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寻求自杀意念的专业帮助:中澳大学生比较。

Seeking professional help for suicidal ideation: A comparison between Chinese and Australian university students.

机构信息

Centre for Mental Health Research, Research School of Population Health, The Australian National University, Canberra, Australia; Black Dog Institute, University of New South Wales, Sydney, Australia.

Centre for Mental Health Research, Research School of Population Health, The Australian National University, Canberra, Australia.

出版信息

Psychiatry Res. 2018 Dec;270:807-814. doi: 10.1016/j.psychres.2018.10.080. Epub 2018 Nov 1.

Abstract

Suicide is the second leading cause of death in Chinese university students and research examining their professional help-seeking is limited. This study aims to investigate: (i) professional help-seeking intentions for suicidal ideation among Chinese university students, with comparison to Australian university students, (ii) relationships between suicide literacy, social support, suicide stigma, self-reliance and help-seeking intentions, and (iii) self-recognised barriers to help-seeking. Chinese (N = 208) and Australian (N = 128) university students were recruited to complete an online cross-sectional survey assessing their intentions to seek professional help if they experienced suicidal ideation. One-third of the surveyed Chinese and Australian students expressed reluctance to seek professional help. Self-reliance was endorsed by both countries' university students as an important barrier. Suicide literacy, suicide stigma, and social support were not found to have a significant relationship with help-seeking intentions. The high costs of mental health services (Australian university students) and informal support from family and friends (Chinese university students) were identified as critical barriers to help seeking by participants. Results from this study suggest self-reliance is a potentially important barrier to professional help-seeking, whereas, suicide literacy and suicide stigma may have limited influence on help-seeking intentions among student populations.

摘要

自杀是中国大学生的第二大死因,而对他们寻求专业帮助的研究有限。本研究旨在调查:(i) 中国大学生对自杀意念的专业帮助寻求意向,并与澳大利亚大学生进行比较,(ii) 自杀素养、社会支持、自杀耻辱感、自力更生与帮助寻求意向之间的关系,以及 (iii) 自我认知的寻求帮助障碍。招募了中国(N=208)和澳大利亚(N=128)大学生,以完成一项在线横断面调查,评估他们在经历自杀意念时寻求专业帮助的意向。三分之一的中国和澳大利亚大学生表示不愿意寻求专业帮助。两国大学生都认为自力更生是一个重要的障碍。自杀素养、自杀耻辱感和社会支持与寻求帮助的意向没有显著关系。心理健康服务费用高(澳大利亚大学生)和家庭和朋友的非正式支持(中国大学生)被参与者视为寻求帮助的关键障碍。本研究结果表明,自力更生是寻求专业帮助的一个潜在重要障碍,而自杀素养和自杀耻辱感可能对学生群体的帮助寻求意向影响有限。

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