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- W4366366407 abstract "Little empirical work has investigated the associations between life stress (LS), insomnia, depression, and suicidality in multi-wave longitudinal studies. With 3 waves of data collection 1 year apart, this longitudinal study with a large sample of adolescents examined the predicting effects of LS on suicidality 1 year later and 2 years later and the mediating roles of insomnia and depression in the LS-suicidality link.A total of 6,995 adolescents (mean age=14.86 years, 51.4% male) participated in a 3-wave longitudinal study of behavior and health in Shandong, China. A self-administered structured questionnaire and standardized scales were used to assess suicidality (including suicidal thought (ST), suicide plan (SP), and suicide attempt (SA)), LS, insomnia, and depression in 2015 (T1), 1 year later (T2), and 2 years later (T3). Mediation effects were examined with path models.The overall prevalence rates of past-year suicidality were 13.4% at T1, 10.0% at T2, and 9.5% at T3, respectively. The prevalence rates of suicidality across T1-T3 significantly increased with elevated levels of baseline LS, insomnia, and depression (p<.001). Path models indicated that the relationship between baseline LS and suicidal ideation (ST/SP) 2 years later was significantly mediated by both insomnia and depression. Depression was also a significant mediator between life stress and SA.Life stress is a significant predictor of suicidality 1-2 years later in adolescents. Depression mediates the association between life stress and suicidal ideation and attempt while insomnia appears to be a mediator for suicidal ideation rather than attempt." @default.
- W4366366407 created "2023-04-21" @default.
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- W4366366407 date "2023-04-19" @default.
- W4366366407 modified "2023-09-29" @default.
- W4366366407 title "Life stress and suicidality mediated by insomnia and depressive symptoms in adolescents: a three-wave longitudinal study" @default.
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- W4366366407 doi "https://doi.org/10.1093/sleep/zsad121" @default.
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