Department of Epidemiology, School of Public Health, Cheeloo College of Medicine, Shandong University & Shandong University Center for Suicide Prevention Research, 44 West Wenhua Road, Jinan 250012, China.
Department of Epidemiology and Biostatistics, School of Public Health, Jilin University, Changchun 130021, China.
Int J Environ Res Public Health. 2022 Dec 6;19(23):16334. doi: 10.3390/ijerph192316334.
The purpose of this study was to verify the mediating role of depressive symptoms between excessive daytime sleepiness and suicidal ideation in college students. Of the 6944 participants, 2609 (37.6%) were male and 4335 (62.4%) were female. College students with excessive daytime sleepiness (p < 0.001) and those with depressive symptoms (p < 0.001) were more likely to have suicidal ideation. Moreover, both excessive daytime sleepiness (β = 0.14, 95% CI: 1.01−1.32) and depressive symptoms (β = 1.47, 95% CI: 3.80−5.00) were associated with suicidal ideation. The effect size of the mediating role of depressive symptoms in excessive daytime sleepiness to suicidal ideation was 50.41% for the entire sample, 58.33% for males, and 42.98% for females. Depressive symptoms partially mediated the relationship between excessive daytime sleepiness and suicidal ideation. The timely assessment of depressive symptoms in college students with excessive daytime sleepiness, and intervention, may reduce their risk of suicidal ideation.
本研究旨在验证日间嗜睡与自杀意念在大学生中的中介作用。在 6944 名参与者中,2609 名(37.6%)为男性,4335 名(62.4%)为女性。日间嗜睡(p<0.001)和抑郁症状(p<0.001)的大学生更有可能有自杀意念。此外,日间嗜睡(β=0.14,95%CI:1.01-1.32)和抑郁症状(β=1.47,95%CI:3.80-5.00)均与自杀意念相关。抑郁症状在日间嗜睡与自杀意念之间的中介作用的效应量为整个样本的 50.41%,男性为 58.33%,女性为 42.98%。抑郁症状部分中介了日间嗜睡与自杀意念之间的关系。及时评估日间嗜睡的大学生的抑郁症状,并进行干预,可能会降低他们自杀意念的风险。