School of Public Health, Shandong University, Jinan, 250012, China.
NHC, Key Laboratory of Health Economics and Policy Research (Shandong University), Jinan, 250012, China.
BMC Psychiatry. 2019 Jul 3;19(1):206. doi: 10.1186/s12888-019-2186-4.
Suicidal ideation is an important public health issue due to devastating mortality. In the meantime, interpersonal trust was found to be negatively associated with mental disorder and physical health. Although there is increasing evidence that interpersonal trust is a significant predictor of suicidal ideation, evidence of this association is still lacking in the developing world. The aim of this study was to test the association between interpersonal trust and suicidal ideation among older adults in China.
Using a multi-stage stratified sampling strategy, 7070 older adults aged 60 and above from Shandong Province, China were recruited in this study. Socio-demographic characteristics, health status, family relationship, psychological distress, interpersonal trust and suicidal ideation in the last 12 months were obtained through face to face interviews. The association between interpersonal trust and suicidal ideation was assessed using multiple logistic regression models adjusting for socio-demographic characteristics, health status, family relationship and psychological distress.
7.1% of participants reported suicidal ideation in the past 12 months, which was related to gender, resident area, marital status, educational level, self-rated economic, chronic disease, self-rated health status and family relationship within 1 month, psychological distress and interpersonal trust. After adjusting for sociodemographic factors, health status, family relationship and psychological distress, interpersonal mistrust was associated with two times odds of suicidal ideation when compared to interpersonal trust CONCLUSIONS: The interpersonal trust was associated with suicidal ideation among elderly in Shandong, China. Intervention approaches regarding inducing and promoting interpersonal trust should be developed to prevent suicide.
自杀意念是一个重要的公共卫生问题，因为它会导致毁灭性的死亡率。同时，人际信任被发现与精神障碍和身体健康呈负相关。尽管越来越多的证据表明人际信任是自杀意念的重要预测因素，但在发展中国家，这一关联的证据仍然缺乏。本研究旨在检验中国老年人人际信任与自杀意念之间的关系。
本研究采用多阶段分层抽样策略，从中国山东省招募了 7070 名 60 岁及以上的老年人。通过面对面访谈获得社会人口统计学特征、健康状况、家庭关系、心理困扰、人际信任和过去 12 个月的自杀意念。使用多因素逻辑回归模型，调整社会人口统计学特征、健康状况、家庭关系和心理困扰，评估人际信任与自杀意念之间的关系。
7.1%的参与者报告在过去 12 个月内有自杀意念，这与性别、居住地区、婚姻状况、教育程度、自评经济状况、慢性病、自评健康状况和家庭关系有关。在调整社会人口学因素、健康状况、家庭关系和心理困扰后，与人际信任相比，人际不信任与自杀意念的发生几率增加了两倍。
人际信任与中国山东老年人的自杀意念有关。应该制定关于诱导和促进人际信任的干预措施，以预防自杀。
