Department of Epidemiology, School of Public Health, Cheeloo College of Medicine, Shandong University Center for Suicide Prevention Research, Shandong University, Jinan 250012, China.
Student Counseling Center, Shandong University, Jinan 250012, China.
Int J Environ Res Public Health. 2023 Feb 10;20(4):3105. doi: 10.3390/ijerph20043105.
The objective of this study was to explore the relationship between extracurricular activities, stress, and suicidal ideation and to examine the mediating effect of stress between extracurricular activities and suicidal ideation in Chinese college students.
A total of 6446 college students were surveyed with a web-based online data collection system using the self-made demographic questionnaire, Suicidal Behaviors Questionnaire-Revised (SBQ-R), and the 21-Item Depression Anxiety Stress Scales (DASS-21). SPSS 24.0 was used for descriptive statistics and correlation analysis, and the bootstrap method in the process procedure for SPSS Version 3.4.1 was used to construct the mediating effect model.
Gender, school grades, living area, and family income status were influencing factors for suicidal ideation, stress, and extracurricular activities. Extracurricular activities were negatively correlated with stress ( = -0.083, < 0.001) and suicidal ideation ( = -0.039, < 0.01). Extracurricular activities had no direct predictive effect on college students' suicidal ideation ( = -0.198, CI: -0.418, 0.023), while stress had a mediating effect between extracurricular activities and suicidal ideation; the indirect mediating effect was 0.159.
Extracurricular activities indirectly predict college students' suicidal ideation through stress. A variety of extracurricular activities can decrease the stress and suicidal ideation of college students and benefit their mental health.
本研究旨在探讨课外活动、压力与自杀意念之间的关系,并检验压力在大学生课外活动与自杀意念之间的中介作用。
采用自行设计的一般情况问卷、自杀意念问卷修订版(SBQ-R)和抑郁焦虑压力量表 21 项版(DASS-21),通过网络在线数据收集系统对 6446 名大学生进行调查。采用 SPSS 24.0 进行描述性统计和相关性分析,采用 SPSS 版本 3.4.1 过程程序中的 bootstrap 方法构建中介效应模型。
性别、年级、生源地和家庭收入状况是自杀意念、压力和课外活动的影响因素。课外活动与压力( = -0.083,<0.001)和自杀意念( = -0.039,<0.01)呈负相关。课外活动对大学生自杀意念无直接预测作用( = -0.198,CI:-0.418,0.023),而压力在课外活动与自杀意念之间起中介作用;间接中介效应为 0.159。
课外活动通过压力间接预测大学生的自杀意念。丰富多样的课外活动可以减轻大学生的压力和自杀意念,有益于他们的心理健康。