大学生自杀意念与拒绝敏感性之间的关系:一项网络分析。

The relationship between college students' Suicidal ideation and rejection sensitivity: a network analysis.

作者信息

He Yang, Yang Tianqi, He Chunyan, Zhang Yuanbei, Yang Huilin, Huang Shen, Liu Jianjun, Li Xihong, Xu Tao, Wu Shengjun

机构信息

Department of Psychology, Shanghai Normal University, 100 Guilin Road, Xuhui District, Shanghai, 200234, China.

Department of Military Medical Psychology, Air Force Medical University, 169 Changle West Road, Xi'an , Shaanxi, 710032, China.

出版信息

BMC Public Health. 2025 Jan 28;25(1):343. doi: 10.1186/s12889-025-21451-x.

Abstract

BACKGROUND

Rejection sensitivity has a controversial impact on suicidal ideation. However, previous studies have always assessed the relationship between rejection sensitivity and suicidal ideation as a whole based on total scores, which has obscured the fine-grained relationship between them.

OBJECTIVES

The present study aims to investigate the fine-grained relationship between rejection sensitivity and suicidal ideation in college students based on network analysis, and to provide a theoretical basis for identifying potential targets for psychological intervention on suicidal ideation.

METHODS

A total of 663 Chinese college students aged 19-28 years from Xian were investigated in an online study. The Tendency to Expect Rejection Scale (TTERS) and Self-rating Idea of Suicide Scale (SIOSS) were selected to investigate rejection sensitivity and suicidal ideation. Rejection sensitivity and suicidal ideation networks were constructed using R4.1.1 software to examine the links between the dimensions and to calculate the bridge expected influence (BEI) of each node.

RESULTS

The prevalence of suicidal ideation among college students was 5.6%. The rejection sensitivity and suicide ideation network contained 23 cross-community edges, with the strongest one being the connection between S3 "Despair" and R17 "No confidence". Within the suicidal ideation community, S3 "Despair" had the highest positive BEI value (0.50). In the rejection sensitivity community, R17 "No confidence" exhibited the highest positive BEI value (0.26), whereas R13 "Sense of collectivity" had the highest negative BEI value (-0.08).

CONCLUSIONS

Complex correlation pathways exist between rejection sensitivity and suicidal ideation. The bridge centrality indicators identified in this study serve as guides for relevant personnel to implement targeted interventions, thereby effectively preventing and mitigating the emergence and persistence of suicidal ideation among college students.

摘要

背景

拒绝敏感性对自杀意念有争议性影响。然而,以往研究总是基于总分将拒绝敏感性与自杀意念之间的关系作为一个整体来评估,这掩盖了它们之间的细微关系。

目的

本研究旨在基于网络分析探讨大学生拒绝敏感性与自杀意念之间的细微关系,并为识别自杀意念心理干预的潜在靶点提供理论依据。

方法

在一项在线研究中,对来自西安的663名年龄在19至28岁的中国大学生进行了调查。选用拒绝预期倾向量表(TTERS)和自杀意念自评量表(SIOSS)来调查拒绝敏感性和自杀意念。使用R4.1.1软件构建拒绝敏感性和自杀意念网络,以检验各维度之间的联系,并计算每个节点的桥梁预期影响(BEI)。

结果

大学生自杀意念的发生率为5.6%。拒绝敏感性和自杀意念网络包含23条跨社区边,其中最强的一条是S3“绝望”与R17“无信心”之间的联系。在自杀意念社区内,S3“绝望”的正BEI值最高(0.50)。在拒绝敏感性社区中,R17“无信心”的正BEI值最高(0.26),而R13“集体感”的负BEI值最高(-0.08)。

结论

拒绝敏感性与自杀意念之间存在复杂的相关途径。本研究确定的桥梁中心性指标可为相关人员实施针对性干预提供指导,从而有效预防和减轻大学生自杀意念的产生和持续。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5661/11773858/4246b3f80839/12889_2025_21451_Fig1_HTML.jpg

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