Department of Public Health, Peking University Health Science Centre, Beijing, 100091, China.
Shenzhen Kangning Psychiatric Hospital, Shenzhen, 518020, Guangdong, China.
Sci Rep. 2022 Jan 10;12(1):305. doi: 10.1038/s41598-021-03888-3.
Suicide is increasingly recognized as a major public health concern among migrant workers in China. Despite negative mental and negative coping styles being core themes found in suicide notes, there is scarce research addressing the theoretical framework of underlying mechanisms between these variables. The study was designed to examine the relationships of negative mental, negative coping styles, and suicide risk among migrant workers. It hypothesized that negative mental would exert a positive effect on suicide risk via increased negative coping. Using a cross-sectional design, the study was conducted using a sample of 3095 migrant workers from Shenzhen, China. Self-made Suicide Risk Scale (SRS), Short-form of the ULCA Loneliness Scale (USL-6), Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Scale (GAD-7), Simplified Coping Style Questionnaire (SCSQ) were used to collect data. Structural equation modeling (SEM) was performed to quantitatively explore the path effects between negative mental, negative coping styles and suicide risk. Results showed that negative coping style had a positive association with suicide risk (β = 0.029, P < 0.001). Negative mental had both direct and indirect positive effects on suicide risk through negative coping styles (β = 0.109, β = 0.013, P < 0.001). Therefore, to prevent suicidal behaviors among migrant workers, targeted interventions focusing on improving their mental health and coping strategies are needed.
自杀在中国已经成为移民工人面临的一个日益严重的公共卫生问题。尽管自杀遗言中常常出现负面心理和消极应对方式等核心主题,但目前针对这些变量之间潜在机制的理论框架的研究却很少。本研究旨在检验移民工人的负面心理、消极应对方式和自杀风险之间的关系。研究假设负面心理会通过增加消极应对方式对自杀风险产生积极影响。本研究采用横断面设计,对来自中国深圳的 3095 名移民工人进行了研究。使用自制的自杀风险量表(SRS)、简化版 UCLA 孤独量表(USL-6)、患者健康问卷-9(PHQ-9)、广泛性焦虑量表(GAD-7)和简化应对方式问卷(SCSQ)收集数据。采用结构方程模型(SEM)定量探讨了负面心理、消极应对方式与自杀风险之间的路径效应。结果表明,消极应对方式与自杀风险呈正相关(β=0.029,P<0.001)。负面心理对自杀风险具有直接和间接的正向影响,其通过消极应对方式产生影响(β=0.109,β=0.013,P<0.001)。因此,为了预防移民工人的自杀行为,需要针对他们的心理健康和应对策略进行有针对性的干预。