Psychological Resilience Profiles and Associated Factors in Adolescents With Depression and Suicidal Ideation: A Latent Profile and Variable Selection Approach

ABSTRACT

To explore the heterogeneity of psychological resilience in adolescents with depression and suicidal ideation and to identify psychosocial factors associated with different resilience profiles. A total of 286 hospitalised adolescents diagnosed with depressive disorders and suicidal ideation were consecutively enroled. Psychological resilience was assessed using the Adolescent Resilience Scale. Latent profile analysis (LPA) was conducted to identify resilience profiles. Least absolute shrinkage and selection operator (LASSO) regression was used to select variables associated with membership in the low‐ and moderate‐resilience profiles, using the high‐resilience profile as the reference category. Bootstrap resampling was performed to assess the stability of variable selection. LPA identified three psychological resilience profiles: low resilience‐vulnerable (22.0%), moderate resilience‐cognitive advantage (66.8%), and high resilience‐tenacious (11.2%). Social support, problem‐focused coping, and emotion‐focused coping were selected in both profile‐comparison models and showed relatively high bootstrap selection frequencies. Neglectful parenting was selected only in the comparison between the low resilience‐vulnerable and high resilience‐tenacious profiles and showed comparatively lower selection stability. Psychological resilience showed substantial heterogeneity among adolescents with depression and suicidal ideation. Social support and coping strategies were consistently associated with resilience profile membership, whereas the association with neglectful parenting was less stable. These findings may inform future research on profile‐based psychological assessment and differentiated support strategies; however, longitudinal studies are needed to clarify temporal and causal relationships.