Evidence map›Paper›PMID 42210131›Full record

ArticleBMC psychiatry2026

The impact of trait impulsivity on suicidal behavior in adolescents with depression: the mediating and moderating role of depression severity, suicidal ideation intensity and age.

Xinglian Wang, Liuyi Ran, Hao Ren, Yue Gao, Guixia Liu, Hong Luo, Bin Peng, Haitang Qiu

Abstract read
In one paragraph

Article in BMC psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Xinglian Wang *Department of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Liuyi Ran *The University-Town Hospital of Chongqing Medical University, Chongqing, China.
Hao RenDepartment of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Yue GaoDepartment of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Guixia LiuDepartment of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Hong LuoDepartment of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Bin PengDepartment of Health Statistics, School of Public Health, Chongqing Medical University, Chongqing, China. pengbin@cqmu.edu.cn.
Haitang QiuDepartment of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China. qiuhaitang2008@hotmail.com.

Funding

National Natural Science Foundation of China 81901373
6 · The paper itself

Abstract

objectiveThis study aims to investigate whether and how trait impulsivity differentiates suicidal ideation (SI) from suicide attempts (SA) in adolescents with Major Depressive Disorder (MDD), and the mechanisms through which impulsivity increases suicide attempt risk.

methodsA total of 185 adolescents diagnosed with MDD and suicidal ideation were categorized into SI (n = 118) and SA (n = 67) groups based on lifetime suicide attempt history. Study variables included impulsivity, depression severity, suicidal ideation intensity, and demographic and clinical characteristics. Group difference analysis compared variables between the two groups. Multiple logistic regression and moderated mediation models were applied to analyze the relationships between impulsivity and suicidal behavior.

resultsThe SA group exhibited younger age, higher depression severity, higher impulsivity, and higher suicidal ideation intensity compared to the SI group. Unadjusted logistic regression revealed that higher impulsivity was associated with higher odds of suicide attempt risk (OR = 1.03, p = 0.030); however, this association became nonsignificant after adjusting for covariates. Mediation analysis revealed a pattern consistent with an indirect association: trait impulsivity was statistically associated with higher suicide attempt risk via depression severity and suicidal ideation intensity, whereas its direct association was not significant. Age moderated the relationship between impulsivity and suicidal ideation intensity (B = -0.05, p = 0.039), showing stronger associations in younger adolescents.

conclusionTrait impulsivity alone does not directly differentiate suicidal ideation from suicide attempts. It is indirectly linked to suicidal behavior through the severity of depression and the intensity of suicidal ideation. The correlation between impulsivity and suicidal ideation intensity diminishes as age increases.

Indexed as

Adolescent BehaviorImpulsive BehaviorMajor Depressive DisorderSuicidal IdeationSuicide, AttemptedAdolescentAge FactorsFemaleHumansMaleSeverity of Illness IndexAdolescentsImpulsivityMajor depressive disorderSuicidal behavior

Identifiers

PMID42210131
PMCPMC13411584

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