School of Nursing, Shandong University, Jinan, Shandong, China.
Department of Health Management, Heze Medical College, Heze, Shandong, China.
Aging Ment Health. 2021 Jul;25(7):1262-1272. doi: 10.1080/13607863.2020.1786798. Epub 2020 Jun 30.
Loneliness is a risk factor of suicidal ideation, while resilience and social support are protective factors; however, the complex mechanisms behind these factors have not been examined among nursing home residents. This study evaluated the mediating effect of resilience on the association between loneliness and suicidal ideation and whether this mediating effect was moderated by social support.
Residents ( = 538; Aged 321 female, 217 male) from 37 nursing homes in China completed this cross-sectional study. Their loneliness, resilience, social support, and suicidal ideation were measured. Regression analyses using bootstrapping methods were conducted to explore the mediating and moderating effects.
Some residents (14.9%, 80/538) reported current suicidal ideation. The correlation between loneliness and suicidal ideation was partially mediated by resilience (indirect effect = 0.067, 95% CI = 0.011-0.122). Overall social support moderated the resilience on suicidal ideation, indirectly impacting loneliness on suicidal ideation (moderating effect = 0.086 [95% CI = 0.005-0.167]). Support from family and nursing home staff moderated the direct (path ) and indirect path (path ) of the mediation model, respectively.
Our findings underscore the vital role of resilience and social support to buffer against suicidal ideation, which is common among nursing home residents in China.HighlightsWe evaluated suicidal ideation in mainland Chinese nursing home residentsLoneliness and suicidal ideation were partially mediated by resilienceSocial support moderated the effect of loneliness and resilience on suicidal ideationThe results were self-reported and are not generalizable to all of ChinaResilience and social support can buffer against suicidal ideation among residents.
孤独是自杀意念的一个风险因素，而韧性和社会支持则是保护因素；然而，这些因素背后的复杂机制尚未在养老院居民中进行研究。本研究评估了韧性在孤独感与自杀意念之间的关系中的中介作用，以及社会支持是否调节了这种中介作用。
来自中国 37 家养老院的 538 名居民（女性 321 名，男性 217 名）完成了这项横断面研究。他们的孤独感、韧性、社会支持和自杀意念都进行了测量。使用 Bootstrap 方法的回归分析用于探索中介和调节作用。
一些居民（14.9%，80/538）报告有当前的自杀意念。孤独感与自杀意念之间的相关性部分由韧性中介（间接效应=0.067，95%CI=0.011-0.122）。总体社会支持调节了韧性对自杀意念的影响，间接影响了孤独感对自杀意念的影响（调节效应=0.086[95%CI=0.005-0.167]）。家庭和养老院工作人员的支持分别调节了中介模型的直接（路径a）和间接路径（路径 b）。
我们的研究结果强调了韧性和社会支持对于缓冲自杀意念的重要作用，自杀意念在中国大陆的养老院居民中很常见。
我们评估了中国大陆养老院居民的自杀意念。孤独感和自杀意念部分由韧性中介。社会支持调节了孤独感和韧性对自杀意念的影响。结果是自我报告的，不能推广到中国所有地区。韧性和社会支持可以缓冲养老院居民的自杀意念。
