尼泊尔博卡拉大学生的自杀认知与污名化：一项横断面研究。

Suicide literacy and stigma among undergraduate students in Pokhara, Nepal: A cross-sectional study.

作者信息

Khatri Dhurba, Yadav Dipendra Kumar, Paudel Shishir, Poudel Sujan, Chhetri Yamuna, Karki Sandeepa

机构信息

School of Health and Allied Sciences, Pokhara University, Kaski, Nepal.

Kathmandu Institute of Child Health, Kathmandu, Nepal.

出版信息

PLoS One. 2025 Sep 2;20(9):e0325617. doi: 10.1371/journal.pone.0325617. eCollection 2025.

DOI:10.1371/journal.pone.0325617

PMID:40892737

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12404396/

Abstract

BACKGROUND

Suicide is a major global public health concern, with stigma and low suicide literacy posing significant barriers to prevention and intervention. Despite increasing suicide rates and concerns about suicidal ideation, limited studies have assessed suicide stigma and literacy among young adults in Nepal.

OBJECTIVE

This study examines suicide literacy and stigma among undergraduate students and its associated factors.

METHODS

A cross-sectional study was conducted among 597 randomly selected undergraduate students in Pokhara Metropolitan City, Nepal, using the Literacy of Suicide Scale (LOSS-SF) and the Stigma of Suicide Scale (SOSS-SF). Descriptive statistics, independent t-tests, and ANOVA were used to analyze socio-demographic differences.

RESULTS

The mean suicide literacy score was 4.83 ± 2.07, revealing significant knowledge gaps, particularly in suicide risk factors and misconceptions. Stigma levels were high, with "pathetic" (42.4%), "immoral" (41.7%), and "stupid" (40.5%) being commonly endorsed descriptors. The average scores were 23.15 (SD ± 13.12) for SOSS-stigma, 10.10 (SD ± 3.89) for glorification, and 13.12 (SD ± 4.28) for isolation/depression. Females had higher isolation (p = 0.001) and literacy scores (p = 0.023), while males exhibited greater glorification tendencies (p < 0.001). Adults (≥20 years) had significantly higher stigma, isolation, and literacy scores than adolescents (p < 0.05). Higher isolation and literacy scores were observed among students living with family (p < 0.05) and third-year students (p < 0.01). Maternal literacy and employment were associated with higher glorification scores (p < 0.05).

CONCLUSION

These findings underscore the urgent need for suicide literacy programs and stigma-reduction initiatives in Nepalese educational institutions. Addressing misconceptions and fostering help-seeking behaviors through culturally sensitive interventions could enhance suicide prevention efforts.

摘要

背景

自杀是一个重大的全球公共卫生问题，耻辱感和低自杀素养对预防和干预构成了重大障碍。尽管自杀率不断上升且人们对自杀念头日益担忧，但针对尼泊尔年轻人的自杀耻辱感和素养的研究有限。

目的

本研究调查本科生中的自杀素养和耻辱感及其相关因素。

方法

在尼泊尔博卡拉市随机选取597名本科生进行横断面研究，使用自杀素养量表（LOSS-SF）和自杀耻辱感量表（SOSS-SF）。采用描述性统计、独立样本t检验和方差分析来分析社会人口学差异。

结果

自杀素养平均得分为4.83±2.07，显示出明显的知识差距，尤其是在自杀风险因素和误解方面。耻辱感水平较高，“可怜”（42.4%）、“不道德”（41.7%）和“愚蠢”（40.5%）是常见的认可描述词。SOSS-耻辱感平均分为23.15（标准差±13.12），美化平均分为10.10（标准差±3.89），孤立/抑郁平均分为13.12（标准差±4.28）。女性的孤立感（p = 0.001）和素养得分（p = 0.023）较高，而男性表现出更强的美化倾向（p < 0.001）。成年人（≥20岁）的耻辱感、孤立感和素养得分显著高于青少年（p < 0.05）。与家人同住的学生（p < 0.05）和三年级学生（p < 0.01）的孤立感和素养得分较高。母亲的素养和就业与较高的美化得分相关（p < 0.05）。