ArticleFrontiers in psychiatry2026
Parent-adolescent communication, self-esteem, and suicidal ideation in Chinese adolescents: evidence from a four-wave longitudinal study.
Article in Frontiers in 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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Abstract
Background: Previous studies have linked parent-adolescent communication and self-esteem to adolescent suicidal ideation; however, less is known about how these relationships unfold over time, whether maternal and paternal communication play different roles, and whether these associations reflect stable between-person differences or within-person changes. Method: Cross-lagged panel models (CLPM) and random-intercept cross-lagged panel models (RI-CLPM) were used to examine the longitudinal relationships among parent-adolescent communication, self-esteem, and suicidal ideation. A four-wave longitudinal survey with six-month intervals was conducted among 1,036 Chinese adolescents (47.4% female; Results: The CLPM results indicated bidirectional associations between self-esteem and suicidal ideation and showed that both father-adolescent and mother-adolescent communication were associated with subsequent self-esteem and suicidal ideation across time. Self-esteem also accounted for part of the longitudinal associations between parent-adolescent communication and suicidal ideation. The RI-CLPM results further showed that, at the within-person level, only mother-adolescent communication predicted subsequent decreases in suicidal ideation, whereas father-adolescent communication showed no significant effects. Self-esteem consistently predicted subsequent suicidal ideation across time, whereas evidence supporting reverse effects was relatively limited. Conclusion: This study advances understanding of the dynamic relationships among parent-adolescent communication, self-esteem, and suicidal ideation. The findings suggest that maternal and paternal communication may play different roles in adolescent mental health and highlight positive parent-adolescent communication and self-esteem as potential targets for adolescent suicide prevention.
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