Articlehybrid2020

Suicide ideation as a symptom of adolescent depression. a network analysis

Mandy Gijzen · Sanne P. A. Rasing · Daan H. M. Creemers · Filip Smit · Rutger C. M. E. Engels · Derek Paul De Beurs

230 citations0/0 files storedJournal of Affective Disorders

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Mental Health Research Topics Suicide and Self-Harm Studies Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes

Abstract

INTRODUCTION: According to the network perspective, psychopathology is the result of interactions between symptoms. A previous study used network analysis to identify central symptoms of adolescent depression. The aim of the current study was replicate and extend this study by including suicide ideation as a symptom of depression and evaluating which depression symptoms are contributing factors to suicide ideation in adolescents. METHOD: A large community sample (N = 5,888) of adolescents aged 11-16 years completed the Children's Depression Inventory (CDI-2). Network analysis was used to identify the network structure of the CDI-2 and which symptoms were directly related to suicide ideation in the network. Additionally, the network structure of adolescents who did and did not experience suicide ideation were compared. RESULTS: Results pertaining the depression network were highly similar to the study we aimed to replicate. The most central symptoms in the depression network were loneliness, sadness, self-hatred, fatigue, self-deprecation and crying. Loneliness explained most variance of suicide ideation. Adolescents who experience suicide ideation had a similar network structure as those who do not. Adolescents with suicide ideation scored higher on all depression symptoms. LIMITATIONS: The use of cross-sectional data indicates that only undirected networks and results based on between-subject data could be estimated. CONCLUSIONS: Loneliness was a central factor for depression networks and also the most contributing factor of suicide ideation. Preventative efforts should consider taking experiences of loneliness into account as these are especially prevalent in adolescents. Suicide ideation seems more representative of depression symptom severity in adolescents.

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References

2016Estimating Psychological Networks and their Accuracy: A Tutorial Paper 2012qgraph : Network Visualizations of Relationships in Psychometric Data 2017A network theory of mental disorders 2001Adolescent Development 2012Depression in adolescence 2003Prior Juvenile Diagnoses in Adults With Mental Disorder 2006The clinical significance of loneliness: A literature review 2016Identifying highly influential nodes in the complicated grief network.

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