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The Inter-Relationships Between Depressive Symptoms and Suicidality Among Macau Residents After the "Relatively Static Management" COVID-19 Strategy: A Perspective of Network Analysis.
Lam, Mei Ieng; Cai, Hong; Chen, Pan; Lok, Ka-In; Chow, Ines Hang Iao; Si, Tong Leong; Su, Zhaohui; Ng, Chee H; An, Feng-Rong; Xiang, Yu-Tao.
Afiliación
  • Lam MI; Education Department, Kiang Wu Nursing College of Macau, Macau SAR, People's Republic of China.
  • Cai H; Unit of Psychiatry, Department of Public Health and Medicinal Administration, & Institute of Translational Medicine, University of Macau, Macao SAR, People's Republic of China.
  • Chen P; Unit of Psychiatry, Department of Public Health and Medicinal Administration, & Institute of Translational Medicine, University of Macau, Macao SAR, People's Republic of China.
  • Lok KI; Centre for Cognitive and Brain Sciences, University of Macau, Macao SAR, People's Republic of China.
  • Chow IHI; Unit of Psychiatry, Department of Public Health and Medicinal Administration, & Institute of Translational Medicine, University of Macau, Macao SAR, People's Republic of China.
  • Si TL; Centre for Cognitive and Brain Sciences, University of Macau, Macao SAR, People's Republic of China.
  • Su Z; Faculty of Health Sciences and Sports, Macao Polytechnic University, Macao, People's Republic of China.
  • Ng CH; Unit of Psychiatry, Department of Public Health and Medicinal Administration, & Institute of Translational Medicine, University of Macau, Macao SAR, People's Republic of China.
  • An FR; Unit of Psychiatry, Department of Public Health and Medicinal Administration, & Institute of Translational Medicine, University of Macau, Macao SAR, People's Republic of China.
  • Xiang YT; School of Public Health, Southeast University, Nanjing, People's Republic of China.
Neuropsychiatr Dis Treat ; 20: 195-209, 2024.
Article en En | MEDLINE | ID: mdl-38333613
ABSTRACT

Background:

Suicidality is a global public health problem which has increased considerably during the coronavirus disease 2019 (COVID-19) pandemic. This study examined the inter-relationships between depressive symptoms and suicidality using network analysis among Macau residents after the "relatively static management" COVID-19 strategy.

Methods:

An assessment of suicidal ideation (SI), suicide plan (SP), suicide attempt (SA) and depressive symptoms was conducted with the use of individual binary response items (yes/no) and Patient Health Questionnaire (PHQ-9). In the network analysis, central and bridge symptoms were identified in the network through "Expected Influence" and "Bridge Expected Influence", and specific symptoms that were directly associated with suicidality were identified via the flow function. Network Comparison Tests (NCT) were conducted to examine the gender differences in network characteristics.

Results:

The study sample included a total of 1008 Macau residents. The prevalence of depressive symptoms and suicidality were 62.50% (95% CI = 59.4-65.5%) and 8.9% (95% CI = 7.2-10.9%), respectively. A network analysis of the sample identified SI ("Suicidal ideation") as the most central symptom, followed by SP ("Suicide plan") and PHQ4 ("Fatigue"). SI ("Suicidal ideation") and PHQ6 ("Guilt") were bridge nodes connecting depressive symptoms and suicidality. A flow network revealed that the strongest connection was between S ("Suicidality") and PHQ6 ("Guilt"), followed by S ("Suicidality") and PHQ 7 ("Concentration"), and S ("Suicidality") and PHQ3 ("Sleep").

Conclusion:

The findings indicated that reduction of specific depressive symptoms and suicidal thoughts may be relevant in decreasing suicidality among adults. Further, suicide assessment and prevention measures should address the central and bridge symptoms identified in this study.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Diagnostic_studies / Prognostic_studies / Risk_factors_studies Idioma: En Revista: Neuropsychiatr Dis Treat Año: 2024 Tipo del documento: Article Pais de publicación: Nueva Zelanda
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Diagnostic_studies / Prognostic_studies / Risk_factors_studies Idioma: En Revista: Neuropsychiatr Dis Treat Año: 2024 Tipo del documento: Article Pais de publicación: Nueva Zelanda