Anorexia nervosa, depression and suicidal thoughts among Chinese adolescents: a national school-based cross-sectional study
Abstract Background Although there is much literature on adolescent suicide, combined effects of depression and anorexia nervosa on suicide were rarely investigated. The aims of this study are to examine the association between anorexia nervosa and suicidal thoughts and explore the interaction betwe...
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| Format: | Article |
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Komiyama Printing Co. Ltd
2017-04-01
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| Series: | Environmental Health and Preventive Medicine |
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| Online Access: | http://link.springer.com/article/10.1186/s12199-017-0639-2 |
| _version_ | 1818011896403460096 |
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| author | Qiguo Lian Xiayun Zuo Yanyan Mao Shan Luo Shucheng Zhang Xiaowen Tu Chaohua Lou Weijin Zhou |
| author_facet | Qiguo Lian Xiayun Zuo Yanyan Mao Shan Luo Shucheng Zhang Xiaowen Tu Chaohua Lou Weijin Zhou |
| author_sort | Qiguo Lian |
| collection | DOAJ |
| description | Abstract Background Although there is much literature on adolescent suicide, combined effects of depression and anorexia nervosa on suicide were rarely investigated. The aims of this study are to examine the association between anorexia nervosa and suicidal thoughts and explore the interaction between anorexia nervosa and depression. Methods This is a cross-sectional study, in the study, a sample of 8,746 Chinese adolescents was selected by multistage stratified method in 2012/2013 from 20 middle schools in 7 provinces across China Mainland. Multilevel logistic model was introduced to explore association between anorexia nervosa and suicidal thoughts. And subgroup analyses were conducted on participants with or without depression. Results Multilevel logistic model revealed that demographic variables, including academic achievement, were not the predictive risk factors of suicidal thoughts. Those who suffered from worse severity of perceived anorexia nervosa were at increased risk of thinking about suicide. The interaction between depression and anorexia nervosa was significant, however, subgroup analyses showed that the associations were significant only among the adolescents without depression. Conclusions Our results indicate that all levels of anorexia nervosa serve as predictable indicators of suicidal thoughts in Chinese adolescents, and the effects of anorexia nervosa are modified by depression status. |
| first_indexed | 2024-04-14T06:13:17Z |
| format | Article |
| id | doaj.art-8696b436ee544827a0e9b6e098f66be9 |
| institution | Directory Open Access Journal |
| issn | 1342-078X 1347-4715 |
| language | English |
| last_indexed | 2024-04-14T06:13:17Z |
| publishDate | 2017-04-01 |
| publisher | Komiyama Printing Co. Ltd |
| record_format | Article |
| series | Environmental Health and Preventive Medicine |
| spelling | doaj.art-8696b436ee544827a0e9b6e098f66be92022-12-22T02:08:18ZengKomiyama Printing Co. LtdEnvironmental Health and Preventive Medicine1342-078X1347-47152017-04-012211710.1186/s12199-017-0639-2Anorexia nervosa, depression and suicidal thoughts among Chinese adolescents: a national school-based cross-sectional studyQiguo Lian0Xiayun Zuo1Yanyan Mao2Shan Luo3Shucheng Zhang4Xiaowen Tu5Chaohua Lou6Weijin Zhou7School of Public Health, Fudan UniversityKey Lab. of Reproduction Regulation of NPFPC, SIPPR, IRD, Fudan UniversitySchool of Public Health, Fudan UniversityWest China Second University Hospital, Sichuan UniversityNational Research Institute for Family PlanningKey Lab. of Reproduction Regulation of NPFPC, SIPPR, IRD, Fudan UniversityKey Lab. of Reproduction Regulation of NPFPC, SIPPR, IRD, Fudan UniversityKey Lab. of Reproduction Regulation of NPFPC, SIPPR, IRD, Fudan UniversityAbstract Background Although there is much literature on adolescent suicide, combined effects of depression and anorexia nervosa on suicide were rarely investigated. The aims of this study are to examine the association between anorexia nervosa and suicidal thoughts and explore the interaction between anorexia nervosa and depression. Methods This is a cross-sectional study, in the study, a sample of 8,746 Chinese adolescents was selected by multistage stratified method in 2012/2013 from 20 middle schools in 7 provinces across China Mainland. Multilevel logistic model was introduced to explore association between anorexia nervosa and suicidal thoughts. And subgroup analyses were conducted on participants with or without depression. Results Multilevel logistic model revealed that demographic variables, including academic achievement, were not the predictive risk factors of suicidal thoughts. Those who suffered from worse severity of perceived anorexia nervosa were at increased risk of thinking about suicide. The interaction between depression and anorexia nervosa was significant, however, subgroup analyses showed that the associations were significant only among the adolescents without depression. Conclusions Our results indicate that all levels of anorexia nervosa serve as predictable indicators of suicidal thoughts in Chinese adolescents, and the effects of anorexia nervosa are modified by depression status.http://link.springer.com/article/10.1186/s12199-017-0639-2Suicidal thoughtsDepressionAnorexia nervosaAdolescentsChina |
| spellingShingle | Qiguo Lian Xiayun Zuo Yanyan Mao Shan Luo Shucheng Zhang Xiaowen Tu Chaohua Lou Weijin Zhou Anorexia nervosa, depression and suicidal thoughts among Chinese adolescents: a national school-based cross-sectional study Environmental Health and Preventive Medicine Suicidal thoughts Depression Anorexia nervosa Adolescents China |
| title | Anorexia nervosa, depression and suicidal thoughts among Chinese adolescents: a national school-based cross-sectional study |
| title_full | Anorexia nervosa, depression and suicidal thoughts among Chinese adolescents: a national school-based cross-sectional study |
| title_fullStr | Anorexia nervosa, depression and suicidal thoughts among Chinese adolescents: a national school-based cross-sectional study |
| title_full_unstemmed | Anorexia nervosa, depression and suicidal thoughts among Chinese adolescents: a national school-based cross-sectional study |
| title_short | Anorexia nervosa, depression and suicidal thoughts among Chinese adolescents: a national school-based cross-sectional study |
| title_sort | anorexia nervosa depression and suicidal thoughts among chinese adolescents a national school based cross sectional study |
| topic | Suicidal thoughts Depression Anorexia nervosa Adolescents China |
| url | http://link.springer.com/article/10.1186/s12199-017-0639-2 |
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