Shame and Suicidal Ideation among Undergraduates in China: The Mediating Effect of Thwarted Belongingness and Perceived Burdensomeness

Zhao, Jingjing; Chi, Yanna; Ju, Yanli; Liu, Xiyao; Wang, Jingjing; Lew, Bob; Siau, Ching Sin; Jia, Cun-Xian

doi:10.3390/ijerph17072360

Cited by 21 publications

(13 citation statements)

References 71 publications

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“…In terms of demographic factors, females were at an increased suicide risk, a finding which is replicated in a number of Western and Chinese studies on college students [ 15 34 – 36 ]. This may be due a number of factors, including a brooding ruminative style among females [ 35 ] or wider sociocultural issues affecting females such as gender inequality, especially among female individuals who adhere to Confucian ethics [ 37 – 39 ]. Younger college students may be more susceptible to developing suicidality as they may still be transitioning to college life [ 40 ].…”

Section: Discussionmentioning

confidence: 99%

Suicidality among Chinese college students: A cross-sectional study across seven provinces

et al. 2020

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Background Although the suicide rate in China has decreased over the past 20 years, there have been reports that the younger age group has been experiencing an increased incidence of completed suicide. Given that undergraduate groups are at higher risks of suicidality, it is important to monitor and screen for risk factors for suicidal ideation and behaviors to ensure their well-being. Objective To examine the risk and protective factors contributing to suicidality among undergraduate college students in seven provinces in China. Methods We conducted a cross-sectional study involving 13,387 college students from seven universities in Ningxia, Shandong, Shanghai, Jilin, Qinghai, Shaanxi, and Xinjiang. Data were collected using self-report questionnaires. Results Higher scores in the psychological strain, depression, anxiety, stress, and psychache (psychological risk factors for suicidality) and lower scores in self-esteem and purpose in life (psychological protective factors against suicidality) were associated with increased suicidality among undergraduate students in China. Demographic factors which were associated with higher risks of suicidality were female gender, younger age, bad academic results,

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Section: Discussionmentioning

confidence: 99%

Suicidality among Chinese college students: A cross-sectional study across seven provinces

et al. 2020

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“…The prevalence rates of self-harm and suicidal behaviour found in our study are comparable with studies conducted across the globe 36 and within the Chinese student community. 37 Previous studies have suggested that university students in China are more prone to exhibiting self-harm and suicidal behaviour because of the extremely competitive education system and labour market in contemporary China. Furthermore, university students are emerging adults who face the challenges of leaving home and building independence and self-discipline.…”

Section: Self-harm and Suicidal Behaviourmentioning

confidence: 99%

Investigating prolonged social withdrawal behaviour as a risk factor for self-harm and suicidal behaviours

2021

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Background Self-harm and suicidal behaviour are recognised as public health concerns. Prolonged social withdrawal behaviour, or hikikomori, is reported as a risk factor for suicidal behaviour. Aims To examine the occurrence and additional risk of prolonged social withdrawal behaviour on self-harm and suicidal behaviour among Chinese university students. Method A cross-sectional online survey was conducted with three universities in southern China. A two-stage random sampling was adopted for recruitment, with students in different years of study, in different departments of each participating university. Hierarchical logistic regression analyses were conducted to investigate the sociodemographic and psychological correlates of self-harm and suicidal behaviours among male and female participants with hikikomori status. Results Of the students who completed the online survey, 1735 (72.23%) were included in the analysis; 11.5% (n = 200) reported self-harm behaviour and 11.8% (n = 204) reported suicidal behaviours in the past 12 months. Men showed a higher prevalence rate of self-harm than women (14.7% v. 10.8%, P = 0.048), but a similar rate of suicidal behaviours (11.9% v. 11.3%, P = 0.78). The overall prevalence rate of social withdrawal behaviour was 3.2% (7.0% for men and 2.3% for women, P < 0.001). Prolonged social withdrawal behaviour status was significantly associated with self-harm (odds ratio 2.00, 95% CI 1.22–3.29) and suicidal behaviour (odds ratio 2.35, 95% CI 1.45–3.81). However, the associations became statistically insignificant after adjustment for psychological factors in the final models in the logistic regression analyses. Conclusions Prolonged social withdrawal behaviour appears to be associated with self-harm and suicidal behaviour, but psychological factors have stronger links with suicidality.

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“…One is to use the suicide ideation scales, but owing to the large number of items in the scale, the expression of the question is too direct, leading to rejection. Another method is to use a single item for measurement, which is more commonly used [26,41]. In this study, suicidal ideation was measured using one item: "Have you ever thought of killing yourself?"…”

Section: Suicidal Ideationmentioning

confidence: 99%

Psychological Strain and Suicidal Ideation in Athletes: The Multiple Mediating Effects of Hopelessness and Depression

Sun

Zhao

Tian

et al. 2020

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The present study aims to examine the relationship between psychological strain, suicidal ideation, hopelessness, and depression among Chinese athletes. Participants were 774 Chinese athletes (454 men and 320 women), with a range of ages from 12 to 35 (M = 18.47, SD = 3.39). The structural equation modeling method was used to examine the multiple mediating effects of hopelessness and depression between psychological strain and suicidal ideation. As expected, a positive correlation between psychological strain, suicidal ideation, hopelessness, and depression was found. Additionally, results seem to indicate that psychological strain directly and positively influenced suicidal ideation, and that hopelessness and depression played a serial mediating role in the relationship between psychological strain and suicidal ideation. To conclude, the psychological strain theory is applicable for explaining suicidal ideation in athletes. In athletes, psychological strain is sequentially associated first with a sense of hopelessness and then depression, which is in turn related to suicidal ideation. The present study makes a significant contribution to the literature because we provide a new theoretical basis and new methods for preventing mental disorder and suicidality in athletes.

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Shame and Suicidal Ideation among Undergraduates in China: The Mediating Effect of Thwarted Belongingness and Perceived Burdensomeness

Cited by 21 publications

References 71 publications

Suicidality among Chinese college students: A cross-sectional study across seven provinces

Suicidality among Chinese college students: A cross-sectional study across seven provinces

Investigating prolonged social withdrawal behaviour as a risk factor for self-harm and suicidal behaviours

Psychological Strain and Suicidal Ideation in Athletes: The Multiple Mediating Effects of Hopelessness and Depression

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