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社会支持与中国大学生自杀风险:心理健康视角。

Social Support and Suicide Risk Among Chinese University Students: A Mental Health Perspective.

机构信息

Medical Psychology Department of the Public Health Institute of Harbin Medical University, Harbin, China.

出版信息

Front Public Health. 2021 Feb 17;9:566993. doi: 10.3389/fpubh.2021.566993. eCollection 2021.

Abstract

World Health Organization recognizes suicide as a public health priority. This study aimed to investigate the risk life events which led university students to consider suicide and explore the protective mechanism of social support (including subjective support, objective support, and support utilization) on suicide risk. Three thousand nine hundred and seventy-two university students were recruited in Harbin, China. Social Support Rating Scale, Self-Rating Anxiety Scale, the Beck Depression Inventory, and the 25-item scale of suicide acceptability were used to collect participants' information. Descriptive statistics, Pearson's correlation, and mediation analysis were employed for statistical analysis. "Drug addict," "infected with HIV," and "incurable illness" were the top three events that led university students to consider suicide. Social support played an important protective role against suicide risk. Subjective support and support utilization had total effects on suicide acceptability, including direct and indirect effects. Anxiety (indirect effect = -0.022, 95% CI = -0.037 ~ -0.009) and depressive symptoms (indirect effect = -0.197, 95% CI = -0.228 ~ -0.163) mediated the relationship between subjective support and suicide acceptability; meanwhile, the association between support utilization and suicide acceptability was mediated by anxiety (indirect effect = -0.054, 95% CI = -0.088 ~ -0.024) and depressive symptoms (indirect effect = -0.486, 95% CI = -0.558 ~ -0.422). However, the protective impact of objective support worked totally through decreasing anxiety (indirect effect = -0.018, 95% CI = -0.035 ~ -0.006) and depressive symptoms (indirect effect = -0.196, 95% CI = -0.246 ~ -0.143). Moreover, the mediation effects of depressive symptoms had stronger power than anxiety in the impact of social support on suicide risk. Among Chinese university students, suicide acceptability was elevated when there was a health scare. Social support effectively reduced suicide risk decreasing anxiety and depressive symptoms. From the mental health perspective, families, peers, teachers, and communities should work together to establish a better social support system for university students, if necessary, help them to seek professional psychological services.

摘要

世界卫生组织将自杀视为一项公共卫生重点。本研究旨在调查导致大学生考虑自杀的风险生活事件,并探讨社会支持(包括主观支持、客观支持和支持利用)对自杀风险的保护机制。在中国哈尔滨,共招募了 3972 名大学生。使用社会支持评定量表、自评焦虑量表、贝克抑郁量表和自杀可接受性 25 项量表收集参与者信息。采用描述性统计、皮尔逊相关和中介分析进行统计分析。“吸毒者”、“感染 HIV”和“不治之症”是导致大学生考虑自杀的前三大事件。社会支持对自杀风险起到了重要的保护作用。主观支持和支持利用对自杀可接受性均有总效应,包括直接效应和间接效应。焦虑(间接效应=-0.022,95%CI=-0.037-0.009)和抑郁症状(间接效应=-0.197,95%CI=-0.228-0.163)中介了主观支持与自杀可接受性之间的关系;同时,支持利用与自杀可接受性之间的关联被焦虑(间接效应=-0.054,95%CI=-0.088-0.024)和抑郁症状(间接效应=-0.486,95%CI=-0.558-0.422)中介。然而,客观支持的保护作用完全通过降低焦虑(间接效应=-0.018,95%CI=-0.035-0.006)和抑郁症状(间接效应=-0.196,95%CI=-0.246-0.143)起作用。此外,在社会支持对自杀风险的影响中,抑郁症状的中介效应比焦虑更有力。在中国大学生中,当出现健康问题时,自杀可接受性会升高。社会支持通过降低焦虑和抑郁症状,有效地降低了自杀风险。从心理健康的角度来看,家庭、同伴、教师和社区应该共同努力,为大学生建立更好的社会支持系统,如果有必要,帮助他们寻求专业的心理咨询服务。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ce1/7925394/bb34b6f3d208/fpubh-09-566993-g0001.jpg

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