Aryal Richa, Rajbanshi Manish
Department of Psychology, Padma Kanya Multiple Campus, Tribhuvan University, Kathmandu, Nepal.
Central Department of Public Health, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal.
Medicine (Baltimore). 2025 Aug 15;104(33):e43909. doi: 10.1097/MD.0000000000043909.
Suicidal ideation is a common and growing concern among students globally. Students who have academic pressure, social transitions, and personal relationship issues are likely to face distressing thoughts in their lifetime. This study aimed to assess help-seeking sources and perceptions toward suicidal ideation among undergraduate students. A web-based cross-sectional study was conducted involving 422 undergraduate students. The general help-seeking questionnaire was used to determine help-seeking intentions. Frequencies, percentages, and standard deviations were calculated to determine individual characteristics. Univariate logistic regression was used to determine the factors associated with help-seeking intentions. All the tests were performed at a 95% of confidence interval (CI), and variables with P-values <.05 were considered statistically significant. This study found that 58.5% and 38.4% of the participants were extremely likely to seek help from traditional healers and parents, respectively. Gender was significantly associated with intimate partner (odds ratios [OR] = 1.5, CI = 1.0-2.2), and traditional healer (OR = 0.3, CI = 0.1-0.5). Parents (OR = 0.5, CI = 0.3-0.8) and family members (OR = 0.4, CI = 0.2-0.6) were significantly associated with education. Age (OR = 1.6, CI = 1.1-2.4) and family type (OR = 1.8, CI = 1.1-3.0) were significantly associated with self-help preferences. Fear of criticism (34.2%) and stigma (20.3%) were the most common barriers to seeking help for any mental problems. The study findings suggested informal sources were more favorable sources for help-seeking than professional sources among students. School-based psychosocial interventions should be conducted to reduce fear of criticism and stigma among students while seeking help for any mental problems from any sources.
自杀意念是全球学生中一个常见且日益受到关注的问题。面临学业压力、社会转型和人际关系问题的学生在其一生中可能会面临痛苦的想法。本研究旨在评估本科生对自杀意念的求助来源和看法。开展了一项基于网络的横断面研究,涉及422名本科生。使用一般求助问卷来确定求助意愿。计算频率、百分比和标准差以确定个体特征。采用单因素逻辑回归来确定与求助意愿相关的因素。所有测试均在95%置信区间(CI)下进行,P值<0.05的变量被认为具有统计学意义。本研究发现,分别有58.5%和38.4%的参与者极有可能向传统治疗师和父母寻求帮助。性别与亲密伴侣(优势比[OR]=1.5,CI=1.0 - 2.2)和传统治疗师(OR=0.3,CI=0.1 - 0.5)显著相关。父母(OR=0.5,CI=0.3 - 0.8)和家庭成员(OR=0.4,CI=0.2 - 0.6)与教育显著相关。年龄(OR=1.6,CI=1.1 - 2.4)和家庭类型(OR=1.8,CI=1.1 - 3.0)与自助偏好显著相关。害怕受到批评(34.2%)和耻辱感(20.3%)是为任何心理问题寻求帮助的最常见障碍。研究结果表明,在学生中,非正式来源比专业来源更有利于寻求帮助。应开展基于学校的心理社会干预,以减少学生在向任何来源寻求任何心理问题帮助时对批评和耻辱感的恐惧。