ArticleBMC public health2021
Resilience mediates the association between self-harm and suicidal ideation in Chinese left-behind children.
Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 11 citations in OpenAlex.
- Resilience and coping styles mediate the associations of autistic and ADHD traits with internet addiction in general adolescents.Scientific reports · 2026Article
- Latent class profiles of health-risk behaviors and the protective roles of psychological resilience and self-control in Chinese adolescents.Frontiers in public health · 2026Article
- The role of resilience in the transition of suicidal indicators among Chinese children and adolescents: a nested case-control study.BMC psychiatry · 2025Article
- Study pressure and self harm in Chinese primary school students: the effect of depression and parent-child relationships.Frontiers in psychiatry · 2025Article
- Childhood maltreatment associated suicidal risk in Chinese children and adolescents: a mediation of resilience.BMC public health · 2024Article
- Optimism, Resilience, and General Self-Efficacy Predict Lower Somatic Burden during the COVID-19 Pandemic.Healthcare (Basel, Switzerland) · 2024Article
- Family intimacy and adaptability and non-suicidal self-injury: a mediation analysis.BMC psychiatry · 2024Article
- Effect of parenting style on the emotional and behavioral problems among Chinese adolescents: the mediating effect of resilience.BMC public health · 2024Article
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA 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.
methodsA 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.
resultsCompared 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.
conclusionsResilience 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.
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