Understanding suicidality in Pacific adolescents in New Zealand using network analysis.


Journal

Suicide & life-threatening behavior
ISSN: 1943-278X
Titre abrégé: Suicide Life Threat Behav
Pays: England
ID NLM: 7608054

Informations de publication

Date de publication:
10 2023
Historique:
revised: 07 06 2023
received: 19 12 2022
accepted: 20 07 2023
medline: 10 10 2023
pubmed: 12 8 2023
entrez: 12 8 2023
Statut: ppublish

Résumé

Pacific adolescents in New Zealand (NZ) are three to four times more likely than NZ European adolescents to report suicide attempts and have higher rates of suicidal plans. Suicidal thoughts, plans, and attempts, termed suicidality in this study, result from a complex dynamic interplay of factors, which emerging methodologies like network analysis aim to capture. This study used cross-sectional network analysis to model the relationships between suicidality, self-harm, and individual depression symptoms, whilst conditioning on a multi-dimensional set of variables relevant to suicidality. A series of network models were fitted to data from a community sample of New Zealand-born Pacific adolescents (n = 550; 51% male; Mean age (SD) = 17 (0.35)). Self-harm and the depression symptom measuring pessimism had the strongest associations with suicidality, followed by symptoms related to having a negative self-image about looks and sadness. Nonsymptom risk factors for self-harm and suicidality differed markedly. Depression symptoms varied widely in terms of their contribution to suicidality, highlighting the valuable information gained from analysing depression at the symptom-item level. Reducing the sources of pessimism and building self-esteem presented as potential targets for alleviating suicidality amongst Pacific adolescents in New Zealand. Suicide prevention strategies need to include risk factors for self-harm.

Identifiants

pubmed: 37571910
doi: 10.1111/sltb.12986
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

826-842

Informations de copyright

© 2023 The Authors. Suicide and Life-Threatening Behavior published by Wiley Periodicals LLC on behalf of American Association of Suicidology.

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Auteurs

Lisa E Gossage (LE)

Department of Psychology and Neuroscience, Auckland University of Technology, Auckland, New Zealand.

Ajit Narayanan (A)

School of Engineering, Computer and Mathematical Sciences, Auckland University of Technology, Auckland, New Zealand.

Joanna F Dipnall (JF)

Clinical Registries, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
IMPACT-The Institute for Mental and Physical Health and Clinical Translation, School of Medicine, Deakin University and Barwon Health, Geelong, Victoria, Australia.

Michael Berk (M)

IMPACT-The Institute for Mental and Physical Health and Clinical Translation, School of Medicine, Deakin University and Barwon Health, Geelong, Victoria, Australia.
Orygen, The National Centre of Excellence in Youth Mental Health, Centre for Youth Mental Health, Florey Institute for Neuroscience and Mental Health and the Department of Psychiatry, The University of Melbourne, Melbourne, Victoria, Australia.

Alexander Sumich (A)

Department of Psychology, Nottingham Trent University, Nottingham, UK.

Jonas M B Haslbeck (JMB)

Department of Clinical Psychological Science, Maastricht University, Maastricht, Netherlands.
Department of Psychological Methods, University of Amsterdam, Amsterdam, Netherlands.

Leon Iusitini (L)

New Zealand Work Research Institute, Auckland University of Technology, Auckland, New Zealand.

Wendy Wrapson (W)

School of Clinical Sciences, Auckland University of Technology, Auckland, New Zealand.

El-Shadan Tautolo (ES)

AUT Pacific Health Research Centre, Auckland University of Technology, Auckland, New Zealand.

Richard Siegert (R)

Department of Psychology and Neuroscience, Auckland University of Technology, Auckland, New Zealand.

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