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害羞与抑郁和自杀风险有关吗?

Is shyness related to depression and suicide risk?

机构信息

The Academic College of Tel Aviv-Yaffo, Tel Aviv, Israel.

出版信息

Scand J Psychol. 2024 Oct;65(5):947-953. doi: 10.1111/sjop.13047. Epub 2024 Jun 7.

Abstract

INTRODUCTION

Suicidal behavior is an important health issue, representing a leading cause of mortality, particularly among young adults. Depression was found to be predictive of suicide risk and predicted by shyness. Consequently, we tested a model wherein shyness leads to depression, which in turn leads to suicide risk. Moreover, we expected gender to moderate the effect of shyness on depression and suicide risk.

METHODS

A convenience sample of 478 first-year college students (51% women, Age: M = 25.42, SD = 3.61) completed online self-report questionnaires assessing suicide risk, depression, shyness, and demographic variables.

RESULTS

As expected, shyness was significantly correlated with depression (r = 0.40) and suicide risk (r = 0.24), and depression and suicide risk were also correlated with each other (r = 0.57). Depression statistically mediated the relationship between shyness and suicide risk (indirect effect for women = 0.92, SE = 0.16; for men = 0.72, SE = 0.17). Gender did not moderate the mediation effect. However, a direct link between shyness and suicide risk was found only among men (direct effect = 0.52, SE = 0.21).

CONCLUSIONS

The results suggest that shyness may be a significant factor in the development of depression and suicide risk, potentially serving as a valuable marker for identifying at-risk individuals. Moreover, clinicians should be aware of these associations, particularly among men, in order to maintain and support mental health as well as reduce suicidality.

摘要

简介

自杀行为是一个重要的健康问题,尤其是在年轻人中,是导致死亡率的主要原因之一。研究发现,抑郁与自杀风险相关,而害羞则可以预测抑郁。因此,我们测试了一个模型,其中害羞导致抑郁,进而导致自杀风险。此外,我们预计性别会调节害羞对抑郁和自杀风险的影响。

方法

一个由 478 名大一学生组成的方便样本(51%为女性,年龄:M=25.42,SD=3.61)完成了在线自我报告问卷,评估自杀风险、抑郁、害羞和人口统计学变量。

结果

正如预期的那样,害羞与抑郁(r=0.40)和自杀风险(r=0.24)显著相关,抑郁和自杀风险也相互相关(r=0.57)。抑郁在害羞和自杀风险之间的关系中起统计学中介作用(女性的间接效应=0.92,SE=0.16;男性的间接效应=0.72,SE=0.17)。性别并没有调节中介效应。然而,只有在男性中才发现害羞和自杀风险之间存在直接联系(直接效应=0.52,SE=0.21)。

结论

结果表明,害羞可能是抑郁和自杀风险发展的一个重要因素,可能是识别高危个体的一个有价值的指标。此外,临床医生应该意识到这些关联,特别是在男性中,以维护和支持心理健康,减少自杀倾向。

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