ArticleFrontiers in psychiatry2025
Thematic analysis of narrated reasons for suicidal ideation among Chinese adolescents in psychological counseling.
Article in Frontiers in psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Multidimensional determinants of suicide risk in emerging adults: the roles of sleep health, chronotype, exercise participation, earthquake exposure, and gender.BMC public health · 2026Article
- Development and Validation of a Nomogram for Estimating the Risk of Suicide Tendencies Among Chinese Middle School Students: A Cross-Sectional Study.Psychology research and behavior management · 2026Article
- Parent-adolescent communication, self-esteem, and suicidal ideation in Chinese adolescents: evidence from a four-wave longitudinal study.Frontiers in psychiatry · 2026Article
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3 authors.
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Abstract
Background: Adolescent suicidal ideation is a critical public health concern in China, yet the subjective drivers of these thoughts remain insufficiently understood. Objective: This study sought to elucidate the reasons Chinese adolescents articulate for suicidal ideation in real-world counseling contexts. Methods: We performed a reflexive thematic analysis of therapy transcripts from 51 adolescents (aged 10-19 years; 38 females and 13 males) seeking counseling for depressive symptoms, recruited from the psychiatric outpatient departments of Grade A tertiary hospitals in China. Results: The analysis identified five interconnected themes: (1) self-cognitive dissonance, (2) academic pressure, (3) family factors, (4) mental health issues (referring to the direct impact of their mental health symptoms), and (5) weak social ability. The findings reveal that these themes operate as a synergistic system, creating a reinforcing cycle where external pressures exacerbate internal vulnerabilities. For these adolescents, suicidal ideation appears to emerge from the complex interplay of academic, familial, social, and intrapsychic distress. Conclusions: The results provide a nuanced understanding of how multiple risk factors synergize in this population and underscore the necessity of adopting integrated, multi-systemic interventions that concurrently target the adolescent's cognitions, their family dynamics, and the school environment to effectively address this multifaceted crisis.
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