School of Social Work, University of Maryland Baltimore, Baltimore, MD 21201, USA.
The Graduate Center, City University of New York, New York, NY 10016, USA.
Int J Environ Res Public Health. 2020 Dec 30;18(1):208. doi: 10.3390/ijerph18010208.
Suicidal behavior is a severe problem among drug users. This study examines influential factors related to suicide attempts and analyzes possible mediators of the relationship between perceived social support and suicide attempts amongst Chinese drug users under compulsory institutional drug treatment. Taking perceived social support as the independent variable, we found that the relationship between suicide attempts and perceived social support is mediated by self-esteem as a protective factor and depression as a risk factor. Path analysis shows that self-esteem contributes relatively more to the indirect effects than depression does, accounting for 31.1% and 24.2% of the total effect, respectively. Generally speaking, the findings of this study point to an urgent need for addressing suicide attempts among Chinese drug users while treating self-esteem as the protective factor that deserves as substantial attention as depression receives.
自杀行为是吸毒者中存在的一个严重问题。本研究考察了与自杀企图相关的影响因素，并分析了在中国强制戒毒所接受治疗的吸毒者中，感知到的社会支持与自杀企图之间关系的可能中介因素。以感知到的社会支持为自变量，我们发现，自杀企图与感知到的社会支持之间的关系受到自尊（保护因素）和抑郁（风险因素）的中介作用。路径分析表明，与抑郁相比，自尊对间接效应的贡献更大，分别占总效应的 31.1%和 24.2%。总的来说，本研究的结果表明，在中国吸毒者中，迫切需要解决自杀企图问题，同时将自尊视为保护因素，需要给予与抑郁同样多的关注。
