Abstract
Previous studies have shown that negative automatic thoughts are important predictors of suicidal ideation. However, few studies have explored the underlying mechanisms of the association. The current study aimed to explore the potential mechanisms underlying the relationship between negative automatic thoughts and suicidal ideation by a longitudinal serial mediation model. A total of 1133 Chinese adolescents (51.2% males, Mage = 14.76 years, SD = 0.65) completed self-report questionnaires regarding negative automatic thoughts, self-disgust, depressive symptoms, and suicidal ideation. The assessment was conducted in three waves, 6 months apart. Descriptive statistical analysis showed that the 6-month prevalence of suicidal ideation was 33.4% for Wave 1, 32.5% for Wave 2, and 27.2% for Wave 3. Pearson correlation analysis showed that negative automatic thoughts, self-disgust, and depressive symptoms were all positively related to suicidal ideation. Regression-based mediation modeling showed that self-disgust and depressive symptoms were serial mediators of the relationship between negative automatic thoughts and suicidal ideation, with negative automatic thoughts influencing suicide ideation through three mediation pathways. The current findings suggest that self-disgust and depressive symptoms are potential mediating mechanisms that explain the link between negative automatic thoughts and suicidal ideation. Interventions that target negative automatic thoughts may be an effective way to reduce the risk of suicidal ideation. In addition, the important role of self-disgust in the development of depressive symptoms as well as suicidal ideation needs to be taken into account in therapeutic practice.
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This study was also supported by Research Center for Crisis Intervention and Psychological Service of Guangdong Province, South China Normal University and the base of psychological services and counseling for “Happiness” in Guangzhou.
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This research was supported by the National Social Science Foundation of China [grant number: 19ZDA360], the “Youth Development Research” project of the Central Committee of the Communist Youth League [grant number:23JH006], and the Special Funds for the Cultivation of Guangdong College Students’ Scientific and Technological Innovation (“Climbing Program” Special Funds) [grant number: pdjh2021b0145].
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Yunhong Shen: Data curation; Formal analysis; Writing - Original Draft. Danrui Chen: Data curation; Writing - Review & Editing. Jiefeng Ying: Data curation; Writing - Review & Editing. Chuhan Wang: Data curation. Jianing You: Supervision; Writing - Review & Editing All authors contributed to and have approved the final manuscript.
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Shen, Y., Chen, D., Ying, J. et al. The association between negative automatic thoughts and suicidal ideation: a longitudinal serial mediation model. Curr Psychol 43, 9909–9919 (2024). https://doi.org/10.1007/s12144-023-05133-8
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DOI: https://doi.org/10.1007/s12144-023-05133-8