Jung Sra, Jeon Hyejeong, Lee Mi Yeon, Kim Eunsoo, Shin Dong-Won, Shin Young-Chul, Oh Kang-Seob, Kim Min-Kyoung, Jeon Sang-Won, Cho Sung Joon
Department of Psychiatry, CHA University Ilsan CHA Hospital, CHA University School of Medicine, Goyang, Korea.
Department of Psychiatry, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.
J Korean Med Sci. 2024 Dec 30;39(50):e308. doi: 10.3346/jkms.2024.39.e308.
This study examined gender differences in occupational stress, depressive symptoms, and suicidal ideation by considering the potential moderating effect of grit on Korean employees.
A total of 11,369 participants (7,735 men and 3,634 women) aged 19-65 years, employed across 18 private companies and local government organizations in Korea, completed questionnaires including the Short Grit Scale, Korean Occupational Stress Scale, and Center for Epidemiologic Studies Depression Scale between April 2020 and March 2022. Suicidal ideation was assessed based on its presence or absence. Mediation and moderation analyses were performed using the Statistical Package for the Social Sciences PROCESS macro.
Depressive symptoms partially mediated the relationship between occupational stress and suicidal ideation in male employees, whereas depressive symptoms fully mediated the relationship in female employees. Grit moderated the relationship between depressive symptoms and suicidal ideation in male employees but not in female employees. Furthermore, the moderated mediating effect of grit in male employees on the relationship between occupational stress and suicidal ideation provided less protection in cases of severe depression. The cross-sectional design does not allow for causal inferences.
These findings contribute to understanding of the gender differences in the impact of depressive symptoms on the relationship between occupational stress and suicidal ideation, as well as the protective effect of grit. These findings highlight the need for gender-specific approaches to prevent suicidal ideation among employees.
本研究通过考虑坚毅对韩国员工的潜在调节作用，考察了职业压力、抑郁症状和自杀意念方面的性别差异。
共有11369名年龄在19至65岁之间的参与者（7735名男性和3634名女性），他们受雇于韩国的18家私营公司和地方政府组织，在2020年4月至2022年3月期间完成了包括简短坚毅量表、韩国职业压力量表和流行病学研究中心抑郁量表在内的问卷调查。根据是否存在自杀意念进行评估。使用社会科学统计软件包PROCESS宏进行中介和调节分析。
抑郁症状部分介导了男性员工职业压力与自杀意念之间的关系，而在女性员工中抑郁症状完全介导了这种关系。坚毅调节了男性员工抑郁症状与自杀意念之间的关系，但在女性员工中没有。此外，男性员工中坚毅对职业压力与自杀意念之间关系的调节中介效应在严重抑郁的情况下提供的保护较少。横断面设计不允许进行因果推断。
这些发现有助于理解抑郁症状在职业压力与自杀意念关系中的影响方面的性别差异，以及坚毅的保护作用。这些发现凸显了采取针对性别的方法来预防员工自杀意念的必要性。
