Özkan Zeliha, Karakaya Dudu
Ministry of Health Antalya Atatürk Public Hospital, Psychiatric Clinic, Antalya, Turkey.
Department of Psychiatric Nursing, Akdeniz University Faculty of Nursing, Antalya, Turkey.
J Psychiatr Ment Health Nurs. 2025 Feb;32(1):172-180. doi: 10.1111/jpm.13097. Epub 2024 Aug 16.
WHAT IS KNOWN ON THE SUBJECT?: Suicide is an important health problem that has been common all over the world in recent years. Nursing students are a high-risk group for suicide. Factors affecting suicide risk should be investigated and included in psychiatric nursing interventions. Psychological pain is a predisposing condition for suicide risk. Studies focus on the relationship between suicide risk and psychological pain. Studies examining the moderator factors affecting this relationship are limited. WHAT THE PAPER ADDS TO EXISTING KNOWLEDGE?: By means of the structural equation model, the effect of resilience mediation on the relationship of suicide risk and psychological pain has been shown. In the process of going from psychological pain to suicide, resilience takes on a buffer function with its mediating effect, and this process can be prevented by the development of resilience. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: Resilience can be added as a protective factor for suicide to the practices of psychiatric nursing. Initiatives to strengthen resilience can be added to psychiatric nursing practices. In this way, psychological pain and the risk of suicide can be reduced by strengthening resilience. Psychological pain can be added as a risk factor for suicide to the practices of psychiatric nursing. Within the scope of psychiatric nursing practices, nursing interventions can be structured to assess and reduce psychological pain. Interventions on strategies to manage and cope with psychological pain and initiatives to strengthen resilience can be added to suicide prevention programs created for nursing students.
INTRODUCTION: Nursing students are a high-risk group for suicide. Psychiatric nurses should investigate risk factors for suicide.
The aim of this study was to examine the resilience mediation effect in the relationship of suicide risk and psychological pain in nursing students.
This cross-sectional study was conducted between March and May 2021 with 619 students in the Akdeniz University Faculty of Nursing. A Descriptive Information Form, the Suicide Probability Scale, the Psychache Scale and the Brief Resilience Scale were used to collect data. The structural equation model approach was used to examine the resilience mediating effect on the relation between suicide risk and psychological pain, and Path Analysis was performed. The reporting of the study was conducted according to STROBE.
A semi-mediatory effect of resilience was found between psychological pain and the risk of suicide, and the effect size was determined to be broad (0.57).
Resilience can be considered as a protective factor for suicide prevention in psychiatric nursing practices.
Resilience has an effect on the relationship between psychological pain and suicide risk.
The results of this study may guide psychiatric nursing practices in reducing and preventing suicide risk.
关于该主题已知的信息有哪些？自杀是一个重要的健康问题，近年来在全球普遍存在。护理专业学生是自杀的高危群体。应调查影响自杀风险的因素并将其纳入精神科护理干预措施中。心理痛苦是自杀风险的一个诱发因素。研究聚焦于自杀风险与心理痛苦之间的关系。考察影响这种关系的调节因素的研究有限。
通过结构方程模型，已表明心理弹性在自杀风险与心理痛苦关系中的中介作用。在从心理痛苦到自杀的过程中，心理弹性通过其中介作用发挥缓冲功能，并且这一过程可通过培养心理弹性来预防。
可将心理弹性作为自杀的保护因素纳入精神科护理实践中。可在精神科护理实践中增加增强心理弹性的举措。这样，通过增强心理弹性可降低心理痛苦和自杀风险。可将心理痛苦作为自杀的风险因素纳入精神科护理实践中。在精神科护理实践范围内，可构建护理干预措施以评估和减轻心理痛苦。可将管理和应对心理痛苦的策略干预以及增强心理弹性的举措纳入为护理专业学生制定的自杀预防项目中。
引言：护理专业学生是自杀的高危群体。精神科护士应调查自杀的风险因素。
本研究的目的是考察心理弹性在护理专业学生自杀风险与心理痛苦关系中的中介作用。
本横断面研究于2021年3月至5月对阿克德尼兹大学护理学院的619名学生进行。使用描述性信息表、自杀概率量表、心理痛苦量表和简易心理弹性量表收集数据。采用结构方程模型方法考察心理弹性在自杀风险与心理痛苦关系中的中介作用，并进行路径分析。本研究的报告遵循STROBE标准。
发现心理弹性在心理痛苦与自杀风险之间存在半中介效应，效应量确定为较大（0.57）。
在精神科护理实践中，心理弹性可被视为预防自杀的保护因素。
心理弹性对心理痛苦与自杀风险之间的关系有影响。
本研究结果可能为精神科护理实践中降低和预防自杀风险提供指导。
