Wongpakaran Nahathai, Oon-Arom Awirut, Karawekpanyawong Nuntaporn, Lohanan Trustsavin, Leesawat Thanakorn, Wongpakaran Tinakon
Department of Psychiatry, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand.
Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand.
Healthcare (Basel). 2021 Oct 19;9(10):1399. doi: 10.3390/healthcare9101399.
Suicidal ideation is a serious condition antecedent to suicidal attempts and is highly related not only to depression but also other psychosocial factors. This study aimed to examine the predictive effects of these potential factors for suicidal ideation among young adult university students. A cross-sectional survey was conducted on a sample of university students in Thailand. An online questionnaire employed the perceived stress scale-10 (PSS-10), the patient health questionnaire-8 (PHQ-8), the multidimensional scale of perceived social support (MSPSS), and a screening instrument for borderline personality disorder. An ordinal regression analysis was applied to determine the predictive effects of the independent variables. Of 336 students, the mean age was 20.26 ± 1.3 years, 80.4% of whom were female; 14.3% had suicidal ideation. The significant predictors of suicidal thoughts were perceived stress (AOR 1.11, 95% CI 1.01 to 1.22); depressive symptoms (AOR 1.16, 95% CI 1.05 to 1.22); borderline personality symptoms (AOR 1.19, 95% CI 1.01 to 1.40); and perceived social support (AOR 0.97, 95% CI 0.94 to 1.00). Not only did depressive symptoms contribute to suicidal ideation but they also constituted important variables. Therefore, they should be included in intervention plans to prevent suicidality among university students.
自杀意念是自杀未遂之前的一种严重状况，不仅与抑郁症密切相关，还与其他社会心理因素高度相关。本研究旨在探讨这些潜在因素对青年大学生自杀意念的预测作用。对泰国的大学生样本进行了一项横断面调查。一份在线问卷采用了感知压力量表-10（PSS-10）、患者健康问卷-8（PHQ-8）、感知社会支持多维量表（MSPSS）以及一种边缘型人格障碍筛查工具。应用有序回归分析来确定自变量的预测作用。在336名学生中，平均年龄为20.26±1.3岁，其中80.4%为女性；14.3%有自杀意念。自杀念头的显著预测因素包括感知压力（调整后比值比[AOR]1.11，95%置信区间[CI]1.01至1.22）；抑郁症状（AOR 1.16，95%CI 1.05至1.22）；边缘型人格症状（AOR 1.19，95%CI 1.01至1.40）；以及感知社会支持（AOR 0.97，95%CI 0.94至1.00）。抑郁症状不仅导致自杀意念，而且还是重要变量。因此，应将其纳入干预计划以预防大学生自杀行为。
