Resilience Factors in the Association Between Depressive Symptoms and Suicidality.
Depression
Life satisfaction
Optimism
Resilience factor
Risk factor
Suicidal ideation
Suicide attempt
Suicide plan
Journal
The Journal of adolescent health : official publication of the Society for Adolescent Medicine
ISSN: 1879-1972
Titre abrégé: J Adolesc Health
Pays: United States
ID NLM: 9102136
Informations de publication
Date de publication:
08 2021
08 2021
Historique:
received:
27
06
2020
revised:
03
11
2020
accepted:
04
12
2020
pubmed:
13
1
2021
medline:
6
8
2021
entrez:
12
1
2021
Statut:
ppublish
Résumé
To investigate whether life satisfaction and optimism might reduce the risk of suicidal thoughts and behaviors among adolescents with depressive symptoms. Participants were 1,904 youth from the NEXT Generation Health Study, a national sample of U.S. adolescents, followed over 7 years from 2009/2010 to 2015/2016. Longitudinal latent profile analysis and logistic regressions were conducted. We identified three subgroups of adolescents with different patterns of depressive symptoms across the first six waves: "Low" (40%), "Mild" (42%), and "Moderate to Severe" (18%). The Moderate to Severe (OR = 14.47, 95% CI [6.61, 31.66]) and Mild (OR = 3.90, 95% CI [2.22, 6.86]) depression profiles had significantly higher odds of developing suicidality than the Low depression profile. Both life satisfaction and optimism moderated the association between depressive symptom profile and suicidality. The difference in suicidality risk between the Mild and Low depression profiles was significantly attenuated at high versus low levels of life satisfaction, with a difference of -.08, 95% CI [-.14, -.03]. In addition, the difference in suicidality risk between the Moderate to Severe and Low depression profiles was attenuated at high versus low levels of optimism, with a difference of -.11, 95% CI [-.21, -.01]. For adolescents transitioning to young adulthood, resilience factors such as life satisfaction and optimism may buffer against suicidality risk in the face of mild or moderate to severe depressive symptoms.
Identifiants
pubmed: 33431248
pii: S1054-139X(20)30700-X
doi: 10.1016/j.jadohealth.2020.12.004
pmc: PMC8479833
mid: NIHMS1654330
pii:
doi:
Banques de données
ClinicalTrials.gov
['NCT01031160']
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, N.I.H., Intramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
280-287Subventions
Organisme : NICHD NIH HHS
ID : HHSN275201200001C
Pays : United States
Organisme : NICHD NIH HHS
ID : HHSN275201200001I
Pays : United States
Organisme : Intramural NIH HHS
ID : Z99 HD999999
Pays : United States
Informations de copyright
Published by Elsevier Inc.
Références
Psychiatry Res. 2017 Nov;257:150-155
pubmed: 28755606
Nurs Res. 2007 Jul-Aug;56(4):252-9
pubmed: 17625464
Dev Psychopathol. 2020 Aug;32(3):945-959
pubmed: 31407646
Psychol Assess. 2014 Jun;26(2):513-27
pubmed: 24548149
Soc Sci Med. 2008 Mar;66(6):1429-36
pubmed: 18179852
J Youth Adolesc. 2019 Aug;48(8):1544-1554
pubmed: 31111366
Front Psychol. 2018 Nov 29;9:2360
pubmed: 30555384
J Ment Health. 2020 Feb;29(1):60-68
pubmed: 30366513
School Ment Health. 2012 Mar 1;4(1):34-45
pubmed: 22639697
Lancet Psychiatry. 2014 Jun;1(1):73-85
pubmed: 26360404
J Pers Soc Psychol. 1994 Dec;67(6):1063-78
pubmed: 7815302
Curr Opin Psychol. 2018 Aug;22:38-43
pubmed: 30122276
Int J Methods Psychiatr Res. 2004;13(2):93-121
pubmed: 15297906
Clin Psychol Rev. 2011 Jun;31(4):563-91
pubmed: 21276646
J Affect Disord. 2019 Dec 1;259:164-172
pubmed: 31445343
Clin Psychol Psychother. 2018 Jan;25(1):e1-e9
pubmed: 28853242
Behav Ther. 2014 Mar;45(2):212-21
pubmed: 24491196
Psychiatry Res. 2019 Apr;274:269-273
pubmed: 30825726
Suicide Life Threat Behav. 2006 Dec;36(6):661-9
pubmed: 17250470
Lancet Psychiatry. 2016 Jul;3(7):646-59
pubmed: 27289303
Int J Clin Health Psychol. 2018 Jan-Apr;18(1):1-7
pubmed: 30487904
J Psychiatr Res. 2016 Jun;77:76-84
pubmed: 26994340
J Am Coll Health. 2012;60(2):115-25
pubmed: 22316408
Child Adolesc Ment Health. 2018 May;23(2):107-120
pubmed: 32677332
Depress Anxiety. 2019 Apr;36(4):321-329
pubmed: 30466148
Child Dev. 2020 May;91(3):e635-e648
pubmed: 31237358
J Asthma. 2010 Apr;47(3):295-302
pubmed: 20394514
Pediatrics. 2016 Jul;138(1):
pubmed: 27354459
J Clin Psychol. 2009 May;65(5):467-87
pubmed: 19301241
Suicide Life Threat Behav. 2013 Feb;43(1):50-66
pubmed: 23062170