ArticleChild and adolescent psychiatry and mental health2024
Vulnerable conditions syndemic, depression, and suicidal ideation among school children in China: cross-sectional census findings.
Article in Child and adolescent psychiatry and mental health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.
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Who cites it
4 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Adverse childhood experiences and suicidality in low-income and middle-income countries: a systematic review and meta-analysis.BMJ global health · 2025Pooled it
- Cumulative effect of multiple health and social factors on adolescent mental well-being: a cross-sectional study in Catalonia.Child and adolescent mental health · 2026Article
- A preliminary prediction model for self-harm in adolescent inpatients with mental disorders: integrating individual and family factors.Frontiers in psychiatry · 2026Article
- Physical activity and depressive symptoms among college students: positive mental health as a mediator.Frontiers in psychology · 2026Article
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Abstract
backgroundMental health issues (depression and suicidal ideation) are increasingly common in children and emerge as escalating public health concerns. The syndemics that underline the importance of risk factor clustering provides a framework for intervention, but there is a lack of research on syndemics involving the adverse interactions of children's mental health problems. This study therefore examined the cumulative and synergistic effects of vulnerable conditions on depression and suicidal ideation among children in China.
methodsA mental health screening census of students in grades 5-12 was conducted from November 2022 to January 2023 in Nanling County, Anhui Province, China. The prevalence and co-occurrence of vulnerable conditions (unfavorable parental marital status, left-behind experience, bullying victimization, and self-harm behavior), depression, and suicidal ideation and the cumulative and synergistic effects of vulnerable conditions on depression and suicidal ideation were explored.
resultsNearly a quarter of students (24.8%) reported at least two syndemic conditions. Overall, the prevalence of depression and suicidal ideation were 20.2% and 24.2% respectively. The odds of depression and suicidal ideation were higher for children with one or more vulnerable conditions and were ten times higher for children with three or more vulnerable conditions compared with those without any vulnerable condition. These four vulnerable conditions can increase the odds of depression and suicidal ideation by interacting synergistically with each other.
conclusionOur findings signal the importance of addressing mental health syndemics among children in China by simultaneously considering concurrent vulnerable conditions.
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