School of Health Sciences, Wuhan University, Wuhan, PR China.
School of Health Sciences, Wuhan University, Wuhan, PR China; Wuhan University of Science and Technology City College, Wuhan, PR China.
Psychiatry Res. 2018 Feb;260:255-261. doi: 10.1016/j.psychres.2017.11.077. Epub 2017 Nov 29.
People living with HIV/AIDS (PLWHA) have higher rates of suicide than does the general population. It is critical to interpret the intricate relationships among various psychological variables that increase the risk of suicidal ideation among PLWHA in China. An institutional based cross-sectional study was conducted from Jul to Aug 2016 in Nanjing, China, using a self-reporting questionnaire. A total of 465 PLWHA participated. Sociodemographic, psychological variables and suicide information about the participants were collected. Structural equation modeling (SEM)-path analysis was used to analyze the cross-sectional data. The final structural equation model had a highly satisfactory fit. Among PLWHA, perceived stigma had the greatest accumulated total effect on suicidal ideation, with both a direct effect and indirect effect through self-esteem and depression. Additionally, self-esteem had the second greatest total effect on suicidal ideation and was influenced by social support. Depression contributed directly to suicidal ideation and partly mediated the association of perceived stigma and self-esteem with suicidal ideation. These findings suggest that self-esteem and depression, particularly perceived stigma, play important roles in suicidal ideation among PLWHA. Enhancing personal self-esteem or social support might also reduce perceived stigma and may be an important target for intervention to decrease suicidal ideation among PLWHA.
艾滋病病毒感染者和艾滋病患者（PLWHA）的自杀率高于一般人群。因此，对于在中国，哪些心理变量之间的复杂关系会增加 PLWHA 自杀意念的风险，需要进行深入的解读。本研究于 2016 年 7 月至 8 月在中国南京开展了一项基于机构的横断面研究，采用自我报告问卷收集了 465 名 PLWHA 的人口统计学、心理学变量和自杀信息。采用结构方程模型（SEM）-路径分析对横断面数据进行分析。最终的结构方程模型拟合度非常好。在 PLWHA 中，感知污名对自杀意念的总影响最大，通过自尊和抑郁有直接影响和间接影响。此外，自尊对自杀意念的总影响排名第二，受社会支持影响。抑郁直接导致自杀意念，部分中介了感知污名和自尊与自杀意念的关系。这些发现表明，自尊和抑郁，尤其是感知污名，在 PLWHA 的自杀意念中起着重要作用。增强个人自尊或社会支持也可能减轻感知污名，这可能是减少 PLWHA 自杀意念的干预的一个重要目标。
