{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T12:43:01Z","timestamp":1787920981470,"version":"build-2784847793"},"reference-count":80,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T00:00:00Z","timestamp":1745366400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Suicide has become one of the leading causes of death among adolescents, with an increased risk observed in the psychiatric outpatient population. Therefore, exploring its risk factors is crucial. Obsessive-compulsive symptoms, being common in this patient group, warrant investigation into their impact mechanisms on suicide risk.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study enrolled 526 outpatient adolescents [396 females (75.29%); Mage\u202f=\u202f15.39, SD\u202f=\u202f1.23] who completed relevant questionnaires and provided demographic data during their clinic visit.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Obsessive-compulsive symptoms positively predicted suicide risk in both males and females, with depressive symptoms mediating this effect. Sleep disturbances played a mediating role only in females, while anxiety symptoms did not mediate the relationship in either gender.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Clinicians should pay closer attention to adolescents presenting with obsessive-compulsive and depressive symptoms, as well as female adolescents with sleep disturbances, to mitigate their elevated suicide risk.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpubh.2025.1553066","type":"journal-article","created":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T04:10:33Z","timestamp":1745381433000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":4,"title":["Gender differences in the relationship between obsessive-compulsive symptoms and suicide risk among psychiatric outpatient adolescents: the role of depressive symptoms, anxiety symptoms, and sleep 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