Department of Social Work, University of Mississippi, Garland Hall 205, P.O. Box 1848, University, MS 38677-1848, USA.
School of Social Work, Wayne State University, Detroit, MI, USA.
Health Soc Work. 2023 Jul 21;48(3):179-187. doi: 10.1093/hsw/hlad012.
This article aims to investigate the impact of psychological distress and hopelessness as mediators in the relationship between alcohol use disorder (AUD) and suicidal ideation among young adults. The study employed data from the 2019 National Survey on Drug Use and Health, focusing on participants aged 18 to 25. The PROCESS macro was used to conduct a moderated mediation analysis. The findings revealed that AUD, psychological distress, and hopelessness were all significant risk factors for suicidal ideation among young adults. Furthermore, psychological distress and hopelessness served as significant mediators in the relationship between AUD and suicidal ideation. The study highlights the need for interventions and treatments that address co-occurring alcohol use and psychological distress/hopelessness in both sexes, for young adults at risk of suicide. In summary, the study underscores the importance of recognizing the underlying factors that contribute to suicidal ideation among young adults, especially those with AUD, psychological distress, and hopelessness.
本文旨在探讨心理困扰和绝望作为中介因素在酒精使用障碍（AUD）与年轻成年人自杀意念之间的关系中的作用。本研究采用了 2019 年全国毒品使用与健康调查的数据，重点关注年龄在 18 至 25 岁的参与者。使用 PROCESS 宏进行了中介调节分析。研究结果表明，AUD、心理困扰和绝望都是年轻成年人自杀意念的重要危险因素。此外，心理困扰和绝望在 AUD 与自杀意念之间的关系中起着重要的中介作用。该研究强调需要针对两性、有自杀风险的年轻成年人，采取干预和治疗措施，以解决同时存在的酒精使用和心理困扰/绝望问题。总之，该研究强调了认识导致年轻成年人自杀意念的潜在因素的重要性，特别是那些有 AUD、心理困扰和绝望的人。
