ArticleFrontiers in public health2022
Internet addiction and suicidal behavior among vocational high school students in Hunan Province, China: A moderated mediation model.
Article in Frontiers in public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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14 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.
- Adolescent Suicide Risk in China: A Multilevel Meta-Analysis and Multilayer Network Perspective.Journal of youth and adolescence · 2026Pooled it
- Associations and Potential Pathways Linking Excessive Short-Video Use to Mental Health Among Vocational High School Students in China: An Integrated Analysis Based on Machine Learning and Path Analysis.Behavioral sciences (Basel, Switzerland) · 2026Article
- The Association Between Youth Screentime, Suicide Behaviors, and Protective and Risk Factors in a United States Post-COVID-19 Pandemic Sample.Child psychiatry and human development · 2026Article
- Internet addiction in adolescents with suicidal ideation: the role of self-esteem and school connectedness.Frontiers in psychiatry · 2026Article
- The Relationship Between Anxiety and Suicidal Ideation in Patients With Bipolar Disorder: Chain Mediation Effects of Social Support and Self-Esteem.Actas espanolas de psiquiatria · 2025Article
- 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
- Psychological pain tolerance mediates the association between physical pain sensitivity and suicidal ideation: a cross-sectional study.BMC psychiatry · 2025Article
- The Longitudinal Relationship Between Cyberbullying Perpetration and Suicidal Ideation Among Vocational School Adolescents: A Moderated Mediation Model.Psychology research and behavior management · 2025Article
- Associations between internet addiction and suicidal ideation in depressed adolescents: the mediating effect of insomnia as well as sex differences.BMC psychiatry · 2024Article
- Excessive internet use as a risk factor for suicide ideation among university students in Malawi: A cross-sectional study.Health science reports · 2024Article
- The effect of social anxiety on teenagers' internet addiction: the mediating role of loneliness and coping styles.BMC psychiatry · 2024Article
- Exploring the Causal Relationship Between Migraine and Insomnia Through Bidirectional Two-Sample Mendelian Randomization: A Bidirectional Causal Relationship.Journal of pain research · 2024Article
- Internet addiction and suicidal ideation among Chinese college students: the mediating role of psychotic-like experiences.Frontiers in public health · 2023Article
- Prevalence and associated factors of internet addiction among Chinese adolescents: association with childhood trauma.Frontiers in public health · 2023Article
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Authors and funding
15 authors at 7 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Vocational education is an important part of high school education in China. However, there is little research on high school students' mental health. This study aimed to investigate the prevalence of suicidal behavior (SB) among this population and the mediating role of insomnia, depression, anxiety, and stress in the relationship between Internet addiction (IA) and SB using a structural equation model. Methods: A cross-sectional questionnaire survey was conducted among several vocational high school students in Hunan Province, and 7,968 valid questionnaires were obtained. General demographic data and data from the Dual-Mode Self-Control Scale, Athens Insomnia Scale, Depression Anxiety Stress scale-21, and Revised Chen Internet Addiction Scale were collected. A structural equation model was used to explore the different pathways from IA to SB. Results: Among the participants, 37.7, 15.7, and 21.8% reported suicidal ideation, plans, and attempts, respectively. The structural equation model confirmed that IA was indirectly related to SB and was mediated by insomnia and/or depression, anxiety, and stress. Limitations: First, we only recruited students from vocational schools in Hunan Province, therefore, the sample may not represent the entire population of vocational students in China. Second, self-report scales were used in this study, and clinical diagnosis required professional interviews. Third, since this study had a cross-sectional design, the causal relationship between the variables could not be determined. Conclusions: The prevalence of SB among vocational high school students in China was significantly high. The prevention of SB related to IA can be attributed to the improvement of insomnia and emotional problems.
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