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Association between Childhood Maltreatment and Suicidal Ideation and Suicide Attempts among Chinese Adolescents: The Moderating Role of Depressive Symptoms

Author

Listed:
  • Meiqian Gong

    (Department of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China
    These authors contributed equally to this work.)

  • Sheng Zhang

    (Department of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China
    These authors contributed equally to this work.)

  • Wenyan Li

    (Department of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China)

  • Wanxin Wang

    (Department of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China)

  • Ruipeng Wu

    (Department of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China)

  • Lan Guo

    (Department of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China
    These authors contributed equally to this work.)

  • Ciyong Lu

    (Department of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China
    These authors contributed equally to this work.)

Abstract

Suicidal behavior is a major public health concern worldwide and has become the second-leading cause of death among adolescents. The purposes of this study were to investigate the associations between childhood maltreatment and suicidal behavior and to test whether depressive symptoms have moderating effects on these associations. A multistage stratified cluster randomized sampling method was adopted to collect data from 21,019 high school students in Guangdong Province, China. The prevalence of suicidal ideation and suicide attempts among Chinese adolescents were 18.2% and 3.6%, respectively. Physical abuse (adjusted odds ratios (AOR) = 1.35, 95% confidence intervals (CI) = 1.32–1.38), emotional abuse (AOR = 1.26, 95% CI = 1.25–1.28), sexual abuse (AOR = 1.25, 95% CI = 1.21–1.30), physical neglect (AOR = 1.09, 95% CI = 1.08–1.11), and emotional neglect (AOR = 1.08, 95% CI = 1.08–1.09) were all associated with an increased risk of suicidal ideation, and these associations were also found for suicide attempts. According to stratification analyses, physical abuse/emotional abuse/sexual abuse had a stronger effect on suicidal ideation and suicide attempts among students without depressive symptoms than among students with depressive symptoms. Childhood maltreatment was associated with an increased risk of suicidal ideation and suicide attempts in Chinese adolescents. Depressive symptoms play a moderating role in the association between childhood maltreatment and suicidal behaviors.

Suggested Citation

  • Meiqian Gong & Sheng Zhang & Wenyan Li & Wanxin Wang & Ruipeng Wu & Lan Guo & Ciyong Lu, 2020. "Association between Childhood Maltreatment and Suicidal Ideation and Suicide Attempts among Chinese Adolescents: The Moderating Role of Depressive Symptoms," IJERPH, MDPI, vol. 17(17), pages 1-14, August.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:17:p:6025-:d:400926
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    References listed on IDEAS

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    1. Jutta Lindert & Ondine Ehrenstein & Rachel Grashow & Gilad Gal & Elmar Braehler & Marc Weisskopf, 2014. "Sexual and physical abuse in childhood is associated with depression and anxiety over the life course: systematic review and meta-analysis," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 59(2), pages 359-372, April.
    2. Silke Bachmann, 2018. "Epidemiology of Suicide and the Psychiatric Perspective," IJERPH, MDPI, vol. 15(7), pages 1-23, July.
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