Seo Eun Hyun, Yang Hae-Jung, Kim Seung-Gon, Yoon Hyung-Jun
Premedical Science, College of Medicine, Chosun University, Gwangju, Republic of Korea.
Department of Psychiatry, Chosun University Hospital, Chosun University, Gwangju, Republic of Korea.
Ann Gen Psychiatry. 2022 Jun 18;21(1):19. doi: 10.1186/s12991-022-00399-x.
Little is known about the role of protective factors in suicidal ideation among medical students. This study aimed to examine the association between suicidal ideation and protective (self-esteem/ego-resiliency/social support) and risk (depression/social anxiety) factors.
Data on sociodemographic factors, depression, social anxiety, self-esteem, ego-resiliency, social support, and current suicidal ideation were collected from 408 medical students. A logistic regression model was constructed to identify the independent impact of potential influencing factors on suicidal ideation. Potential moderating effects were also explored.
Thirty-eight participants (9.3%) reported experiencing suicidal ideation. Younger age, higher levels of depression, social anxiety, and lower levels of self-esteem, ego-resiliency, and social support were found to be significantly correlated with suicidal ideation. In the final model, higher levels of depression and social anxiety were associated with an increased risk of suicidal ideation, while higher levels of self-esteem and social support were associated with a decreased risk of suicidal ideation. Although the independent effect was not significant, the interactions of ego-resiliency with both depression and social anxiety on suicidal ideation were significant. Higher levels of ego-resiliency acted as a buffer against suicidal ideation among those with higher levels of depression or social anxiety.
In addition to risk factors, this study revealed the underlying protective and moderating factors of suicidal ideation among medical students. Mental health programs focusing on enhancing ego-resiliency, self-esteem, and social support may contribute to suicide prevention in medical students.
关于保护因素在医学生自杀意念中的作用，人们了解甚少。本研究旨在探讨自杀意念与保护因素（自尊/心理弹性/社会支持）和风险因素（抑郁/社交焦虑）之间的关联。
收集了408名医学生的社会人口学因素、抑郁、社交焦虑、自尊、心理弹性、社会支持及当前自杀意念的数据。构建逻辑回归模型以确定潜在影响因素对自杀意念的独立影响。还探讨了潜在的调节作用。
38名参与者（9.3%）报告有自杀意念。研究发现，年龄较小、抑郁和社交焦虑水平较高，以及自尊、心理弹性和社会支持水平较低与自杀意念显著相关。在最终模型中，抑郁和社交焦虑水平较高与自杀意念风险增加相关，而自尊和社会支持水平较高与自杀意念风险降低相关。尽管独立效应不显著，但心理弹性与抑郁和社交焦虑在自杀意念上的交互作用显著。较高的心理弹性对抑郁或社交焦虑水平较高者的自杀意念起到缓冲作用。
除了风险因素外，本研究还揭示了医学生自杀意念潜在的保护和调节因素。关注增强心理弹性、自尊和社会支持的心理健康项目可能有助于预防医学生自杀。
