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社会支持和精神健康对马来西亚边缘青少年自杀意念的预测作用。

The role of social support and spiritual wellbeing in predicting suicidal ideation among marginalized adolescents in Malaysia.

机构信息

Health Psychology Programme, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.

Psychiatry Department, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Bandar Tun Razak Cheras, Malaysia.

出版信息

BMC Public Health. 2019 Jun 13;19(Suppl 4):553. doi: 10.1186/s12889-019-6861-7.

Abstract

BACKGROUND

The high number of adolescents and young adults harbouring suicidal ideation, as reported by the Ministry of Health Malaysia, is alarming. This cross-sectional study aims to examine the association between social support and spiritual wellbeing in predicting suicidal ideation among Malaysian adolescents.

METHODS

A total of 176 adolescents in selected urban areas in the states of Wilayah Persekutuan and Selangor were selected. The Suicide Ideation Scale (SIS) was used to measure the level of severity or tendency of suicidal ideation. The Multidimensional Scale of Perceived Social Support (MSPSS) was used to measure the perceived social support received by the respondent while the Spiritual Wellbeing Scale (SWBS) was used to measure the religious wellbeing (RWB), the existential wellbeing (EWB) and the overall score of spiritual wellbeing (SWB).

RESULTS

The study found that both RWB and EWB showed significant negative correlation with suicidal ideation. Similarly, support from family and friends also showed a negative correlation with suicidal ideation. Further analysis using multiple regressions showed that RWB and SWB, and family support predict suicidal ideation in adolescents.

CONCLUSION

Spiritual wellbeing in combination with family support plays a major role in predicting suicidal ideation. Therefore, intervention for encompassing spirituality and family support may contribute to a more positive outcome in suicidal adolescents.

摘要

背景

马来西亚卫生部报告称,大量青少年和年轻人存在自杀意念,这令人震惊。本横断面研究旨在探讨社会支持与精神健康状况在预测马来西亚青少年自杀意念中的关系。

方法

在联邦直辖区和雪兰莪州的选定城区选择了 176 名青少年。使用自杀意念量表(SIS)来衡量自杀意念的严重程度或倾向。多维感知社会支持量表(MSPSS)用于衡量受访者所获得的感知社会支持,而精神健康量表(SWBS)用于衡量宗教健康(RWB)、存在健康(EWB)和精神健康的总体得分(SWB)。

结果

研究发现,宗教健康和存在健康均与自杀意念呈显著负相关。同样,来自家人和朋友的支持也与自杀意念呈负相关。使用多元回归的进一步分析表明,宗教健康和精神健康以及家庭支持可以预测青少年的自杀意念。

结论

精神健康状况与家庭支持相结合在预测自杀意念方面起着重要作用。因此,包含精神和家庭支持的干预措施可能会对有自杀倾向的青少年产生更积极的结果。

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