This study explored the relationship between depressive symptoms and suicidality among community-dwelling adolescents aged 10-18 years, examining whether self-esteem, somatic symptoms, and self-harm mediate this relationship. Utilizing a pre-existing dataset from a nationwide adolescent mental health survey conducted in Korea in 2021, data were collected using several standardized self-administered instruments: the Korean version of Rosenberg's self-esteem scale, Korean Children's Somatization Inventory, Korean version of the Self-Harm Inventory, Mental Health Screening for Depressive Disorders, and Mental Health Screening for Suicide Risk. A path model was constructed and validated, followed by path analysis to assess the effects. Data from 6689 adolescents, including 5937 students and 752 out-of-school adolescents, revealed that 18.7% were in the suicidality group, 11.8% experienced depressive symptoms, 57.9% exhibited somatic symptoms, and 27.4% engaged in self-harm. Depressive symptoms had a positive direct effect on suicidality (β = 0.166, < 0.001, 95% confidence interval = 0.159-0.172). Bootstrapping tests showed a statistically significant indirect effect of self-esteem, somatic symptoms, and self-harm on the relationship between depressive symptoms and suicidality (β = 0.021, 95% confidence interval = 0.013-0.029). Our findings suggest that self-esteem, somatic symptoms, and self-harm mediate the relationship between depressive symptoms and suicidality, and comprehensive mental health management strategies addressing these factors are recommended.
Front Psychol. 2022 Aug 09;13:962147
[PMID:
36017432]
J Child Psychol Psychiatry. 2003 Nov;44(8):1191-8
[PMID:
14626459]
J Affect Disord. 2024 May 1;352:87-100
[PMID:
38360368]
Asia Pac Psychiatry. 2016 Dec;8(4):287-295
[PMID:
27224048]
Suicide Life Threat Behav. 2023 Dec;53(6):981-993
[PMID:
37650548]
J Affect Disord. 2022 Apr 1;302:361-366
[PMID:
35104465]
J Affect Disord. 2020 Nov 1;276:279-286
[PMID:
32697710]
J Clin Psychiatry. 2022 Apr 6;83(3):
[PMID:
35390233]
J Korean Med Sci. 2020 Aug 24;35(33):e276
[PMID:
32830466]
J Affect Disord. 2024 Apr 1;350:476-484
[PMID:
38199396]
Eur Child Adolesc Psychiatry. 2020 Jun;29(6):759-776
[PMID:
30684089]
JAMA Netw Open. 2019 May 3;2(5):e193916
[PMID:
31099856]
J Affect Disord. 2019 Jan 15;243:175-181
[PMID:
30243197]
Psychiatry Res. 2020 May;287:112553
[PMID:
31526562]
Ann Agric Environ Med. 2019 Jun 17;26(2):329-336
[PMID:
31232067]
BMC Psychiatry. 2022 Feb 9;22(1):96
[PMID:
35139825]
Behav Sci (Basel). 2021 Nov 01;11(11):
[PMID:
34821612]
Pediatrics. 2021 Jul;148(1):
[PMID:
34099503]
J Adolesc. 2005 Feb;28(1):75-87
[PMID:
15683636]
Med Clin North Am. 2023 Jan;107(1):169-182
[PMID:
36402497]
Lancet Child Adolesc Health. 2020 Feb;4(2):111-120
[PMID:
31926769]
Lancet. 2012 Jun 23;379(9834):2373-82
[PMID:
22726518]
Compr Psychiatry. 2019 Apr;90:43-48
[PMID:
30684832]
Arch Psychiatr Nurs. 2017 Jun;31(3):282-286
[PMID:
28499568]
Int J Psychol. 2019 Dec;54(6):807-815
[PMID:
30277258]
Psychosomatics. 1990 Winter;31(1):13-21
[PMID:
2405448]
Soc Psychiatry Psychiatr Epidemiol. 2021 Nov;56(11):1979-1992
[PMID:
33861354]
J Psychosom Res. 2021 Jan;140:110290
[PMID:
33227556]
Epidemiol Psychiatr Sci. 2019 Apr 22;29:e31
[PMID:
31006406]
J Affect Disord. 2017 Jun;215:37-48
[PMID:
28315579]
