ArticleJournal of behavioral addictions2018
Association between problematic Internet use, sleep disturbance, and suicidal behavior in Chinese adolescents.
Article in Journal of behavioral addictions, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05646329 (The Effect Of Online Individual Motivational Interviewing Applied To Nursing Students On Problematic Internet Use And Loneliness Level), which is not on this map. Cited by 45 papers, 3 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
The Effect Of Online Individual Motivational Interviewing Applied To Nursing Students On Problematic Internet Use And Loneliness Level
Who cites it
45 citing papers in PubMed, 3 syntheses or guidelines pooled it, 110 citations in OpenAlex.
- Adolescent Suicide Risk in China: A Multilevel Meta-Analysis and Multilayer Network Perspective.Journal of youth and adolescence · 2026Pooled it
- Impact of digital addiction on youth health: A systematic review and meta-analysis.Journal of behavioral addictions · 2025Pooled it
- Correlations between problematic internet use and suicidal behavior among Chinese adolescents: a systematic review and meta-analysis.Frontiers in psychiatry · 2024Pooled it
- Trial
- Associational pathway analyses of depression and impulsivity in the relationship between internet addiction and non-suicidal self-injury among adolescents: a cross-sectional case-control study.Annals of general psychiatry · 2026Article
- Internet gaming disorder and suicidal behaviors mediated by sleep disturbance: a large-scale school-based study in 135,174 Chinese middle school students.European child & adolescent psychiatry · 2025Article
- The Moderated Mediating Effects of Social Media Identity and Loneliness on the Relationship Between Problematic Internet Use and Mental Health in China: Nationwide Cross-Sectional Questionnaire Study.Journal of medical Internet research · 2025Article
- The relationship between college students' belief in a just world and internet addiction: the moderating effect of legal cognition.Frontiers in psychology · 2025Article
- Sleep disturbance as a mediator of the relationship between perceived stress and demoralization in hemodialysis patients: a structural equation modeling analysis.Frontiers in psychiatry · 2025Article
- Associations between internet addiction and suicidal ideation in depressed adolescents: the mediating effect of insomnia as well as sex differences.BMC psychiatry · 2024Article
- Predictors of new-onset suicide risk and persistent suicide risk among young adult lesbian, gay and bisexual individuals experiencing the COVID-19 pandemic: a follow-up study.Epidemiology and psychiatric sciences · 2024Article
- Examining the mediating effect of real and cyber self-control on cyberbullying and health risk behaviors among secondary vocational students in China: a cross-sectional study.BMC public health · 2024Article
- Mobile phone addiction and suicide behaviors among Chinese adolescents: The mediation of poor sleep quality.Journal of behavioral addictions · 2024Article
- Stress and suicide risk among adolescents: the role of problematic internet use, gaming disorder and emotional regulation.BMC public health · 2024Article
- Development and Validation of a Nomogram for Predicting Suicidal Ideation Among Rural Adolescents in China.Psychology research and behavior management · 2024Article
- The role of depressive symptoms and social support in the association of internet addiction with non-suicidal self-injury among adolescents: a cohort study in China.BMC psychiatry · 2023Article
- Association between problematic Internet use and specific Internet activities and COVID-19- and earthquake-related stress, anxiety, and depression symptoms among Croatian young adults.Frontiers in psychiatry · 2023Article
- Prevalence and associated factors of internet addiction among Chinese adolescents: association with childhood trauma.Frontiers in public health · 2023Article
- Unpacking the relation between children's use of digital technologies and children's well-being: A scoping review.Clinical child psychology and psychiatry · 2023Article
- The mediating role of sleep quality on the relationship between internet gaming disorder and perceived stress and suicidal behaviour among Indian medical students.General psychiatry · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
aimsThis large-scale study aimed to test (a) associations of problematic Internet use (PIU) and sleep disturbance with suicidal ideation and suicide attempts among Chinese adolescents and (b) whether sleep disturbance mediates the association between PIU and suicidal behavior.
methodsData were drawn from the 2017 National School-based Chinese Adolescents Health Survey. A total of 20,895 students' questionnaires were qualified for analysis. The Young's Internet Addiction Test was used to assess PIU, and level of sleep disturbance was measured by the Pittsburgh Sleep Quality Index. Multilevel logistic regression models and path models were utilized in analyses.
resultsOf the total sample, 2,864 (13.7%) reported having suicidal ideation, and 537 (2.6%) reported having suicide attempts. After adjusting for control variables and sleep disturbance, PIU was associated with an increased risk of suicidal ideation (AOR = 1.04, 95% CI = 1.03-1.04) and suicide attempts (AOR = 1.03, 95% CI = 1.02-1.04). Findings of the path models showed that the standardized indirect effects of PIU on suicidal ideation (standardized β estimate = 0.092, 95% CI = 0.082-0.102) and on suicide attempts (standardized β estimate = 0.082, 95% CI = 0.068-0.096) through sleep disturbance were significant. Conversely, sleep disturbance significantly mediated the association of suicidal behavior on PIU. DISCUSSION AND
conclusionsThere may be a complex transactional association between PIU, sleep disturbance, and suicidal behavior. The estimates of the mediator role of sleep disturbance provide evidence for the current understanding of the mechanism of the association between PIU and suicidal behavior. Possible concomitant treatment services for PIU, sleep disturbance, and suicidal behavior were recommended.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.