | Internet addiction and poor quality of life are significantly associated with suicidal ideation of senior high school students in Chongqing, China |
| title_short | Internet addiction and poor quality of life are significantly associated with suicidal ideation of senior high school students in Chongqing, China |
| title_sort | internet addiction and poor quality of life are significantly associated with suicidal ideation of senior high school students in chongqing china |
| topic | Suicide attempt Suicide ideation Internet addiction Adolescent |
| url | https://peerj.com/articles/7357.pdf |
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