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Effects of Self-Esteem on the Association between Negative Life Events and Suicidal Ideation in Adolescents

Wan, Yuhui; Chen, Ruoling; Wang, Shanshan; Orton, Sophie; Wang, Danni; Zhang, Shichen; Sun, Ying; Tao, Fangbiao

Authors

Yuhui Wan

Ruoling Chen

Shanshan Wang

SOPHIE ORTON SOPHIE.ORTON@NOTTINGHAM.AC.UK
Senior Research Fellow

Danni Wang

Shichen Zhang

Ying Sun

Fangbiao Tao



Abstract

Negative life events (NLEs) increase the risk of suicidal ideation (SI) in adolescents. However, it is not known whether the association between NLEs and SI can be moderated by self-esteem and varies with gender. The aim of the current paper was to examine gender differences in the association of SI with NLEs in adolescents, and assess the effects of self-esteem on the association and their gender variations. We conducted a school-based health survey in 15 schools in China between November 2013 and January 2014. A total of 9704 participants aged 11–19 years had sociodemographic data reported and self-esteem (Rosenberg self-esteem scale), NLEs, and SI measured. Multivariate-adjusted logistic regression was used to calculate the odds ratio (OR) of having SI in relation to NLEs. Increased risk of SI was significantly associated with NLEs (adjusted OR 2.19, 95%CI 1.94–2.47), showing no gender differences (in females 2.38, 2.02–2.80, in males 1.96, 1.64–2.36, respectively). The association was stronger in adolescents with high esteem (2.93, 2.34–3.68) than those with low esteem (2.00, 1.65–2.42) (ORs ratio 1.47, p = 0.012). The matched figures in females were 3.66 (2.69–4.99) and 2.08 (1.61–2.70) (1.76, p = 0.006), while in males these figures were 2.27(1.62–3.19) and 1.89 (1.41–2.53) (1.20, p = 0.422), respectively. Self-esteem had moderate effects on the association between NLEs and SI in adolescents, mainly in females. NLEs, self-esteem, and gender need to be incorporated into future intervention programs to prevent SI in adolescents.

Citation

Wan, Y., Chen, R., Wang, S., Orton, S., Wang, D., Zhang, S., …Tao, F. (2019). Effects of Self-Esteem on the Association between Negative Life Events and Suicidal Ideation in Adolescents. International Journal of Environmental Research and Public Health, 16(16), Article 2846. https://doi.org/10.3390/ijerph16162846

Journal Article Type Article
Acceptance Date Aug 7, 2019
Online Publication Date Aug 9, 2019
Publication Date Aug 9, 2019
Deposit Date Sep 5, 2019
Publicly Available Date Mar 29, 2024
Journal International Journal of Environmental Research and Public Health
Print ISSN 1661-7827
Electronic ISSN 1660-4601
Publisher MDPI
Peer Reviewed Peer Reviewed
Volume 16
Issue 16
Article Number 2846
DOI https://doi.org/10.3390/ijerph16162846
Keywords Negative life events; Suicidal ideation; Self-esteem; Adolescents
Public URL https://nottingham-repository.worktribe.com/output/2469826
Publisher URL https://www.mdpi.com/1660-4601/16/16/2846

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