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Social Psychiatry and Psychiatric Epidemiology
Erschienen in: Social Psychiatry and Psychiatric Epidemiology 2/2014

01.02.2014 | Original Paper

Stressful psychosocial school environment and suicidal ideation in Chinese adolescents

verfasst von: Li Shang, Jian Li, Yan Li, Tao Wang, Johannes Siegrist

Erschienen in: Social Psychiatry and Psychiatric Epidemiology | Ausgabe 2/2014

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Abstract

Purpose

Suicide is one of the leading causes of death during adolescence worldwide. This study, using a sample of Chinese adolescents, examines associations of a stressful psychosocial school environment with suicidal ideation, which were rarely investigated so far.

Methods

A total of 1,004 Chinese students (468 boys and 536 girls) from Grade 7–12 were recruited into our questionnaire survey. Psychosocial school environment was measured by the effort–reward imbalance questionnaire adapted to the school setting, and suicidal ideation was assessed by a standardized question. Multivariate logistic regression was applied, adjusting odds ratios for age, gender, grade, smoking, alcohol drinking, physical activity, family wealth, and self-rated health.

Results

In school settings, 10.86 % students reported suicidal ideation during the last 6 months, which was found to be significantly related to both effort and reward. Remarkably, effort–reward imbalance was associated with elevated risk of suicidal ideation (odds ratio = 1.77, 95 % confidence interval = 1.34–2.35).

Conclusions

This study finds significant associations between a stressful psychosocial school environment in terms of effort–reward imbalance and suicidal ideation in Chinese adolescents. Preventive actions aiming at reducing this imbalance may define a promising approach towards a healthy psychosocial school environment.
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Metadaten
Titel
Stressful psychosocial school environment and suicidal ideation in Chinese adolescents
verfasst von
Li Shang
Jian Li
Yan Li
Tao Wang
Johannes Siegrist
Publikationsdatum
01.02.2014
Verlag
Springer Berlin Heidelberg
Erschienen in
Social Psychiatry and Psychiatric Epidemiology / Ausgabe 2/2014
Print ISSN: 0933-7954
Elektronische ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-013-0728-5

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