Internet Addiction and Suicidal Ideation in Chinese Adolescents: Sex Differences and the Interactive Roles of Trauma and Depression.

This study investigated the association between Internet addiction (IA) and suicidal ideation (SI) among Chinese adolescents, focusing on sex differences and the interactive roles of childhood trauma and depressive symptoms. A large-scale multicenter survey involving 24,470 students (mean age = 14.3...

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Publicado en:CyberPsychology, Behavior & Social Networking Vol. 29; no. 8; pp. 592 - 601
Autores principales: Zhuo, Feng, Xie, Xinran, Hu, Zhangjie, Fang, Tingting, Li, Jingya, Yang, Ying, Kong, Linghua
Formato: research tables/charts Journal Article
Publicado: Mary Ann Liebert, Inc. Aug2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2026
      vid: 29
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      pub: Mary Ann Liebert, Inc.
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        atl: Internet Addiction and Suicidal Ideation in Chinese Adolescents: Sex Differences and the Interactive Roles of Trauma and Depression.
      aug:
        au:
          Zhuo, Feng
          Xie, Xinran
          Hu, Zhangjie
          Fang, Tingting
          Li, Jingya
          Yang, Ying
          Kong, Linghua
        affil: School of Nursing and Rehabilitation, Shandong University, Jinan, Shandong, China.
      sug:
        subj:
          Internet Addiction Psychosocial Factors
          Suicidal Ideation Psychosocial Factors
          Internet Addiction Psychosocial Factors
          Suicidal Ideation Psychosocial Factors
          Sex Factors
          Adverse Childhood Experiences
          Depression
          Human
          Funding Source
          China
          Male
          Female
          Child
          Adolescence
          Multicenter Studies
          Cross Sectional Studies
          Descriptive Statistics
          Cluster Sample
          Summated Rating Scaling
          Coefficient alpha
          Data Analysis Software
          Chi Square Test
          T-Tests
          Logistic Regression
          Odds Ratio
          Confidence Intervals
          Psychological Trauma
          Suicidal Ideation Risk Factors
          Risk Assessment
          Adolescent Behavior
          Mental Health
          Suicide Prevention and Control
          Scales
          Psychological Tests
          Students
          Schools
          Child: 6-12 years
          Adolescent: 13-18 years
          Male
          Female
      ab: This study investigated the association between Internet addiction (IA) and suicidal ideation (SI) among Chinese adolescents, focusing on sex differences and the interactive roles of childhood trauma and depressive symptoms. A large-scale multicenter survey involving 24,470 students (mean age = 14.37 ± 1.52 years; 48.40 percent female) from three Chinese cities was conducted using standardized instruments to assess IA, SI, childhood trauma, and depression. Logistic regression and interaction analyses showed that IA was significantly associated with a higher likelihood of SI, with stronger associations observed among female adolescents. Childhood trauma and depressive symptoms significantly moderated the IA–SI relationship (interaction odds ratio [OR] = 6.81/6.88). However, stratified analysis showed that the association between IA and SI was stronger among adolescents without childhood trauma (OR = 3.38) than among those with childhood trauma (OR = 2.63), and the association was also stronger among adolescents without depressive symptoms (OR = 2.88) compared to those with depressive symptoms (OR = 1.80). These differences were primarily attributed to the higher baseline risk of SI among adolescents with childhood trauma and depressive symptoms, which attenuated the relative effect of IA. This effect was more pronounced during early adolescence. These findings suggest that IA may represent a potentially modifiable behavioral risk factor for SI in adolescents, particularly among females. The results highlight the importance of integrating digital behavior and mental health factors in adolescent suicide risk prevention, with a focus on comprehensive intervention strategies for adolescents with psychological vulnerabilities.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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