Evidence map›Paper›PMID 35763221›Full record

ArticleEuropean archives of psychiatry and clinical neuroscience2023

Depression and suicide attempts in Chinese adolescents with mood disorders: the mediating role of rumination.

Dianying Liu, Shaohua Liu, Hongdong Deng, Lijuan Qiu, Baiyun Xia, Wanglin Liu, Delong Zhang, Dan Huang, Huiyun Guo, Xiangyang Zhang

Abstract read
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In one paragraph

Article in European archives of psychiatry and clinical neuroscience, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
6.5field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

  1. Pooled it
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  9. Emergency Department Visits for Pediatric Poisoning in China: A 318-Case Review.Medical science monitor : international medical journal of experimental and clinical research · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Dianying Liu *Ganzhou City Key Laboratory of Mental Health, The Third People's Hospital of Ganzhou City, Ganzhou, China. liudianyinglcy@126.com.
Shaohua Liu *Ganzhou City Key Laboratory of Mental Health, The Third People's Hospital of Ganzhou City, Ganzhou, China.
Hongdong Deng *Ganzhou City Key Laboratory of Mental Health, The Third People's Hospital of Ganzhou City, Ganzhou, China.
Lijuan QiuGanzhou City Key Laboratory of Mental Health, The Third People's Hospital of Ganzhou City, Ganzhou, China.
Baiyun XiaGanzhou City Key Laboratory of Mental Health, The Third People's Hospital of Ganzhou City, Ganzhou, China.
Wanglin LiuGanzhou City Key Laboratory of Mental Health, The Third People's Hospital of Ganzhou City, Ganzhou, China.
Delong ZhangGanzhou City Key Laboratory of Mental Health, The Third People's Hospital of Ganzhou City, Ganzhou, China.
Dan HuangGanzhou City Key Laboratory of Mental Health, The Third People's Hospital of Ganzhou City, Ganzhou, China.
Huiyun GuoGanzhou City Key Laboratory of Mental Health, The Third People's Hospital of Ganzhou City, Ganzhou, China.
Xiangyang ZhangInstitute of Psychology, Chinese Academy of Sciences, Beijing, China. zhangxy@psych.ac.cn.ORCID http://orcid.org/0000-0003-3326-382X
Ganzhou People's Hospital · CNInstitute of Psychology, Chinese Academy of Sciences · CN

Funding

Key R&D Program of Jiangxi Province 20202BBGL73106Key R&D Program of Science and Technology in Ganzhou 201926the CAS Pioneer Hundred Talents Program 81771139the National Natural Science Foundation of China 81371477the Planning Program of Health Committee of Ganzhou 2022-1-5the Planning Program of Health Committee of Jiangxi Province 20202089
6 · The paper itself

Abstract

Mood disorders (MD) are often associated with a higher incidence of suicidal behavior, especially in adolescent patients. However, the mechanisms by which depression affects suicide attempts in adolescents with MD remain poorly elucidated. Therefore, the purpose of this study was to determine the incidence, risk factors, and clinical correlates of suicide attempts in Chinese adolescent patients with MD, as well as the inter-relationship between depressive symptoms, rumination, and suicide attempts, and the role of rumination in mediating depression and suicide attempts. A total of 331 MD adolescent patients aged 11 ~ 18 years were recruited from a psychiatric hospital. Suicide attempts were assessed with the MINI Suicide Scale. Depressed symptoms were measured with the Patient Health Questionnaire-9 (PHQ-9). To assess rumination, we used the 21-item Chinese version of the Ruminative Responses Scale (RRS). Overall, the percentage of suicide attempts among MD adolescents was 51.96%, with a higher percentage of females (58.62%) than males (36.36%). Compared to non-suicide attempters, suicide attempters had higher scores on PHQ-9, RRS, depression-related, brooding, and reflective pondering. Gender and RRS were independently associated with suicide attempts. Rumination played a fully mediating role between depression and suicide attempts. In addition, the mediating effect of depression between rumination and suicide attempts was not significant. The incidence of suicide attempts was higher in MD adolescents than in general adolescents. Gender and rumination were associated with suicide attempts in MD adolescents. Moreover, rumination mediated the correlation between depressive symptoms and suicide attempts, suggesting that rumination may be an important intervention component for clinical staff to prevent suicidal behavior in adolescents with MD.

Indexed as

DepressionMood DisordersAdolescentFemaleHumansMaleRisk FactorsSuicidal IdeationSuicide, AttemptedAdolescentDepressionMood disorderRuminationSuicide attempts

Identifiers

PMID35763221
OpenAlexW4283653380

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.