Resilience mediates the association between self-harm and suicidal ideation in Chinese left-behind children

Abstract Background A significant association between self-harm (SH) and suicide ideation (SI) has been found in Chinese left-behind children (LBC). Existing literature suggests that resilience might be a mediator in this association. However, this hypothesis has not been effectively discussed. The...

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Autores principales:	Yuanyuan Xiao, Fang Liu, Hailiang Ran, Wenhang Deng, Yusan Che, Die Fang, Ahouanse Roland Donald
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Self-harm Suicidal ideation Resilience Mediation Left-behind children Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/03719cefd13946988bf29bc7670ca9a1
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spelling	oai:doaj.org-article:03719cefd13946988bf29bc7670ca9a12021-11-14T12:14:17ZResilience mediates the association between self-harm and suicidal ideation in Chinese left-behind children10.1186/s12889-021-12153-11471-2458https://doaj.org/article/03719cefd13946988bf29bc7670ca9a12021-11-01T00:00:00Zhttps://doi.org/10.1186/s12889-021-12153-1https://doaj.org/toc/1471-2458Abstract Background A significant association between self-harm (SH) and suicide ideation (SI) has been found in Chinese left-behind children (LBC). Existing literature suggests that resilience might be a mediator in this association. However, this hypothesis has not been effectively discussed. The major aim of our study is to analyze the possible mediation of resilience in SH-SI association in Chinese LBC. Methods A population-based clustering sampling survey of 2619 LBC was conducted in southwestern China Yunnan province. Self-developed structured questionnaire was used to collect relevant information. Univariate and multivariate Logistic regression models were applied to estimate the associations between SH and SI, resilience and SI, and SH and resilience. Path analysis was adopted to measure the mediation of resilience, as well as its 5 dimensions, in the association between SH and SI. A subgroup analysis was further done to explore the mediation of resilience in the associations between SH severity and SI, SH repetition and SI, among self-harmed LBC. Results Compared with LBC who reported no SH behaviors, the odds ratio (OR) for SI was 3.37 (95% CI: 2.63–4.31) among self-harmed LBC. Based on the path model, resilience significantly mediated a quarter of the total association between SH and SI. Among the 5 dimensions of resilience, emotion regulation, interpersonal assistance, and family support were the strongest mediators. Subgroup analysis revealed that, the mediation of resilience was only significant for SH severity and SI. Conclusions Resilience played as a prominent mediator in SH-SI association among Chinese LBC. Resilience-centered intervention measures could be considered to reduce suicidal risk of this disadvantageous group.Yuanyuan XiaoFang LiuHailiang RanWenhang DengYusan CheDie FangAhouanse Roland DonaldBMCarticleSelf-harmSuicidal ideationResilienceMediationLeft-behind childrenPublic aspects of medicineRA1-1270ENBMC Public Health, Vol 21, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Self-harm Suicidal ideation Resilience Mediation Left-behind children Public aspects of medicine RA1-1270
spellingShingle	Self-harm Suicidal ideation Resilience Mediation Left-behind children Public aspects of medicine RA1-1270 Yuanyuan Xiao Fang Liu Hailiang Ran Wenhang Deng Yusan Che Die Fang Ahouanse Roland Donald Resilience mediates the association between self-harm and suicidal ideation in Chinese left-behind children
description	Abstract Background A significant association between self-harm (SH) and suicide ideation (SI) has been found in Chinese left-behind children (LBC). Existing literature suggests that resilience might be a mediator in this association. However, this hypothesis has not been effectively discussed. The major aim of our study is to analyze the possible mediation of resilience in SH-SI association in Chinese LBC. Methods A population-based clustering sampling survey of 2619 LBC was conducted in southwestern China Yunnan province. Self-developed structured questionnaire was used to collect relevant information. Univariate and multivariate Logistic regression models were applied to estimate the associations between SH and SI, resilience and SI, and SH and resilience. Path analysis was adopted to measure the mediation of resilience, as well as its 5 dimensions, in the association between SH and SI. A subgroup analysis was further done to explore the mediation of resilience in the associations between SH severity and SI, SH repetition and SI, among self-harmed LBC. Results Compared with LBC who reported no SH behaviors, the odds ratio (OR) for SI was 3.37 (95% CI: 2.63–4.31) among self-harmed LBC. Based on the path model, resilience significantly mediated a quarter of the total association between SH and SI. Among the 5 dimensions of resilience, emotion regulation, interpersonal assistance, and family support were the strongest mediators. Subgroup analysis revealed that, the mediation of resilience was only significant for SH severity and SI. Conclusions Resilience played as a prominent mediator in SH-SI association among Chinese LBC. Resilience-centered intervention measures could be considered to reduce suicidal risk of this disadvantageous group.
format	article
author	Yuanyuan Xiao Fang Liu Hailiang Ran Wenhang Deng Yusan Che Die Fang Ahouanse Roland Donald
author_facet	Yuanyuan Xiao Fang Liu Hailiang Ran Wenhang Deng Yusan Che Die Fang Ahouanse Roland Donald
author_sort	Yuanyuan Xiao
title	Resilience mediates the association between self-harm and suicidal ideation in Chinese left-behind children
title_short	Resilience mediates the association between self-harm and suicidal ideation in Chinese left-behind children
title_full	Resilience mediates the association between self-harm and suicidal ideation in Chinese left-behind children
title_fullStr	Resilience mediates the association between self-harm and suicidal ideation in Chinese left-behind children
title_full_unstemmed	Resilience mediates the association between self-harm and suicidal ideation in Chinese left-behind children
title_sort	resilience mediates the association between self-harm and suicidal ideation in chinese left-behind children
publisher	BMC
publishDate	2021
url	https://doaj.org/article/03719cefd13946988bf29bc7670ca9a1
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Resilience mediates the association between self-harm and suicidal ideation in Chinese left-behind children

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