Depression and suicide attempts in Chinese adolescents with mood disorders: the mediating role of rumination
Mood disorders (MD) are often associated with a higher incidence of suicidal behavior, especially in adolescent patients. However, the mechanisms by which depression affects suicide attempts in adolescents with MD remain poorly elucidated. Therefore, the purpose of this study was to determine the in...
Gespeichert in:
| Veröffentlicht in: | European archives of psychiatry and clinical neuroscience 2023-06, Vol.273 (4), p.931-940 |
|---|---|
| Hauptverfasser: | , , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 940 |
|---|---|
| container_issue | 4 |
| container_start_page | 931 |
| container_title | European archives of psychiatry and clinical neuroscience |
| container_volume | 273 |
| creator | Liu, Dianying Liu, Shaohua Deng, Hongdong Qiu, Lijuan Xia, Baiyun Liu, Wanglin Zhang, Delong Huang, Dan Guo, Huiyun Zhang, Xiangyang |
| description | Mood disorders (MD) are often associated with a higher incidence of suicidal behavior, especially in adolescent patients. However, the mechanisms by which depression affects suicide attempts in adolescents with MD remain poorly elucidated. Therefore, the purpose of this study was to determine the incidence, risk factors, and clinical correlates of suicide attempts in Chinese adolescent patients with MD, as well as the inter-relationship between depressive symptoms, rumination, and suicide attempts, and the role of rumination in mediating depression and suicide attempts. A total of 331 MD adolescent patients aged 11 ~ 18 years were recruited from a psychiatric hospital. Suicide attempts were assessed with the MINI Suicide Scale. Depressed symptoms were measured with the Patient Health Questionnaire-9 (PHQ-9). To assess rumination, we used the 21-item Chinese version of the Ruminative Responses Scale (RRS). Overall, the percentage of suicide attempts among MD adolescents was 51.96%, with a higher percentage of females (58.62%) than males (36.36%). Compared to non-suicide attempters, suicide attempters had higher scores on PHQ-9, RRS, depression-related, brooding, and reflective pondering. Gender and RRS were independently associated with suicide attempts. Rumination played a fully mediating role between depression and suicide attempts. In addition, the mediating effect of depression between rumination and suicide attempts was not significant. The incidence of suicide attempts was higher in MD adolescents than in general adolescents. Gender and rumination were associated with suicide attempts in MD adolescents. Moreover, rumination mediated the correlation between depressive symptoms and suicide attempts, suggesting that rumination may be an important intervention component for clinical staff to prevent suicidal behavior in adolescents with MD. |
| doi_str_mv | 10.1007/s00406-022-01444-2 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_2681812298</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A751595847</galeid><sourcerecordid>A751595847</sourcerecordid><originalsourceid>FETCH-LOGICAL-c442t-dfdcd337b57318ee3fce43f027a7586596eed9b147bd9a4e6114ec2ed48e4a343</originalsourceid><addsrcrecordid>eNp9kV9rFDEUxYNY7Lb6BXyQgC--TM2fO5MZ38pqVSj0pX0O2eTObspMsiYZit_erFstikgeAie_czk3h5DXnF1wxtT7zBiwrmFCNIwDQCOekRUHKZseBv6crNgArOFSwik5y_meMcZbwV6QU9mqTgrBV2T6iPuEOfsYqAmO5sVb75CaUnDel0x9oOudD5ir5uKE2WKo8oMvOzrH6KjzOSaHKX-gZYd0RudN8WFLU6VpHGlaZh-qFMNLcjKaKeOrx_uc3F19ul1_aa5vPn9dX143FkCUxo3OOinVplWS94hytAhyZEIZ1fZdO3SIbthwUBs3GMCOc0Ar0EGPYCTIc_LuOHef4rcFc9Gzr7mnyQSMS9ai63nPhRj6ir79C72PSwo1nRa94Aq4YuqJ2poJtQ9jLMnYw1B9qVreDm0PB-riH1Q9DmdvY8DRV_0PgzgabIo5Jxz1PvnZpO-aM32oWB8r1rVi_bNiLarpzWPiZVM_-7flV6cVkEcg16ewxfS00n_G_gAcUbC5</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2821741707</pqid></control><display><type>article</type><title>Depression and suicide attempts in Chinese adolescents with mood disorders: the mediating role of rumination</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Liu, Dianying ; Liu, Shaohua ; Deng, Hongdong ; Qiu, Lijuan ; Xia, Baiyun ; Liu, Wanglin ; Zhang, Delong ; Huang, Dan ; Guo, Huiyun ; Zhang, Xiangyang</creator><creatorcontrib>Liu, Dianying ; Liu, Shaohua ; Deng, Hongdong ; Qiu, Lijuan ; Xia, Baiyun ; Liu, Wanglin ; Zhang, Delong ; Huang, Dan ; Guo, Huiyun ; Zhang, Xiangyang</creatorcontrib><description>Mood disorders (MD) are often associated with a higher incidence of suicidal behavior, especially in adolescent patients. However, the mechanisms by which depression affects suicide attempts in adolescents with MD remain poorly elucidated. Therefore, the purpose of this study was to determine the incidence, risk factors, and clinical correlates of suicide attempts in Chinese adolescent patients with MD, as well as the inter-relationship between depressive symptoms, rumination, and suicide attempts, and the role of rumination in mediating depression and suicide attempts. A total of 331 MD adolescent patients aged 11 ~ 18 years were recruited from a psychiatric hospital. Suicide attempts were assessed with the MINI Suicide Scale. Depressed symptoms were measured with the Patient Health Questionnaire-9 (PHQ-9). To assess rumination, we used the 21-item Chinese version of the Ruminative Responses Scale (RRS). Overall, the percentage of suicide attempts among MD adolescents was 51.96%, with a higher percentage of females (58.62%) than males (36.36%). Compared to non-suicide attempters, suicide attempters had higher scores on PHQ-9, RRS, depression-related, brooding, and reflective pondering. Gender and RRS were independently associated with suicide attempts. Rumination played a fully mediating role between depression and suicide attempts. In addition, the mediating effect of depression between rumination and suicide attempts was not significant. The incidence of suicide attempts was higher in MD adolescents than in general adolescents. Gender and rumination were associated with suicide attempts in MD adolescents. Moreover, rumination mediated the correlation between depressive symptoms and suicide attempts, suggesting that rumination may be an important intervention component for clinical staff to prevent suicidal behavior in adolescents with MD.</description><identifier>ISSN: 0940-1334</identifier><identifier>EISSN: 1433-8491</identifier><identifier>DOI: 10.1007/s00406-022-01444-2</identifier><identifier>PMID: 35763221</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adolescent ; Adolescents ; Child psychopathology ; Depression - epidemiology ; Depression - psychology ; Depression, Mental ; Emotional disorders ; Female ; Gender ; Humans ; Male ; Mediation ; Medicine ; Medicine & Public Health ; Mental depression ; Mood ; Mood disorders ; Mood Disorders - epidemiology ; Neurosciences ; Original Paper ; Patients ; Psychiatric hospital care ; Psychiatric hospitals ; Psychiatry ; Psychological aspects ; Risk Factors ; Rumination ; Suicidal behavior ; Suicidal Ideation ; Suicide ; Suicide, Attempted - psychology ; Suicides & suicide attempts ; Teenagers ; Youth</subject><ispartof>European archives of psychiatry and clinical neuroscience, 2023-06, Vol.273 (4), p.931-940</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany 2022</rights><rights>2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany.</rights><rights>COPYRIGHT 2023 Springer</rights><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany 2022.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c442t-dfdcd337b57318ee3fce43f027a7586596eed9b147bd9a4e6114ec2ed48e4a343</citedby><cites>FETCH-LOGICAL-c442t-dfdcd337b57318ee3fce43f027a7586596eed9b147bd9a4e6114ec2ed48e4a343</cites><orcidid>0000-0003-3326-382X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00406-022-01444-2$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00406-022-01444-2$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35763221$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Liu, Dianying</creatorcontrib><creatorcontrib>Liu, Shaohua</creatorcontrib><creatorcontrib>Deng, Hongdong</creatorcontrib><creatorcontrib>Qiu, Lijuan</creatorcontrib><creatorcontrib>Xia, Baiyun</creatorcontrib><creatorcontrib>Liu, Wanglin</creatorcontrib><creatorcontrib>Zhang, Delong</creatorcontrib><creatorcontrib>Huang, Dan</creatorcontrib><creatorcontrib>Guo, Huiyun</creatorcontrib><creatorcontrib>Zhang, Xiangyang</creatorcontrib><title>Depression and suicide attempts in Chinese adolescents with mood disorders: the mediating role of rumination</title><title>European archives of psychiatry and clinical neuroscience</title><addtitle>Eur Arch Psychiatry Clin Neurosci</addtitle><addtitle>Eur Arch Psychiatry Clin Neurosci</addtitle><description>Mood disorders (MD) are often associated with a higher incidence of suicidal behavior, especially in adolescent patients. However, the mechanisms by which depression affects suicide attempts in adolescents with MD remain poorly elucidated. Therefore, the purpose of this study was to determine the incidence, risk factors, and clinical correlates of suicide attempts in Chinese adolescent patients with MD, as well as the inter-relationship between depressive symptoms, rumination, and suicide attempts, and the role of rumination in mediating depression and suicide attempts. A total of 331 MD adolescent patients aged 11 ~ 18 years were recruited from a psychiatric hospital. Suicide attempts were assessed with the MINI Suicide Scale. Depressed symptoms were measured with the Patient Health Questionnaire-9 (PHQ-9). To assess rumination, we used the 21-item Chinese version of the Ruminative Responses Scale (RRS). Overall, the percentage of suicide attempts among MD adolescents was 51.96%, with a higher percentage of females (58.62%) than males (36.36%). Compared to non-suicide attempters, suicide attempters had higher scores on PHQ-9, RRS, depression-related, brooding, and reflective pondering. Gender and RRS were independently associated with suicide attempts. Rumination played a fully mediating role between depression and suicide attempts. In addition, the mediating effect of depression between rumination and suicide attempts was not significant. The incidence of suicide attempts was higher in MD adolescents than in general adolescents. Gender and rumination were associated with suicide attempts in MD adolescents. Moreover, rumination mediated the correlation between depressive symptoms and suicide attempts, suggesting that rumination may be an important intervention component for clinical staff to prevent suicidal behavior in adolescents with MD.</description><subject>Adolescent</subject><subject>Adolescents</subject><subject>Child psychopathology</subject><subject>Depression - epidemiology</subject><subject>Depression - psychology</subject><subject>Depression, Mental</subject><subject>Emotional disorders</subject><subject>Female</subject><subject>Gender</subject><subject>Humans</subject><subject>Male</subject><subject>Mediation</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mental depression</subject><subject>Mood</subject><subject>Mood disorders</subject><subject>Mood Disorders - epidemiology</subject><subject>Neurosciences</subject><subject>Original Paper</subject><subject>Patients</subject><subject>Psychiatric hospital care</subject><subject>Psychiatric hospitals</subject><subject>Psychiatry</subject><subject>Psychological aspects</subject><subject>Risk Factors</subject><subject>Rumination</subject><subject>Suicidal behavior</subject><subject>Suicidal Ideation</subject><subject>Suicide</subject><subject>Suicide, Attempted - psychology</subject><subject>Suicides & suicide attempts</subject><subject>Teenagers</subject><subject>Youth</subject><issn>0940-1334</issn><issn>1433-8491</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kV9rFDEUxYNY7Lb6BXyQgC--TM2fO5MZ38pqVSj0pX0O2eTObspMsiYZit_erFstikgeAie_czk3h5DXnF1wxtT7zBiwrmFCNIwDQCOekRUHKZseBv6crNgArOFSwik5y_meMcZbwV6QU9mqTgrBV2T6iPuEOfsYqAmO5sVb75CaUnDel0x9oOudD5ir5uKE2WKo8oMvOzrH6KjzOSaHKX-gZYd0RudN8WFLU6VpHGlaZh-qFMNLcjKaKeOrx_uc3F19ul1_aa5vPn9dX143FkCUxo3OOinVplWS94hytAhyZEIZ1fZdO3SIbthwUBs3GMCOc0Ar0EGPYCTIc_LuOHef4rcFc9Gzr7mnyQSMS9ai63nPhRj6ir79C72PSwo1nRa94Aq4YuqJ2poJtQ9jLMnYw1B9qVreDm0PB-riH1Q9DmdvY8DRV_0PgzgabIo5Jxz1PvnZpO-aM32oWB8r1rVi_bNiLarpzWPiZVM_-7flV6cVkEcg16ewxfS00n_G_gAcUbC5</recordid><startdate>20230601</startdate><enddate>20230601</enddate><creator>Liu, Dianying</creator><creator>Liu, Shaohua</creator><creator>Deng, Hongdong</creator><creator>Qiu, Lijuan</creator><creator>Xia, Baiyun</creator><creator>Liu, Wanglin</creator><creator>Zhang, Delong</creator><creator>Huang, Dan</creator><creator>Guo, Huiyun</creator><creator>Zhang, Xiangyang</creator><general>Springer Berlin Heidelberg</general><general>Springer</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-3326-382X</orcidid></search><sort><creationdate>20230601</creationdate><title>Depression and suicide attempts in Chinese adolescents with mood disorders: the mediating role of rumination</title><author>Liu, Dianying ; Liu, Shaohua ; Deng, Hongdong ; Qiu, Lijuan ; Xia, Baiyun ; Liu, Wanglin ; Zhang, Delong ; Huang, Dan ; Guo, Huiyun ; Zhang, Xiangyang</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c442t-dfdcd337b57318ee3fce43f027a7586596eed9b147bd9a4e6114ec2ed48e4a343</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Adolescent</topic><topic>Adolescents</topic><topic>Child psychopathology</topic><topic>Depression - epidemiology</topic><topic>Depression - psychology</topic><topic>Depression, Mental</topic><topic>Emotional disorders</topic><topic>Female</topic><topic>Gender</topic><topic>Humans</topic><topic>Male</topic><topic>Mediation</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mental depression</topic><topic>Mood</topic><topic>Mood disorders</topic><topic>Mood Disorders - epidemiology</topic><topic>Neurosciences</topic><topic>Original Paper</topic><topic>Patients</topic><topic>Psychiatric hospital care</topic><topic>Psychiatric hospitals</topic><topic>Psychiatry</topic><topic>Psychological aspects</topic><topic>Risk Factors</topic><topic>Rumination</topic><topic>Suicidal behavior</topic><topic>Suicidal Ideation</topic><topic>Suicide</topic><topic>Suicide, Attempted - psychology</topic><topic>Suicides & suicide attempts</topic><topic>Teenagers</topic><topic>Youth</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Liu, Dianying</creatorcontrib><creatorcontrib>Liu, Shaohua</creatorcontrib><creatorcontrib>Deng, Hongdong</creatorcontrib><creatorcontrib>Qiu, Lijuan</creatorcontrib><creatorcontrib>Xia, Baiyun</creatorcontrib><creatorcontrib>Liu, Wanglin</creatorcontrib><creatorcontrib>Zhang, Delong</creatorcontrib><creatorcontrib>Huang, Dan</creatorcontrib><creatorcontrib>Guo, Huiyun</creatorcontrib><creatorcontrib>Zhang, Xiangyang</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>European archives of psychiatry and clinical neuroscience</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Liu, Dianying</au><au>Liu, Shaohua</au><au>Deng, Hongdong</au><au>Qiu, Lijuan</au><au>Xia, Baiyun</au><au>Liu, Wanglin</au><au>Zhang, Delong</au><au>Huang, Dan</au><au>Guo, Huiyun</au><au>Zhang, Xiangyang</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Depression and suicide attempts in Chinese adolescents with mood disorders: the mediating role of rumination</atitle><jtitle>European archives of psychiatry and clinical neuroscience</jtitle><stitle>Eur Arch Psychiatry Clin Neurosci</stitle><addtitle>Eur Arch Psychiatry Clin Neurosci</addtitle><date>2023-06-01</date><risdate>2023</risdate><volume>273</volume><issue>4</issue><spage>931</spage><epage>940</epage><pages>931-940</pages><issn>0940-1334</issn><eissn>1433-8491</eissn><abstract>Mood disorders (MD) are often associated with a higher incidence of suicidal behavior, especially in adolescent patients. However, the mechanisms by which depression affects suicide attempts in adolescents with MD remain poorly elucidated. Therefore, the purpose of this study was to determine the incidence, risk factors, and clinical correlates of suicide attempts in Chinese adolescent patients with MD, as well as the inter-relationship between depressive symptoms, rumination, and suicide attempts, and the role of rumination in mediating depression and suicide attempts. A total of 331 MD adolescent patients aged 11 ~ 18 years were recruited from a psychiatric hospital. Suicide attempts were assessed with the MINI Suicide Scale. Depressed symptoms were measured with the Patient Health Questionnaire-9 (PHQ-9). To assess rumination, we used the 21-item Chinese version of the Ruminative Responses Scale (RRS). Overall, the percentage of suicide attempts among MD adolescents was 51.96%, with a higher percentage of females (58.62%) than males (36.36%). Compared to non-suicide attempters, suicide attempters had higher scores on PHQ-9, RRS, depression-related, brooding, and reflective pondering. Gender and RRS were independently associated with suicide attempts. Rumination played a fully mediating role between depression and suicide attempts. In addition, the mediating effect of depression between rumination and suicide attempts was not significant. The incidence of suicide attempts was higher in MD adolescents than in general adolescents. Gender and rumination were associated with suicide attempts in MD adolescents. Moreover, rumination mediated the correlation between depressive symptoms and suicide attempts, suggesting that rumination may be an important intervention component for clinical staff to prevent suicidal behavior in adolescents with MD.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>35763221</pmid><doi>10.1007/s00406-022-01444-2</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0003-3326-382X</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0940-1334 |
| ispartof | European archives of psychiatry and clinical neuroscience, 2023-06, Vol.273 (4), p.931-940 |
| issn | 0940-1334 1433-8491 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2681812298 |
| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Adolescent Adolescents Child psychopathology Depression - epidemiology Depression - psychology Depression, Mental Emotional disorders Female Gender Humans Male Mediation Medicine Medicine & Public Health Mental depression Mood Mood disorders Mood Disorders - epidemiology Neurosciences Original Paper Patients Psychiatric hospital care Psychiatric hospitals Psychiatry Psychological aspects Risk Factors Rumination Suicidal behavior Suicidal Ideation Suicide Suicide, Attempted - psychology Suicides & suicide attempts Teenagers Youth |
| title | Depression and suicide attempts in Chinese adolescents with mood disorders: the mediating role of rumination |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-08T05%3A56%3A40IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_proqu&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Depression%20and%20suicide%20attempts%20in%20Chinese%20adolescents%20with%20mood%20disorders:%20the%20mediating%20role%20of%20rumination&rft.jtitle=European%20archives%20of%20psychiatry%20and%20clinical%20neuroscience&rft.au=Liu,%20Dianying&rft.date=2023-06-01&rft.volume=273&rft.issue=4&rft.spage=931&rft.epage=940&rft.pages=931-940&rft.issn=0940-1334&rft.eissn=1433-8491&rft_id=info:doi/10.1007/s00406-022-01444-2&rft_dat=%3Cgale_proqu%3EA751595847%3C/gale_proqu%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2821741707&rft_id=info:pmid/35763221&rft_galeid=A751595847&rfr_iscdi=true |